hi prof,when u perform the paramedian approach, area that is seen are the articular process right?then by using out of plane technique, u introduce the needle up to nearest area to exiting nerve root .am i correct? my question is how do u determine the depths before u inject the meds?
It is true. This is an important problem. The tip of the needle may not be visible in out-of-plane entries and deep applications. Sometimes I inject guesstimate, sometimes as soon as we come into contact with the bone. The best method of this application is fluoroscopic applications.
Good afternoon Dr Murat, two question: On the facet joint whic kind o needle do you use? And on the paramedial approach you are injecting the esteroid on the articular proces between l4-l5? Thnak you so much
hı I use spinal needle 20 G. If I see entrance of facet joint, I do intraarticuler like as little volume 1 ml. I do the remaining part periarticularly.
Thank you Sir, I've found very interesting your out of plane approach, best regards
thanks sir
which size needle do you use for facet injections?
Thanks for the vid Dr. If I may ask, which structure are you injecing from minute 2:00 onwards?
The target structure is foramna
This injection was made for foraminal disc herniation
hi prof,when u perform the paramedian approach, area that is seen are the articular process right?then by using out of plane technique, u introduce the needle up to nearest area to exiting nerve root .am i correct? my question is how do u determine the depths before u inject the meds?
It is true. This is an important problem. The tip of the needle may not be visible in out-of-plane entries and deep applications. Sometimes I inject guesstimate, sometimes as soon as we come into contact with the bone. The best method of this application is fluoroscopic applications.
Good afternoon Dr Murat, two question:
On the facet joint whic kind o needle do you use?
And on the paramedial approach you are injecting the esteroid on the articular proces between l4-l5?
Thnak you so much
hı
I use spinal needle 20 G. If I see entrance of facet joint, I do intraarticuler like as little volume 1 ml. I do the remaining part periarticularly.
患者臀在畫面上方，注射在患者左L5S1
🌹0:51 L5S1 小面關節
Have you used c arm along with usg?
No I didn't use it. This video has been prepared to show that epidural injection can be performed under USG guidance in suitable patients.
Which ultrasound and model have you used in this video
I used a convex probe
Do we need stimulator along Sir?
hı we do not use stimulators in this injection
@@profmuratkarkucakmd4615 , how much ml. Sir?