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BackTable / MSK / Podcast / Episode #56

BackTable Basics: Transforaminal, Cervical, and Thoracic Epidural Injections

with Dr. Christopher Beck, Dr. Jacob Fleming

Cervical and thoracic epidural steroid injections (ESIs) can offer relief for patients with chronic pain; however, these procedures can carry serious risks. Providers should be well-trained to anticipate and mitigate these risks before treating patients with ESIs. In this episode of the Backtable MSK Podcast, co-hosts Dr. Chris Beck and Dr. Jacob Fleming dive deep into various techniques and considerations for performing ESIs.

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BackTable Basics: Transforaminal, Cervical, and Thoracic Epidural Injections  with Dr. Christopher Beck, Dr. Jacob Fleming on the BackTable MSK Podcast
Ep 56 BackTable Basics: Transforaminal, Cervical, and Thoracic Epidural Injections with Dr. Christopher Beck, Dr. Jacob Fleming
00:00 / 01:04

BackTable, LLC (Producer). (2024, August 13). Ep. 56 – BackTable Basics: Transforaminal, Cervical, and Thoracic Epidural Injections [Audio podcast]. Retrieved from https://www.backtable.com

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Podcast Contributors

Dr. Christopher Beck on the BackTable VI Podcast

Dr. Chris Beck is a practicing interventional radiologist with Regional Radiology Group in New Orleans.

Dr. Jacob Fleming on the BackTable MSK Podcast

Dr. Jacob Fleming is a diagnostic radiology resident and future MSK interventional radiologist in Dallas, Texas.

Synopsis

Dr. Beck and Dr. Fleming discuss the importance of trajectory and level aiming, the differences between interlaminar and transforaminal approaches, and the nuances of cervical and thoracic ESI procedures. The episode also covers patient positioning and potential complications.

Timestamps

00:00 - Introduction
02:10 - Techniques for Transforaminal Approach
08:51 - Cervical ESI
15:15 - Risks of Cervical ESI
24:07 - Thoracic ESI
29:03 - Post-Procedure Considerations
32:34 - Caudal ESI

Resources

BackTable MSK Ep. 55 - BackTable Basics: Lumbar Epidural Injections
with. Dr. Chris Beck:
https://www.backtable.com/shows/msk/podcasts/55/backtable-basics-lumbar-epidural-injections

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.

The Materials available on BackTable are provided for informational and educational purposes only and are not a substitute for the independent professional judgment of a qualified healthcare professional in diagnosing or treating patients. Any opinions, statements, or views expressed are those of the individual contributors and do not necessarily reflect those of the publisher, platform, or any affiliated organization.

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Articles

Topics

Back Pain Podcasts
Epidural Steroid Injection (ESI) Podcasts
Musculoskeletal Interventional Radiology (Musculoskeletal IR) Podcasts
Pain Management Podcasts

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