Lumbar Spine Injection Treatment | Radio Frequency Ablation for Back | Spine Simulator | Vail, CO

#backinjection #spineinjection #lumbarspine
https://neckandback.com/studyspine

Dr. Corenman speaks about injection usage and expectations for the lumbar spine. He will specifically cover injections, radio frequency ablations, and stimulator treatment.

Here are the types of injections around the lumbar spine:
-Epidural steroid injections (ESI)
-Transformaminal epidural steroid injections (TFESI)
-Caudal blocks
-Pars blocks
-Facet blocks
-Medial branch blocks
-Radiofrequency ablations (RFA – rhizotomy)
-Discograms
-Intraarticular hip injections
-Muscle insertion injections (periarticular hip injections)
-Greater trochanteric blocks
-Sympathetic ganglion blocks
-Prolotherapy

Injections can be:
-Diagnostic only (anesthetic agent only)
-Therapeutic only (corticosteroid only)
-Diagnostic and therapeutic (both substances - most common)
-Performed without contrast (iodine allergy, saline discogram)
-Ablative-medial branch rhizotomy
-Destructive-prolotherapy
-Stem cells
-Platelet Rich Plasma (PRP)

Dr. Corenman shares his thoughts on the following additional topics: Steroid effects on the inflamed nerve root, effects of anesthetics on nerve roots,ESI and motor weakness, dental alveolar blocks, lidocaine/Marcaine resistance, diagnostic versus therapeutic injections, pain diary, pressure wave injury, lumbar facet blocks, older percutaneous spinal treatments, normal discogram disc versus a tear and extravasation, stimulators, spinal cord stimulators, and pain pumps.

The discussion transitions over to spinal surgeries for specific lumbar disorders. These two questions are discussed:
-Why have surger?
-What are the indications for surgery?

In this section, Dr. Corenman talks about these pressing issues: indications for surgery, relative indications for surgery (considered if failed conservative care), contraindications for surgery, central stenosis (normal versus narrowed canal), lumbar HNP (when is surgery warranted?), cauda equina syndrome surgery, DDX continued leg pain post-op microdiscectomy, microdiscectomy progress after surgery, recurrent disc herniation, lateral recess stenosis, degenerative spondylolisthesis, central laminotomy, pre and post laminotomy, pre and post-op laminotomy, x-ray of central laminotomy, fusion purpose and requirements, how is fusion performed, why do we need rigid fixation, instrumentation, oral supplement and metabolic impedance to fusion, benefits of a TLIF, L5-S1 special considerations, isthmic spondylolisthesis and indications for surgery, posterolateral fusion for DS used for levels above L2 for fragile patients, ALIF, oblique lateral interbody fusion/XLIF, lumbar artificial disc replacements, lumbar ADR end plate fractures and settling, LADR – increased pain post implantation, interspinous kyphogenic device, coflex interspinous device, vertebroplasty/kyphoplasty, foraminal anatomy without degenerative changes, forminal collapse, pars fracture repair indications, pars fractures: contraindications for surgical repair, pars repair, Scheuermann’s kyphosis, lumbar lordosis, CT scans, balanced spine, scoliosis. Adult scoliosis repair, and degenerative scoliosis repair.

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To learn more, go to: https://neckandback.com/studyspine, https://neckandback.com/ and https://neckandback.com/forum/

With more than 30 years of experience, Donald Corenman, MD, DC, is a highly-regarded spine surgeon, considered an expert in the area of neck and back pain. His training as a Doctor of Chiropractic early in his career did not satisfy his desire for a deep understanding of the mechanics of the spine. This led him to medical school where he completed his Doctor of Medicine, Orthopedic Surgery Residency and Spine Surgery Fellowship. His study of spinal disorders and deformities brought him to Vail, Colorado where he joined The Steadman Clinic in 1994. With personalized clinical care a cornerstone of Dr. Corenman’s practice, he has been awarded the “Top 10 Doctor Award”, “Patient’s Choice Award”, “Compassionate Doctor Recognition” and is consistently recognized by Becker’s Spine Review in “Top Spine Surgeons to Know.”

Dr. Corenman has published two books: for patients, “Everything You Wanted to Know About the Back: A Consumers Guide to the Diagnosis and Treatment of Lower Back Pain” and for the medical community, “The Clinician’s Guidebook to Lumbar Spine Disorders: Diagnosis & Treatment”. He is passionate about educating patients on spine anatomy and disorders, so they have the ability to partner with their physicians in finding the most effective treatment for their back pain and disorders.