The curricula of many pain-related departments aren't specialized in pain management, necessitating more focused education programs. To fill this gap, alternative methods like online and offline lectures and practical workshops are considered. However, due to time and space constraints, these primarily cover ultrasound techniques for healthy individuals and static diseases' basics.
To enhance this, my RU-vid channel provides practical clinical knowledge and image training using dynamic images from actual treatments. For Master Class members, we offer full-version videos of treatment processes and use of diagnostic tools in real clinical settings.
Practical Class members receive fundamental, organized knowledge, ensuring a smooth learning journey in pain management. This differentiated approach caters to a wide range of learning needs, enhancing our viewers' experience.
Great to learn more about the LFCN. As a neurologist, I recongize the meralgia paresthtica well but it is still challenge for me to check the conditions about the nerve in a patient with suspicious etrapment. And I want to ask questions after watching the video: Q1: Are the most cases who get the etrapment at the level between fascia lata & fascia iliaca? or at other level? Q2: What's the tolerable steroid dose and volume in the level? (if the etrapment occured between fascia, should we get concerned about the total injected dose to avoid further compression as in carpal tunnel syndrome?)
Thanks for your question. Answer for Q1: I found that nerve swelling occurs mostly under the ilioinguinal ligament, indicating that nerve compression happens between the fascia lata and fascia iliaca or at the angulation point between the inguinal ligament and fascia lata, causing repeated strangulation. Answer for Q2: I have not used intolerable doses of steroids, nor have I found complications related to fat necrosis. When using steroids for this compressive pathology, my goal is to destroy the compressing fibrotic tissue. Sometimes, using a needle to cut the fascia can be beneficial if the precise site of compressive pathology is identified.
So great to see this video. There are so many patients in my clinic to have gluteal pain. Some may have unstable pelvis, some may have lumbar radicular pain, but there are still some patient have uncertain causes. So it is helpful to me to differentiate the conditions deeper. Thank you!
Many doctors mistakenly consider the neck of the Scotty dog in an oblique C-arm image to be the target for the medial branch block. However, the Scotty dog actually represents the pedicle. Therefore, the target for the medial branch is not exactly the same as the neck of the Scotty dog. The appearance of the neck of the Scotty dog can change with different C-arm angulations. While the Scotty dog is a traditional landmark image, it is more precise to focus on the superior border of the transverse process and the lateral margin of the superior articular process.
This particular shock wave product (EVO Blue) is the Radial type I think, not the Focused model. He says it was an excruciating treatment. Radial units are more uncomfortable than the Focused.
Great, I have finally found a professional enough lecture to understand the calcific tendinosis intervention in the YT. Thank you, it's really insightful.
