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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Stryker Interventional Spine

https://www.strykerivs.com

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SYNPOSIS

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.

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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

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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