วีดีโอ

Just got an indirect hernia surgery and am hoping I don’t have entrapment issues with these nerves. I had pain at inguinal canal and testicle pain before surgery and now it’s constant. Wondering if I made a bad decision to get a smallish looking hernia repaired.

Looks like you are injecting below the Transversus Abdominis. Shouldn't the injection be between Internal Oblique and TA for a TAP block? @14:14

U r confusing people

🌹0:17 枕粗隆如下 🌹 C1 Atlas的骨緣 0:28 如下 🌹C1有大橫突0:41 0:49 如下

Which surgery is this procedure for? Will it be suitable for my heart angina?

Thanks

THANKS A LOT

deep circumflex iliac artery lies on the fascia iliaca on top of the iliacus muscle and below the transverse abdomins muscle, you are making a mistake, the artery which is seen on US is another vascular structure!!!

Which book should I read to understand sonoanatomy ?

Many thanks to the person who donated their body to science for the education of physicians 🙏🏻

No Sound

có phụ đề thì tốt quá .tiếng anh kém quá :((

Ohh what a super upload.. #manojkarmarkar pls upload more of his videos.

ok after the injection when can I start to feel relieve 😌 or pain free

상훈이형!

Gracias, muy buen video.😀

great

I hope this actually helps some people. Did nothing for me

10:41

I just had this procedure done yesterday for the 8th time.

👌🌹10:30 宜以bevel-up 方式進針，則針尖可有出現兩個回波的機會，幫助找到針尖。

👌🙏👍Thanks! 1.🔴0:28 #OCI 大枕神經: 連接C2 大棘突(棘突末端分叉呈兩小tubercles) 與C1大橫突 #大枕神經GON恰貼附在OCI的表層的筋膜層裡。 🔯1:22 Blind-inj 時: ❇️2:02#重點在此 超音波導注時 先找出C2棘突的tubercle，再將探頭另端略向上旋轉、在清楚掃描著C2椎弓的骨緣於畫面中的前提下，查找至C1橫突。此時貼附在C2椎弓骨面上者即爲OCI，此肌還蠻厚的。 ❇️通常，在距脊中線3cm,深度1.5cm處，可找到2-3mm扁橢形、貼附在OCI表層的肌筋膜內的GON大枕神經!

I do us guided interscalene blocks all the time under general anesthesia

great.thank you a lot

Ouch. I hope they give me MAC so I’m out of it with an intercostal nerve block for a slipped rib.

Great video! Thanks a lot!

I cant find a doctor in Long Island NY that understands that this is my pain .. they all are the same. I had a L3L4 fusion 5/13/21 and i am still in the same pain ... deep stabbing pain lingering.. everytime i get an injection its bogus they just look at mris and do not listen to where the pain is !! Super frustrating!!!

But when you tell bones hurt forget it that's another thing

👍

They did some other procedures but injections but this one is including like moving so much like that I don't know this is crazy that might hurt like crazy

But get this procedure they better put me to sleep because I won't lay this type of thing it's like it's too much too much pain to go through

good

Thanks for this vidéo very use full

Excellant demonstration

If you are considering getting a spinal cord stimulator implanted, please read this: “Implanted Spinal Cord Stimulators for Pain Relief: Illustrating the FDA’s Dangerously Lax Oversight of High-Risk Implantable Medical Devices” Public Citizen, June 2020 Michael A. Carome, M.D. You have a right to make an informed decision based on ALL the available evidence, not just the manufacturer-funded studies. You should know that your physician may be receiving compensation from those manufacturers. You have a right to ask and to receive an honest answer. Being in pain absolutely sucks (I know all too well), but that doesn’t mean you should get another surgery to have a problematic device inserted into your body. You have rights and deserve to have access to all of the available data so you can make an informed decision about your care. 1. This is not my website, it’s from Public Citizen, with which I have no affiliation 2. I’m a chronic back pain patient of more than three decades who had to give up my career because of disability 3. I have been harassed by doctors trying to coerce me to consent to this device 4. The FDA approval process is deeply flawed 5. The risks far outweigh the potential benefits, and I have an informed and legitimate fear of those risks 6. Patients who experience device failures are legally prohibited from suing the manufacturers; if a device fails, patients have no recourse (2008 SCOTUS case Riegel v Medtronic) 7. The only thing shameful is the medical industrial complex that tries to silence contradictory evidence about the safety and efficacy of these devices.

Nicely explained

👌👍Thanks!👍 🔴L4-L5間的椎盤謂之L4椎盤 🔴Facet Jt block的對象是來自該小面關節上下(兩節)腰神經的dorsal ramus分出的medial branch 🌹🌹Facet joint medial branch nerve block: 01:45 04:16 05:40 針尖置在小面關節與橫突在畫面中#的交角 6:08 縱置探頭如圖1 06:36 06:50 縱置探頭如圖2 07:03 7:14 標定正確椎節 07:40 橫置探頭 09:50 ❇️Lumbar facet joint periarticular injection: 10:48 可在小面關節附近做高頻熱凝神經阻斷Facet joint medial branch nerve block。也可在此做LIS/Prolo 12:44 #總液1cc [X+S] ⚠️⛔Selective transforaminal nerve root block ( Dangerous ! ): 13:31 13:54 為IVF所在，針頭不要輕易進入IVF內！ 必須要在螢光透視X光進行！#不要輕易嘗試 🔴為避免不小心注射到小血管內，#不可用顆粒性的類固醇！

Thank you for sharing such priceless Pearl's of knowledge with us Dr Manoj.

I believe you meant low sensitivity (10:10) not low specificity

This is too distal to be a gluteal nerve block, and nerve visualized and stimulated is the sciatic

Why u didn't add redial nerve block?

Beautiful lecture. Thank you!

Who would Perform this a urologist or a neurosurgeon?

Presenter states at the 15:43 mark to start a drip of bupivacaine, but it is actually Lipid 20% emulsion drip. She has the pointer on the correct information but I think just made a slip. Just a heads up for all!

Your voice is attractive,

Bravoooooo

The phrenic looks to be right where you need to place medicine?!!

I watched this video carefully without subtitles, it is quite amazing and explained clearly, thanks for sharing.

I cant get a Arkansas doctor to do anything that just keeps doing ultrasound only testcal and keep saying nothing is wrong with me and I'm in so much pain after a year of this an lots of doctors visits I'm ready to die

Very nice, simple and systematic explanation, brilliant!!