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Item #ANH00027 — Source #1
|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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|What attorneys say about MLA and The Doe Report:
|"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
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
Richard E. Seroussi M.D., M.Sc.
Diplomate, American Boards of Electrodiagnostic Medicine and PM&R
Seattle Spine & Rehabilitation Medicine
|"It is my experience that it's much more effective to show a jury what
happened than simply to tell a jury what happened. In this day and age where
people are used to getting information visually, through television and
other visual media, I would be at a disadvantage using only words.
I teach a Litigation Process class at the University of Baltimore Law Schooland use [Medical Legal Art's] animation in my class. Students always saythat they never really understood what happened to [to my client] until theysaw the animation.
Animations are powerful communication tools that should be used wheneverpossible to persuade juries."
Andrew G. Slutkin
Snyder Slutkin & Kopec
|"I wanted to take some time out to let you know what a wonderful job you did
with the 'collapsed lung/fractured rib' illustrations. They were both
detailed and accurate. My medical expert was comfortable working with them
and he spent at least an hour explaining to the jury the anatomy of the
lungs, the ribs and the injuries depicted in the illustrations. Needless to
say, the jury was riveted to the doctor during his testimony.
The jury returned a verdict for $800,000.00 and I'm sure we would not have
done so well if not for the visualizations we were able to put forth with
your assistance. Lastly, my special thanks to Alice [Senior Medical
Illustrator] who stayed late on Friday night and patiently dealt with my
last minute revisions."
Daniel J. Costello
Proner & Proner
New York, NY
|"It is with great enthusiasm that I recommend Medical Legal Art. We have
used their services for three years and always found their professionalism,
quality of work, and timely attention to detail to exceed our expectations.
We recently settled two complicated catastrophic injury cases. One medical
malpractice case involving a spinal abscess settled for 3.75 million and the
other involving injuries related to a motor vehicle accident settled for 6.9
million. We consider the artwork provided by MLA to have been invaluable in
helping us to successfully conclude these cases.
I highly recommend MLA to anyone seeking high quality, detailed medical
E. Marcus Davis, Esq.
Davis Zipperman, Krischenbaum & Lotito