PainCast

Category: Epimed

  • Plantar Fascia

    Plantar Fascia

    [vc_row css=”.vc_custom_1517939115140{padding-right: 20px !important;padding-left: 20px !important;background-color: #fbfbfb !important;}”][vc_column][vc_column_text]Published on March 31, 2020

    Dr. Brian Allen shows us his technique of using cryoanalgesia to treat pain of the plantar fascia on a cadaveric foot. He explains the initial incision, probe placement, and freezing times. Dr. Allen also explains why cyroanalgesia is a less invasive and much safer than surgery.

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  • RX-2 Technique

    RX-2 Technique

    [vc_row css=”.vc_custom_1517939115140{padding-right: 20px !important;padding-left: 20px !important;background-color: #fbfbfb !important;}”][vc_column][vc_column_text]Published on March 9, 2017

    Dr. Racz demonstrates, in great detail, the proper technique using the RX-2 Coude needle for cervical catheter advancement. He explains the safest loss of resistance approach to penetrate the ligamentum flavum. He shows how to direct the needle tip safely to access the epidural space in the lower cervical spine. The importance of minimizing radiation exposure is also discussed.

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  • RX-2 vs Standard

    RX-2 vs Standard

    [vc_row css=”.vc_custom_1517939115140{padding-right: 20px !important;padding-left: 20px !important;background-color: #fbfbfb !important;}”][vc_column][vc_column_text]Published on February 15, 2017

    Dr. Racz compares the use of a standard introducer needle to the RX-2 Coude needle for inserting spinal cord simulators. The standard needle is similar to that of a Tuohy and has a curve in the tip. This exposed cutting edge can lead to accidental advancement of the SCS into the subdural space. This danger is averted by using the atraumatic stylet with the RX-2 Coude.

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  • RX-2 Conclusion

    RX-2 Conclusion

    [vc_row css=”.vc_custom_1517939115140{padding-right: 20px !important;padding-left: 20px !important;background-color: #fbfbfb !important;}”][vc_column][vc_column_text]Published on February 15, 2017

    Dr. Racz reviews a few key points to conclude his discussion on the use and advantage of the RX-2 Coude needle, not only for efficacy but also patient safety.

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  • RX-2 Patient Positioning

    RX-2 Patient Positioning

    [vc_row css=”.vc_custom_1517939115140{padding-right: 20px !important;padding-left: 20px !important;background-color: #fbfbfb !important;}”][vc_column][vc_column_text]Published on January 6, 2017

    Dr. Racz offers simple yet important “tips” when positioning a patient in the prone position for optimal fluoroscopic viewing of the spine. With these two basic principles, one can clear the shoulders from the lateral view and open the interlaminar spaces for better accessibility.

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  • “How to avoid Complications with the RX-2”

    “How to avoid Complications with the RX-2”

    [vc_row css=”.vc_custom_1517939115140{padding-right: 20px !important;padding-left: 20px !important;background-color: #fbfbfb !important;}”][vc_column][vc_column_text]Published on December 7, 2017

    Dr. Racz compares the safety of RX-2 Coude needle to other needle by demonstrating the use of the second, atraumatic stylet. This second stylet allows for complete needle rotation within the epidural space without damaging the dura.

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  • The RX-2 Coude Needle for better SCS Placement

    The RX-2 Coude Needle for better SCS Placement

    [vc_row css=”.vc_custom_1517939115140{padding-right: 20px !important;padding-left: 20px !important;background-color: #fbfbfb !important;}”][vc_column][vc_column_text]Published on November 18, 2016

    Dr. Racz explains the advantages of using the RX-2 Coude needle when advancing cervical stimulator leads compared to that of a Tuohy needle. With the use of fluoroscopic images, he describes how the design of the RX-2 Coude allows for needle tip rotation without the risk of cutting the dura, allowing for safer and more accurate directability.

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  • Flexion-Rotation with the RX-2

    Flexion-Rotation with the RX-2

    [vc_row css=”.vc_custom_1517939115140{padding-right: 20px !important;padding-left: 20px !important;background-color: #fbfbfb !important;}”][vc_column][vc_column_text]Published on November 4, 2016

    By using the Blunt RX Needle in the cervical spine, the patient is free to perform flexion with rotation motions without the risk of puncturing the dura and other structures. This cervical rotation facilitates movement of the injectate over the nerve roots, drastically improving the procedure’s efficacy.

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  • The RX-2 and why it is preferred

    [vc_row css=”.vc_custom_1517939115140{padding-right: 20px !important;padding-left: 20px !important;background-color: #fbfbfb !important;}”][vc_column][vc_column_text]Published on November 4, 2016

    Dr. Racz adds a side note about the RX-2 Coude. He explains why both physicians and sales reps recognize the proven safety of using this needle with the secondary stylet.

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  • Hypogastric Plexus Block

    Hypogastric Plexus Block

    [vc_row css=”.vc_custom_1517939115140{padding-right: 20px !important;padding-left: 20px !important;background-color: #fbfbfb !important;}”][vc_column][vc_column_text]Published on November 24, 2015

    Dr. Miles Day perform a hypogastric plexus block using a 20g Blunt Coudé® needle.

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