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Have we talked about this case?

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painfree23

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Teen with shingles being treated with an ESI? Something seems fishy
 

Agast

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I’ve treated PHN with epidurals. Works fine.
 
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paindoc007

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Teen with shingles being treated with an ESI? Something seems fishy

Nothing fishy about it at all. A bad complication to an elective procedure. Particulate emboli in a tfesi is my guess.
 
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Orin

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T10-complete on the third epidural in a series of 3 for PHN.

She'd be a good candidate for SCS for motor recovery
 
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bedrock

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Either that or a direct intra-cord needle placement and injection
Given her the lack of pain reported, a TFESI with particulate seemed more likely. But I agree that we don’t know.

Sadly I know several LA pain docs who do mostly PI work and they do all their TFESI with particulate at every level.
 
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Agast

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Series of 3 for PHN? I’d assume whatever benefit an epidural would provide would have happened with the first one…
 
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painfree23

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Given her the lack of pain reported, a TFESI with particulate seemed more likely. But I agree that we don’t know.

Sadly I know several LA pain docs who do mostly PI work and they do all their TFESI with particulate at every level.
Hah, most of the PI epidurals may not even b in the epidural space so who cares if it’s particulate or not. They aren’t gonna get better anyway.
 
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rexed

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Hah, most of the PI epidurals may not even b in the epidural space so who cares if it’s particulate or not. They aren’t gonna get better anyway.
This ^^^
 
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