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Management of neck pain

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yury
Santé & Médecine
1  sur  36
Lawrence Jay Epstein, MD Associate Director, Division of Pain Management.
 
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AP fluoroscopic image of a cervical interlaminar epidural steroid injection with a catheter threaded to C6/7 in a patient with a left C7 radiculopathy. Note needle entry at T2/3.
AP fluoroscopic image of a cervical interlaminar epidural steroid injection with a catheter threaded to C5/6 in a patient with a right C6 radiculopathy. Note needle entry at T1/2.
AP fluoroscopic image of a right C5/6 transforaminal epidural steroid injection.
AP fluoroscopic image of a right C5/6 transforaminal epidural steroid injection. Note that vascular uptake not seen on the previous image is apparent with contrast injection under live fluoroscopy.
 
 
 
 
 
 
 

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Management of neck pain

  • 1. Lawrence Jay Epstein, MD Associate Director, Division of Pain Management.
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  • 26. AP fluoroscopic image of a cervical interlaminar epidural steroid injection with a catheter threaded to C6/7 in a patient with a left C7 radiculopathy. Note needle entry at T2/3.
  • 27. AP fluoroscopic image of a cervical interlaminar epidural steroid injection with a catheter threaded to C5/6 in a patient with a right C6 radiculopathy. Note needle entry at T1/2.
  • 28. AP fluoroscopic image of a right C5/6 transforaminal epidural steroid injection.
  • 29. AP fluoroscopic image of a right C5/6 transforaminal epidural steroid injection. Note that vascular uptake not seen on the previous image is apparent with contrast injection under live fluoroscopy.
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Notes de l'éditeur

  1. How can we stratify so that we can follow an algorythm?
  2. Real answer is an integration of all these.
  3. Rule #1 LOOK FOR BADNESS!!
  4. All Question Marks
  5. Note that pathological classification (is; Spondylitic vs. Discogenic) does not help in distinguishing as you can have radicular pain from spondylitic disease (Foraminal Stenosis)