Description of Optimal Angle of Needle Insertion For L5 Transforaminal Epidural Injection Leads to Complications

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Description of Optimal Angle of Needle Insertion For L5 Transforaminal Epidural Injection Leads to Complications.

Ra and Min (1) painstakingly have described the optimal angle of needle insertion for fluoroscopically guided transforaminal epidural injection of L5. Unfortunately, this potentially increases further complications related to lumbar transforaminal epidural injections with the safe triangle approach (2).Clearly, the literature undeniably shows that the safe triangle approach may not be safe and ...

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Optimal needle entry angle for cervical transforaminal epidural injections.

BACKGROUND Cervical epidural steroid injections can be performed through either interlaminar or transforaminal approaches, although the interlaminar approach is more frequently used, for cervical radicular pain as a result of cervical disc herniation or spinal stenosis. Cervical selective nerve root block (CSNRB) is an injection that uses a similar approach to that of cervical transforaminal ep...

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New Optimal Needle Entry Angle for Cervical Transforaminal Epidural Steroid Injections: A Retrospective Study

Objective: A cervical epidural steroid injection is one of the most commonly performed interventions to manage chronic neck pain and cervical radiculopathy. Despite its many severe complications, cervical transforaminal epidural steroid injection (CTFESI) is a clinically necessary modality for managing neck pain and cervical radiculopathy. We aimed in this study to find a safer optimal needle e...

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A Needle-Free Injection System (INJEX™) with lidocaine for epidural needle insertion: A randomized controlled trial

OBJECTIVES Local anesthetic infiltration is also a process of a painful process itself. INJEX™ technology, known as "Needle-free" drug delivery system, was designed for reducing the pain associated with cutaneous procedures. We conducted a prospective, randomized trial to evaluate the application of lidocaine with INJEX™ system and 27-gauge needle. METHODS A total of 60 consecutive patients w...

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Comparison of incidence of intravascular injections during transforaminal epidural steroid injection using different needle types

BACKGROUND Infrequent but serious complications of transforaminal epidural steroid injection (TFESI) occur due to inadvertent intravascular injections. A few studies reported that the different needle types can influence on the occurrences of intravascular incidence in TFESI. This study prospectively evaluated whether short-bevel needle can reduce the incidences of intravascular injection of TF...

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ژورنال

عنوان ژورنال: September 2015

سال: 2015

ISSN: 2150-1149,1533-3159

DOI: 10.36076/ppj.2015/18/e937