Pictures of the Week

[BoardingDoc]

---

Members don't see this ad.

View attachment 407206

82 y/o. Right hemicanal and recess hiding under a disc.
Offer epidural while getting surgical consult.
Ambulatory, not falling.

Wow. No concern that the surgeon and patient will both want OR in less than 3 months? Images look horrible but I could see things taking a while if clinically it isn't as bad.

 

[MitchLevi]

The 25g Quincke with no LOR is clean, sharp and sleek.

 

[BoardingDoc]

The 25g Quincke with no LOR is clean, sharp and sleek.

View attachment 407208View attachment 407209

For all of those using the 25g for your CESIs, what are you using for your ILESIs? 25g as well? 22? Or are you using the more typical 18 or 20g tuohy?

 

[BobBarker]

I really love the 20g Tuohy from DU medical for all epidurals. It seems much thinner than a bd 20g Tuohy. It is about like a 22g bd spinal. Happy medium for me.

 

[MitchLevi]

For all of those using the 25g for your CESIs, what are you using for your ILESIs? 25g as well? 22? Or are you using the more typical 18 or 20g tuohy?

I use 22 for lumbar bc I put a larger volume of injectate in the lumbar spine and I don’t like injecting higher volumes through smaller needles. I’m trying to protect my hands.

 

[Taus]

Wow. No concern that the surgeon and patient will both want OR in less than 3 months? Images look horrible but I could see things taking a while if clinically it isn't as bad.

Unlike total joints, most (possibly all) spine surgeons I work with don’t care about esi pre surgery. They don’t make them wait at all.

 

[lobelsteve]

For all of those using the 25g for your CESIs, what are you using for your ILESIs? 25g as well? 22? Or are you using the more typical 18 or 20g tuohy?

25g.

 

[mygalperin]

The 25g Quincke with no LOR is clean, sharp and sleek.

View attachment 407208View attachment 407209

25 is to small for the neck, you want get much resistance from the dura, so you can poke through. If you using hanging drop it will also be difficult to see the movement. 20 and 18 might be to big, 22 is optimal

 

[lobelsteve]

25 is to small for the neck, you want get much resistance from the dura, so you can poke through. If you using hanging drop it will also be difficult to see the movement. 20 and 18 might be to big, 22 is optimal

If using a hanging drop technique, you should have retired 15 years ago.

 

[geauxg8rs]

If using a hanging drop technique, you should have retired 15 years ago.

What’s next? Are you against a series of three as well? 😂

 

[lobelsteve]

What’s next? Are you against a series of three as well? 😂

Only for it when done for pure profit (WC and atty lien).

 

[lobelsteve]

Because what?

Sent for SCS implant. Surgeon said no way to fix. Other pain doc tried ESI x2 before SCS. Great relief.
Double congenital anomalous anatomy.

 

[painquestions8989]

What are these areas in front of the canal?

 

[Baron Samedi]

What are these areas in front of the canal?

Anterior epidural space and venous plexus.

Don't ask me how I know.

 

[mygalperin]

If using a hanging drop technique, you should have retired 15 years ago.

You are trying to insult me again???

 

[mygalperin]

[emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6]]]][emoji[emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6]]]][emoji[emoji[emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6]]]][emoji[emoji[emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6]]]][emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6][emoji6]]]][emoji[emoji6][emoji6]][emoji[emoji[emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6]]]][emoji[emoji[emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6]]]][emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6][emoji6]]]][emoji[emoji6][emoji6]][emoji[emoji[emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6]]]][emoji[emoji[emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6]]]][emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6][emoji6]]]][emoji[emoji6][emoji6]][emoji[emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6]]]]]]][emoji[emoji[emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6]]]][emoji[emoji[emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6]]]][emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6][emoji6]]]][emoji[emoji6][emoji6]][emoji[emoji[emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6]]]][emoji[emoji[emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6]]]][emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6][emoji6]]]][emoji[emoji6][emoji6]][emoji[emoji[emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6]]]][emoji[emoji[emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6]]]][emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6][emoji6]]]][emoji[emoji6][emoji6]][emoji[emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6]]]]]]][emoji[emoji[emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6]]]][emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6][emoji6]]]][emoji[emoji[emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6]]]][emoji[emoji[emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6]]]][emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6][emoji6]]]][emoji[emoji6][emoji6]][emoji[emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6]]]]]" data-quote="geauxg[emoji[emoji[emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6]]]][emoji[emoji[emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6]]]][emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6][emoji6]]]][emoji[emoji6][emoji6]][emoji[emoji[emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6]]]][emoji[emoji[emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6]]]][emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6][emoji6]]]][emoji[emoji6][emoji6]][emoji[emoji[emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6]]]][emoji[emoji[emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6]]]][emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6][emoji6]]]][emoji[emoji6][emoji6]][emoji[emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6]]]]]]]rs" data-source="post: 0" class="bbCodeBlock bbCodeBlock--expandable bbCodeBlock--quote js-expandWatch">

What’s next? Are you against a series of three as well?

He is right on that, if [emoji[emoji[emoji6]][emoji[emoji6][emoji6]]]st or [emoji[emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6]]]]nd did not help, the [emoji[emoji[emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6]]]][emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6][emoji6]]]]rd one will only help from amount of steroids injected all together. You can use a prednisone as well for the same results. Sometimes facet in injections help instead.

 

[lobelsteve]

View attachment 407239
Because what?

Sent for SCS implant. Surgeon said no way to fix. Other pain doc tried ESI x2 before SCS. Great relief.
Double congenital anomalous anatomy.

Butterfly S1 vertebrae and spina bifida

 

[painquestions8989]

Don't ask me how I know.

How do you know?

 

[Baron Samedi]

How do you know?

I recently put cement in there