spinal facet injection-sir pain survival guide
TRANSCRIPT
7/23/2019 Spinal Facet Injection-SIR Pain Survival Guide
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6
TFBHGFHFMEGEHZ [E^YBKE LBHE
Z@E E[[EHZBFL[ CI TFBH GFHFMEGEHZ T^CKEJU^E[
Nrcum`t tc ycu ny?
Trckejurfl Ejukftbch Kcggbttee ci t`e Tfbh Gfhfmegeht [ervbke Lbhe- ^esbjeht fhj
Iellcw [ektbch, [ckbety ci Bhtervehtbchfl ^fjbclcmy
Icr kcggehts cr summestej ejbts, plefse egfbl [B^[urvbvflMubjeDmgfbl.kcg
FUZ@C^[ ? E JBZC^[ ?
Gbk`fel ]frreh, GJ, TMR-:,
Trcvbjehke @cspbtfl fhj
Gejbkfl Kehters, [cut`ibelj,
Gbk`bmfh
@egfht Aflbf, GJ, GT@,
Bhtervehtbchfl Tfbh Gfhfmegeht
[pekbflbst, ^ck`ester ^embchfl
@eflt` [ysteg
Ocsep` JeGfrkc, JC, [B^-^I[
Klbhbkfl Ejukftbch [urvbvflMubje Lbfbsch
7/23/2019 Spinal Facet Injection-SIR Pain Survival Guide
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>
[TBHFL IFKEZ T^CKEJU^E? BHZ^F-F^ZBKULF^ LUGNF^ IFKEZ
BHOEKZBCH FHJ LUGNF^ GEJBFL N^FHK@ NLCKA
B HJBKFZBCH[
6.
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FN[CLUZE KCHZ^FBHJBKFZBCH[
6.
Kcfmulcpft`y (plftelet kcuht less t`fh 54,444 cr BH^ mrefter t`fh cr equfl tc 6.5)
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bhiektbch bhtc t`e ocbht.
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Tremhfhky
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Zek`hbkfl bhfnblbty tc fpprcprbftely tfrmet t`e ifket ocbht cr fssckbftej gejbfl nrfhk`
bhhervftbch.
5.
Gfxbgfl jcse ci kcrtbkcstercbj refk`ej jue tc rekeht perkutfhecus spbhfl pfbh
prckejures. Upper lbgbt ci stercbj usfme (;gm/am ci ncjy webm`t ci stercbj, cr >64 gm per yefr bh fh fverfme persch fhj f lbietbge jcse ci :>4 gm ci stercbj, equbvfleht tc
get`ylprejhbsclche).
^ ELFZBYE KCHZ^FBHJBKFZBCH[
6.
[evere gejbkftbch fllermy. Flt`cum` prcp`ylfxbs wbt` 54 gm Trejhbsche TC 6;, =, fhj 6
`cur neicre t`e bhoektbch. 54 gm Nehfjryl (Jbp`eh`yjrfgbhe) BY/TC wbt`bh 6 `cur ci t`e
bhoektbch.
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Kchicuhjbhm klbhbkfl exfg, suspbkbcus icr ct`er etbclcmy
T^ECTE^FZBYE T^ETF^FZBCH
6.
Z`e pftbeht heejs flterhftbve gefhs ci trfhspcrtftbch `cge bi t`ey fre fh cutpftbeht.>.
Jbskchtbhue fhtbkcfmulfhts icr fpprcprbfte fgcuht ci tbge, fkkcrjbhm tc [B^ mubjelbhes
icr lcw rbsa prckejures.
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Z`e pftbeht bs tclj tc jbskchtbhue fhflmesbks sc t`ft t`e eiibkfky ci t`e prckejure kfh ne
fssessej fpprcprbftely. Z`e pftbeht s`culj fnstfbh ircg pfbh gejbkftbchs ch t`e jfy ci
t`e prckejure bh crjer tc cntfbh t`e nest fssessgeht pcssbnle.
:.
^evbew ci systegs, fllermy stftus, gejbkftbchs, lckftbch, hfture, fhj severbty ci t`e
pftbeht‒s pfbh usbhm t`e Ybsufl Fhflcm [kfle cr Cswestry Jbsfnblbty Bhjex [kcre tc fssess
respchse tc treftgeht.
5.
^evbew fll relevfht bgfmbhm.
9.
Cntfbh TZ/TZZ, BH^.
KCH[EHZ
6.
Bhiektbch
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Nleejbhm
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Zrfhsbeht lcwer extregbty wefahess cr pfrest`esbf (trfhsbeht)
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Tcst prckejurfl pfbh ilfre
T^CKEJU^E
6.
Gcjflbtbes? Ilucrcskcpy/KZ
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Gfterbfls? Get`yprejhbsclche fketfte/Zrbfgkbhclche jbfketfte/Zrbfgkbhclche
fketchbje/Zrbfgkbhclche `exfketchbje/Netfget`fsche fketfte/p`csp`fte gbxture, ;.5 bhk`>> mfume spbhfl heejle
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Kchsbjer t`e use ci gblj sejftbch fhj newfre ci cver sejftbch.
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Tcsbtbch t`e pftbeht bh t`e prche pcsbtbch.
5.
Lckflbze t`e ifket ocbht tc ne bhoektej fhj bjehtbiy t`e bhierbcr fspekt ci t`e ocbht, t`e
superbcr fspekt kfh flsc ne lckflbzej.
9.
Fhmle t`e ilucrcskcpy tune tc 64 tc :5 jemrees, uhtbl fpprcprbfte vbsuflbzftbch ci t`e
pcsterbcr pcrtbch ci t`e ifket ocbht bs fk`bevej. Bhkrefsbhm t`bs fhmle bs requbrej wbt` lcwer
lugnfr levels. [lbm`t krfhbckfujflly fhmulftbch bs `elpiul tc cpeh up fkkess icr lcwer
7/23/2019 Spinal Facet Injection-SIR Pain Survival Guide
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;
lugnfr levels.
=.
Trepfre tfrmet fref usbhm sterble tek`hbque.
0.
Bhibltrfte wbt` 6 cr >% lbjckfbhe fs jeep fs pcssbnle, fspbrftbhm w`ble bhoektbhm sc fs tc
fvcbj bhtrfvfskulfr bhoektbch.
2.
Fjvfhke f >>-mfume spbhfl heejle ci fpprcprbfte lehmt` bhtc t`e ifket kfpsule usbhm
ilucrcskcpbk mubjfhke.
64.
Fjvfhke heejle uhtbl f relefse ci resbstfhke bs ielt. Z`e pftbeht wbll typbkflly ieel pfbh
upch kchtfkt wbt` t`e ocbht kfpsule fhj relbei wbt` pehetrftbch. Bt bs bgpcrtfht tc hcte t`ejemree fhj jbstrbnutbch ci pfbh tc hcte bi bt bs sbgblfr tc t`e pfbh t`e pftbeht wfs ieelbhm
neicre t`e prckejure.
66.
Bhoekt kchtrfst tc kchibrg plfkegeht.
6>.
Icr f jbfmhcstbk prckejure bhoekt fhest`etbk. @cwever, icr f t`erfpeutbk prckejure bhoekt f
kcrtbkcstercbj wbt` fh fhest`etbk.
6;.
^egcve t`e heejle fhj fpply f sterble jressbhm.
TC[Z-CTE^FZBYE KF^E
6.
Cnserve t`e pftbeht icr 65 tc >4 gbhutes.
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Lbgbt pcst prckejure fktbvbtbes fs wfrrfhtej.
;.
Z`e pftbeht s`culj hct cperfte gfk`bhery cr jrbve icr t`e regfbhjer ci t`e jfy.:.
Jc hct sungerme t`e wcuhj.
5.
Zfper fhflmesbks fs fpprcprbfte. Bi t`e pftbeht bs tfabhm cpbcbjs t`e tfperbhm heejs tc ne
revbewej ny t`e crjerbhm p`ysbkbfh.
9.
Trcvbje pftbeht wbt` bhicrgftbch ch t`e prckejure pericrgej, pcst prckejure pfbh, fhj
bssues heejbhm urmeht refssessgeht, suk` fs bhiektbch `egcrr`fme. Kchtfkt bhicrgftbch icr
t`e prckejurflbst cr jesbmhftej icllcw up kfre prcvbjer.
=.
Trcvbsbchs icr icllcw up.
TC[[BNLE EF^LR KCGTLBKFZBCH[
6.
Gbhcr `egcrr`fme.
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Zrfhsbeht lcwer extregbty wefahess cr pfrest`esbf.
;.
Tcst prckejurfl ilfre up ci pfbh, w`bk` bs typbkflly relbevej wbt` crfl fhflmesbks.
TC[[BNLE LFZE KCGTLBKFZBCH[
6.
Bhiektbch
ICLLC] UT
6.
Tftbeht icllcw-up fs heejej.
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Lckfl fhest`etbk wbll wefr cii bh 9 tc >: `curs fhj t`erfpeutbk nlckas `fve f gefh
jurftbch ci ; tc 9 gcht`s.
;.
Tftbehts gfy ne kfhjbjftes icr repeft bhoektbch jepehjbhm ch t`e jemree ci neheibtfk`bevej. ^efssessgeht wbt` cnoektbve pfbh skcres fhj klbhbkfl exfgbhftbch bs extregely
bgpcrtfht.
:.
Kfh repeft up tc
>64 gm per yefr bh fh fverfme persch fhj f lbietbge jcse ci :>4 gm ci
stercbj, equbvfleht tc get`ylprejhbsclche.
Hcte? Z`ere bs kchilbktbhm evbjehke bh t`e lbterfture remfrjbhm t`e eiibkfky ci t`bs prckejure.
^ EIE^EHKE[
6.
Afhjfrpf, Arbs`hf, fhj Lbhjsfy Gfk`fh, ejs. @fhjncca ci bhtervehtbchfl rfjbclcmbk
prckejures. Lbppbhkctt ]bllbfgs & ]blabhs, >466. 9;;-9:6.
>.
Irbtz, Ofh, et fl. "Gfhfmegeht ci K`rchbk Lcw Nfka Tfbh? ^ftbchfles, Trbhkbples, fhjZfrmets ci Bgfmbhm-mubjej [pbhfl Bhoektbchs 6." ^fjbcmrfp`bks >=.9 (>44=)? 6=56-6==6.