Indications Cervical epidural steroid injection (ESI) is primarily used to treat pain arising from cervical herniated discs or spinal stenosis. Techniques After informed consent is obtained, the patient is placed in the prone, lateral decubitus, or sitting position with the neck flexed. The sitting position, with the head resting on the examination table, provides better […]
Tag Archives: spine Injection
Tiếng Việt >> Indications The caudal approach to the epidural space is used to treat pain in the lower back and pelvis. Techniques After informed consent is obtained, the patient may be placed in a variety of positions, with patient comfort probably as the prime concern. The preferred position is the lateral Sims’ position with […]
Indications Lumbar sympathetic blockade is useful for diagnosing and treating pain of sympathetic origin. This includes pain involving the pelvis and lower extremity, secondary to complex regional pain syndrome, vasospastic disorders, and phantom pain. Techniques The spinous process of the second or third lumbar vertebra is palpated, and a point is marked 4 cm lateral […]
Tiếng Việt >> Indications ESI is most effective for lumbosacral radiculopathy associated with intervertebral disc herniation, bulging, or degeneration. The main criterion for success is the presence of nerve root inflammation that can be relieved by the steroid. ESI also has been used to treat pain from degenerative joint disease, scoliosis, spondylolysis, spondylolisthesis, postlaminectomy syndrome, […]
Tiếng Việt >> Indications Nerve root blockade is useful in diagnosing and treating pain present in a dermatomal distribution. Techniques After informed consent is obtained, the patient is placed in the prone position, and a line perpendicular to the axis of the spine is drawn across the top of the spinous process. In the lumbar […]