PainCast

Category: Racz Lab

  • Caudal Neuroplasty

    Caudal Neuroplasty

    [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 July 15, 2020

    Founder and past president of the World Institute of Pain, Dr. Gabor Racz walks us through a caudal neuroplasty procedure. Dr. Racz starts by highlighting common catheterization errors and how to avoid them, including needle and catheter insertion and navigation of scar tissue. He goes on to describe L5/S1 transforaminal catheterization techniques, including the benefits of curved needles as “percutaneous navigation devices.” Dr. Racz concludes with a discussion of patient outcomes from different levels of intraneural injection.

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  • Cervical Neuroplasty Using Hypertonic Saline

    Cervical Neuroplasty Using Hypertonic Saline

    [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 18, 2020
    Dr. Gabor Racz explains the advantages of cervical neuroplasty (including hypertonic saline and active cervical flexion/rotation) compared to a standard ESI. He has a preoperative consultation with his patient, whose complaint is upper back/neck pain and headaches. Dr. Racz then performs the cervical lysis procedure and follows up with a postoperative consultation and subsequent injections of hypertonic saline.[/vc_column_text][/vc_column][/vc_row][vc_row][vc_column][vc_column_text css=”.vc_custom_1488298613118{margin-top: -20px !important;}”]

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  • Lysis of Adhesions – Caudal Approach

    Lysis of Adhesions – Caudal Approach

    [vc_row css=”.vc_custom_1517939115140{padding-right: 20px !important;padding-left: 20px !important;background-color: #fbfbfb !important;}”][vc_column width=”3/4″][vc_column_text]Published on December 3, 2019
    Dr. Rafael Justiz demonstrates how to access the sacral hiatus for a caudal-lysis of adhesion procedure using fluoroscopy. He explains the importance of avoiding the mid-line while directing the catheter to the desired anterior-lateral epidural space. He also discusses the volumes of injectates he prefers to use.[/vc_column_text][/vc_column][vc_column width=”1/4″][vc_column_text]

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  • Lysis of Epidural Adhesions

    Lysis of Epidural Adhesions

    [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 28, 2019

    Dr. Gabor Racz gives a technique-based slide presentation on the Lysis of Adhesion procedure. He explains the mechanism of action, inclusion and exclusion criteria, and updated information regarding injectates and the volumes. He concludes by explaining, step-by-step, both the cervical and lumbar one day lysis procedure.

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  • Caudal Lysis

    Caudal Lysis

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    Published on January 13, 2017
    Dr. Mishra demonstrates how he performs a caudal lysis of adhesion procedure with the use of a cadaver and fluoroscopic guidance. He starts with correct needle placement and advancement through the sacral hiatus. He shows how to properly advance the catheter into the lumbar area and explains how to direct it laterally to the involved nerve root. Dr. Mishra also discusses injectant volumes and how they vary from those of a cervical lysis.[/vc_column_text][/vc_column][vc_column width=”1/4″][vc_column_text]

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  • Cervical Interlaminar Lysis

    Cervical Interlaminar Lysis

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    Published on December 19, 2016
    Dr. Mishra performs an interlaminar, cervical lysis on a cadaver with a RX-2®™ Coude®™ needle. He explains the benefits of a contralateral needle entry below the cervical spine, C7-T1, and demonstrates how to use the second stylet while rotating the needle to avoid cutting the dura. With live fluoroscopy, he advances the catheter and then shows the correct way to attach to the Stingray® connector to the catheter. Dr. Mishra concludes with injectate volumes and discusses variations if stenosis is observed.[/vc_column_text][/vc_column][vc_column width=”1/4″][vc_column_text]

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  • Lumbar Transforaminal

    Lumbar Transforaminal

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    Lumbar Transforaminal
    Dr. Matthew Rupert

    Published on July 11, 2016
    Dr. Matthew Rupert demonstrates, with the use of a cadaver, ideal needle placement for transforaminal lumbar procedures using a blunt coude® needle. He discusses anatomical landmarks and how to identify them on the fluoroscope. He explains the importance of the angle of approach to ensure the needle is in the correct location for accurate injectate delivery.[/vc_column_text][/vc_column][vc_column width=”1/4″][vc_column_text]

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  • Treating Intercostal Nerve pain with Cryoanalgesia

    Treating Intercostal Nerve pain with Cryoanalgesia

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    Treating Intercostal Nerve pain with Cryoanalgesia
    Dr. Andrea Trescot

    Published on March 31, 2016
    Dr. Trescot demonstrates how to use cryoanalgesia to treat intercostal neuralgia, including machine settings and fluoroscopic assistance for proper probe placement.[/vc_column_text][/vc_column][vc_column width=”1/4″][vc_column_text]

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  • Cryoanalgesia Technique

    Cryoanalgesia Technique

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    Cryoanalgesia Technique
    Dr. Andrea Trescot

    Published on March 21, 2016
    Dr. Trescot demonstrates proper probe placement and advancement for treating intercostal neuralgia using cryoanalgesia. She discusses fluoroscopic imaging and gives a brief overview of the PainBlocker’s settings.[/vc_column_text][/vc_column][vc_column width=”1/4″][vc_column_text]

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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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