PainCast

Tag: lateral recess stenosis

  • Scarring Triangle with Patient Interview

    Scarring Triangle with Patient Interview

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    Scarring Triangle with Interview
    Dr. Gabor B. Racz

    Published on May 31, 2017
    Dr. Gabor Racz evaluates a patient for back and left leg pain, which includes L4-L5 and L5-S1 muscle testing. As a result of the patient’s symptoms and the objective findings, Dr. Racz performs a “Scarring Triangle” procedure followed by a caudal lysis (to target the L-4 nerve root). These are both performed with the guidance of fluoroscopy. He explains the importance of adding a bend to the stylet for precise guidance. He also briefly mentions the injectants and volumes he uses for these procedures.[/vc_column_text][/vc_column][vc_column width=”1/4″][vc_column_text]

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  • Scarring Triangle

    Scarring Triangle

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    Published on February 15, 2017
    Dr. Racz performs a “Scarring Triangle” procedure. Under fluoroscopy, he explains how the pattern of contrast run-off can be used as an indicator of the scarring location and severity. He immediately follows with an L-4 transforaminal lysis. He explains his “direction-depth-direction” principle while advancing the needle and demonstrates how to angle the C-arm to properly identify the osseous structures to ensure a safe, transforaminal entry.[/vc_column_text][/vc_column][vc_column width=”1/4″][vc_column_text]

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