http://www.medilaw.tv - Cervical Spine Epidural Steroid Injection transforaminal pain management videos. This movie illustrates the technique for performing a cervical transforaminal epidural injection in the supine position. This movie shows patient positioning, skin preparation, local anesthetic injection, needle introduction into the epidural space, contrast injection to check needle tip position in the epidural space, steroid / anesthetic injection, and finally wound dressing. Cervical Spine Epidural Steroid Injection transforaminal pain management videos. INTRODUCTION An epidural injection is used to inject medication into the epidural space around irritated spinal nerves. Spinal nerves can be irritated by herniated or degenerative discs, facet joint osteophytes, enlarged ligaments or traumatic or infectious inflammation. The injected medication can include local anesthetic, slow-release anti-inflammatory steroid and opioid pain-relieving medication. Epidural injections can be diagnostic or therapeutic. The amount of immediate pain relief from the local anesthetic is diagnostic of the degree to which the nerves are a source of your pain. This information will assist with the selection of further treatment options. Once the source of the pain is known, therapeutic injections can be given to provide pain relief. Steroids act as an anti-inflammatory to decrease pain and swelling. Opioids increase the pain relief. In addition, the injection fluid also helps to flush out inflammatory pain-causing proteins. The injection can provide ongoing pain relief so that a rehabilitation program can be undertaken. INDICATIONS Cervical Spine Epidural Steroid Injection transforaminal pain management videos. The indications for an epidural injection are – to assist in the identification of the cause of neck or arm pain – to provide relief of pain caused by disease of the intervertebral disc, spinal nerve root, or adjacent structures. ALTERNATIVES The non-surgical alternatives to epidural injection may be – activity modification – weight loss – aerobic exercise, such as walking, cycling, and swimming – strength and flexibility exercises – physical therapy – hydrotherapy – heat and cold pads – acupuncture – oral pain-relieving medications such as acetaminophen or paracetamol, non-steroidal anti-inflammatory drugs, glucosamine, chondroitin The surgical alternatives to epidural injection may be – pain management injections or ablations – surgical decompression and possibly fusion – disc replacement surgery – oral steroid medication (may not be as effective). INFORMED REFUSAL Cervical Spine Epidural Steroid Injection transforaminal pain management videos. It is your right to delay or refuse the recommended treatment for your condition. However, this delay or refusal may lead to the worsening of your symptoms, such as increased neck pain, arm pain, pins and needles, weakness or numbness. You should ask your doctor what might happen should you choose not to undertake the recommended treatment. BEFORE Cervical Spine Epidural Steroid Injection transforaminal pain management videos. Before the epidural injection - cease blood thinners as instructed ie coumadin/warfarin, plavix, heparin, aspirin - let your doctor know all the medications you are taking including herbal medications that can increase bleeding risk ie vitamin E, glucosamine, chamomile, danshen, garlic, gingko, devil’s claw, ginseng, fish oil, willow bark, feverfew, and goji berries - you should take your routine medications, but stop any pain relievers or anti-inflammatory medication for the day. You need to have some pain, so you can assess whether the injection gives you any pain relief. - you will be admitted into the hospital on the day of the procedure - bring your radiological images and reports ie X-rays, CTs, MRIs - don't eat or drink for a few hours before the procedure. - wear loose-fitting clothes that are easy to take off and put on. Do not wear any jewelry. - before the procedure, the skin on your neck will be cleaned and you will be given a general health check. The skin on your neck may be shaved. - an intra-venous line may be placed in to a vein in your arm to administer fluid and medications - let your doctor know if you develop a fever, cold or flu symptoms before your scheduled procedure. GOALS The goal of an epidural steroid injection is to provide pain relief by reducing the inflammation of the nerve roots as they leave the spine. An epidural steroid injection will not correct the pre-existing medical problem but may provide enough pain relief so that psychology, physical therapy and pharmacologic management can be optimized. TECHNIQUE Cervical Spine Epidural Steroid Injection transforaminal pain management videos. Your neck will be cleaned. A local anesthetic injection will numb the skin. This may sting for a couple of seconds. A needle will enter the epidural space through the intervertebral foramen. F

• published: 08 Jul 2011
• views: 6431

http://www.medilaw.tv - Cervical Spine Facet Joint Zygoapophysial Injection medical 3D animations. This movie illustrates the technique for performing a cervical facet joint injection. This movie shows patient positioning, skin preparation, local anesthetic injection, needle introduction into the facet joint space, steroid / anesthetic injection, and finally wound dressing. Cervical Spine Facet Joint Zygoapophysial Injection medical 3D animations. INTRODUCTION The facet joint connects the inferior articular process of the vertebra above, with the superior articular process of the vertebra below. Adjacent vertebra are connected by a right and left facet joint. They are sometimes referred to as zygopophysial joints or z-joints. A damaged facet joint can be a source of neck pain. A facet joint injection is used to place medication into a particular facet joint. A facet joint injection can be diagnostic, to determine the pain source. If the injection relieves the pain, then the injection site is the source of the pain. Once the source of the pain is known, further treatment options can be considered. A facet joint can also be therapeutic, by injecting medication into the painful joint to relieve pain. Medications injected include - local anesthetic for quick pain relief - a strong long lasting steroid anti-inflammatory. It can take several days to work, but its effect can last for months. - opioid to increase the pain relief. INDICATIONS Facet joint injections are used to identify or treat a painful facet joint. ALTERNATIVES Cervical Spine Facet Joint Zygoapophysial Injection medical 3D animations. The non-surgical alternatives to facet joint injections may be – activity modification – weight loss – aerobic exercise, such as walking, cycling, and swimming – strength and flexibility exercises – physical therapy – hydrotherapy – heat and cold pads – acupuncture – pain-relieving medications such as acetaminophen or paracetamol, non-steroidal anti-inflammatory drugs, glucosamine, chondroitin The surgical alternatives to facet joint injections may be – steroid and local anesthetic injections – surgical fusion. INFORMED REFUSAL It is your right to delay or refuse the recommended treatment for your condition. However, this delay or refusal may lead to the worsening of your symptoms, such as increased neck pain. You should ask your doctor what might happen should you choose not to undertake the recommended treatment. BEFORE Cervical Spine Facet Joint Zygoapophysial Injection medical 3D animations. Before the facet joint injection - cease blood thinners as instructed ie coumadin/warfarin, plavix, heparin, aspirin - let your doctor know all the medications you are taking including herbal medications that can increase bleeding risk ie vitamin E, glucosamine, chamomile, danshen, garlic, gingko, devil’s claw, ginseng, fish oil, willow bark, feverfew, and goji berries - you should take your routine medications, but stop any pain relievers or anti-inflammatory medication for the day. You need to have some pain, so you can assess whether the injection gives you any pain relief. - you will be admitted into the hospital on the day of the procedure - bring your radiological images and reports ie X-rays, CTs, MRIs - don't eat or drink for a few hours before the procedure. - wear loose-fitting clothes that are easy to take off and put on. Do not wear any jewelry. - before the procedure, the skin on your neck will be cleaned and you will be given a general health check. The skin on your neck may be shaved. - an intra-venous line may be placed into a vein in your arm to administer fluid and medications - let your doctor know if you develop a fever, cold or flu symptoms before your scheduled procedure GOALS The goals of a facet joint injection are to either identify whether the particular facet joint is causing your pain, or to decrease the pain caused by the facet joint. TECHNIQUE Cervical Spine Facet Joint Zygoapophysial Injection medical 3D animations. You will be lying on your front. Your neck will be cleaned. A local anesthetic injection will numb the skin. This may sting for a couple of seconds. A needle will enter the facet joint. Fluoroscopy, an X-ray TV, is often used to help guide the needle to the correct location. Then the medication will be injected, the needle removed and a small bandage placed on the skin. NO SMOKING Smoking damages every part of your body and decreases the chance of a successful procedure. If you smoke, you should stop now. EXPECTATIONS The expectations of the procedure are – the procedure will take ten to thirty minutes – immediately after the injection of local anesthetic, you should feel that your pain is much less – after a diagnostic injection, in a few hours, your pain may return and you may have a sore neck for a couple of days. This is due to the needle insertion – after a therapeutic injection using a steroid, you should notice pain relief commencing

• published: 08 Jul 2011
• views: 3528

For two weeks each July, the sleepy town of Montreux by Lake Geneva in Switzerland, looking out at the Alps of Savoie, is transformed into a hubbub of International stars and music performances of the highest calibre. Started 46 years ago by Claude Nobs – a music enthusiast and former Tourist Bureau consultant – Montreux has become one of the major fixtures in the International jazz calendar. A host of super-stars have performed at the event, including Marvin Gaye, Ray Charles, Aretha Franklin, Nina Simone and James Brown. An event that welcomes almost half a million music fans annually, the entire town and region works together to ensure a slick jazz operation. The festival not only offers formal concerts and workshops, but there are Jazz Trains and Jazz Boats that make the most of the incredible scenery and setting. An outdoor band stand surrounded by bars, food stalls and markets offers free music throughout the day and into the night. It’s an amazing festival, I will definitely be returning! Thanks for the music tracks that I took from Bonobo. This tunes from "Recurring". "Sleepy Seven". "Sugar Rhyme" are suit for the edit. Audio interview of Claude Nobs, founder of the festival, by NVP3D, a few days before the Montreux Jazz Festival 2012.

• published: 02 Jun 2016
• views: 85