Episode # 55 • 06 Aug 2024
BackTable Basics: Lumbar Epidural Injections
An epidural steroid injection (ESI) is a minimally invasive technique used to treat back pain. Providers from various specialties and settings can learn and offer this procedure. In this episode of the Back Table MSK Podcast, hosts Jacob Fleming and Chris Beck share their experiences and techniques for performing ESIs.
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Timestamps
00:00 - Introduction
03:41 - Learning How to Perform ESIs
06:58 - Common Indications for ESIs
10:49 - Dr. Beck’s Technical Approach
32:22 - Dr. Fleming’s Technical Approach
40:49 - Treating Intrathecal Complications
Resources
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More about this episode
The doctors detail the technical aspects of their ESI procedures, including guidance on patient and C-arm positioning, considerations for an interlaminar approach, and potential complications to watch for.
Bone cement: Serious adverse events, some with fatal outcome, associated with the use of bone cements for vertebroplasty, kyphoplasty and sacroplasty include myocardial infarction, cardiac arrest, cerebrovascular accident, pulmonary embolism and cardiac embolism. Although it is rare, some adverse events have been known to occur beyond one year post-operatively. Additional risks exist with the use of bone cement. Please see the IFU for a complete list of potential risks.
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