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Epidural Steroid Injection - Medical Animation

 

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Epidural Steroid Injection - Medical Animation
MEDICAL ANIMATION TRANSCRIPT: Your doctor will give you an epidural steroid injection to reduce inflammation in your spine, reducing pain and allowing time for your condition to heal. The spine consists of bony vertebrae stacked one on the other, shock-absorbing intervertebral disks lying between the vertebrae, ligaments and muscles connecting the bones, and the spinal cord with its branching spinal nerves. The spinal cord is bathed in cerebrospinal fluid and surrounded by a protective membrane called the dura. Just outside this membrane is the epidural space. Each intervertebral disk consists of a tough outer layer called the annulus fibrosus and a spongy inner material called the nucleus pulposus. From aging or injury, the annulus fibrosus may weaken or degenerate. As a result, the disk may bulge into the surrounding neural and vascular structures, causing inflammation and pain. If the annulus completely breaks down, the nucleus may ooze through, causing a disk herniation. The resulting inflammation and swelling may irritate one of the spinal nerves nearby, resulting in a condition known as radiculopathy. Disk herniations in the lower or lumbar region of the back tend to produce shooting pain down the leg, a condition known as sciatica. If a disk herniates in the neck, the pain radiates into the arm. Another condition that can cause pain and inflammation in the area of the spinal nerves is osteoarthritis, which may cause excess bone growth at the joints of the spine, resulting in compression of the nearby spinal nerves. An epidural steroid injection is a minimally-invasive procedure. To begin, your doctor will numb the skin on your back with a local anesthetic. Using an x-ray image for guidance, your doctor will insert a needle between the bones and through the ligaments of your spine until it reaches the epidural space at the level of the inflammation. Once the needle has been inserted into the epidural space, your doctor will inject a steroid solution. After your procedure, you may apply ice to the injection area for pain relief and take over-the-counter pain medications. You may be able to resume driving after 24 hours.

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"This past year, your company prepared three medical illustrations for our cases; two in which we received six figure awards; one in which we received a substantial seven figure award. I believe in large part, the amounts obtained were due to the vivid illustrations of my clients' injuries and the impact on the finder of fact."

Donald W. Marcari
Marcari Russotto & Spencer, P.C.
Chesapeake, VA
"Thank you very much for the great work on the medical exhibits. Our trial resulted in a $16 million verdict for a 9 year old boy with catastrophic injuries, and the medical illustrations definitely played key role in the trial."

David Cutt
Brayton Purcell
Salt Lake City, UT

"Whether it's demonstrating a rotator cuff tear, neck movement a few milliseconds after rear impact, or a proposed lumbar fusion, the Doe Report represents an instant on-line database of medical illustration for health-care and legal professionals.

Illustrations can be purchased 'as is' or modified within hours and sent either electronically or mounted on posterboard. An illustration is worth a thousand words, as juries perk up and look intently to capture concepts that are otherwise too abstract. Start with good illustrations, a clear and direct voice, a view of the jury as 12 medical students on day one of training, and your expert testimony becomes a pleasure, even on cross examination. An experienced trial lawyer should also emphasize these illustrations at the end of trial, as a means of visually reinforcing key concepts covered.

As a treating physician, I also use these accurate illustrations to educate my own patients about their medical conditions. The Doe Report is an invaluable resource, and its authors at MLA have always been a pleasure to work with."

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Diplomate, American Boards of Electrodiagnostic Medicine and PM&R
Seattle Spine & Rehabilitation Medicine
www.seattlespine.info

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President
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