📚The video opens with a standard medical video disclaimer that it is intended for educational purposes for pain physicians, not for patients. A brief introductory slide appears featuring the video's title, "C-Arm Guided Transforaminal steroid injection and Facet Joint Radio Frequency Ablation (RFA)."
The first section of the video provides a brief overview of the rationale behind these procedures, detailing the indications such as radicular pain, spinal stenosis, and facet joint arthropathy, and the expected benefits, including pain relief and improved mobility.
Next, the video shifts focus to a detailed 3D anatomy of the spine, pinpointing the areas of interest, namely the foramen (where nerve roots exit the spinal column) and the facet joints. There's a clear explanation of how these areas can become sites of pain due to conditions like herniated discs or arthritis.
The procedure section begins with a demonstration of patient positioning. The video shows a patient prone on the procedure table with proper supportive padding. Then the video shows the use of the C-arm fluoroscope, a device providing real-time X-ray imaging. The physician adjusts the C-arm to achieve an optimal view of the lumbar spine.
Following the introduction of the C-arm, the video displays the step-by-step procedure of the transforaminal and facet joint injections. The video shows how the physician uses live imaging to guide the needle precisely into the correct position, either into the foramen for a transforaminal injection or into the facet joint.
With the needle correctly positioned, the video illustrates how the injectate - often a mixture of an anesthetic for immediate relief and a corticosteroid for longer-term reduction of inflammation - is delivered. The whole procedure has been demonstrated on a mannequin.
The video concludes with a summary of the expected outcomes and possible complications, along with post-procedure care instructions for the patient. The last few minutes are reserved for answering some common questions related to these procedures.
Throughout the video, there are handy visual aids and captions to ensure viewers understand the various medical terms and processes. The physician performing the procedures provides clear and calm narration, ensuring that both patients and medical students can easily follow and understand the procedure.
The procedures that are highlighted are transforaminal epidural steroid injection which is also known as selective nerve root injection, dorsal root ganglion injection, lateral recess injection, safe triangle approach of epidural steroid injection, kambin's triangle approach.
#EpiduralSteroidInjection, #Facetinjection
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