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#percutaneousdiscectomy #herniadisc

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Patient underwent a SELECTIVE CERVICAL TRANSFORAMINAL NERVE BLOCK USING A RACZ CATHETER for severe radiating chronic #NeckPain.

#bloqueoforaminal #facetblock #bloqueofacetario #racz #backpain #neckpain #herniateddisc #drroque #painrelief #vivirsindolor #epidural #drfeelgood #radiofrequency #dolordeespalda #dolordecuello #radiofrecuencia #herniadiscal #kneepain #shoulderpain #dolorderodilla

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viscosuplementacion, 1-24-18 from Felix Roque, M.D. on Vimeo.

Viscosupplementation is a procedure in which a thick fluid called hyaluronate is injected into the knee joint. it is thought that hyaluronate will improve the lubricating properties of the synovial fluid, reduce the pain from osteoarthritis of the knee, improve mobility, and provide a higher and more comfortable level of activity. If you have tried all other nonsurgical treatment methods and your pain continues to limit your activities, viscosupplementation may be an option. Dr. roque. dolor de Rodilla, viscosuplementacion

#kneepain #viscosupplementation #viscosuplementacion #hyalgam #hymovis #ENDOSCOPYSURGERY. #HERNIATEDDISC #MINIMALLYINVASIVE #TOPDOCTOR #DrFR #PAINRELIEF #HERNIATEDDISC #LOWBACKPAIN #CIRUGIAENDOSCOPICA #DOLORDEESPALDA #discectomy #discectomia #dolordeespalda #foraminalblock #bloqueoforaminal #facetblock #bloqueofacetario #racz #backpain #neckpain #herniateddisc #drroque #painrelief #vivirsindolor #epidural #drfeelgood #radiofrequency #dolordeespalda #dolordecuello #radiofrecuencia #herniadiscal #kneepain #shoulderpain #dolorderodilla #dolordehombro #berkeleycollege @dorador_ @berkeleycollege #viscosupplementation #viscosuplementacion #hymovis #nerveblock #bloqueodenervio #suprascapularblock #bloqueosuprascapular #dolordecadera #hippain

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TRANSFORAMINAL NERVE BLOCK, 1-9-18 from Felix Roque, M.D. on Vimeo.

Selective Trans-foraminal Nerve Root Blocks for Neck or Back Pain Relief A selective nerve root block is an injection of a local anesthetic along a specific nerve root under fluoroscopy guided-image technology. Along the spine, there are several “holes” or “foramina” through which nerve roots emerge. If these foramina are partially closed from bulging disks, bone spurs, misalignment of vertebrae, arthritis etc., the nerve root can also be pinched. This typically causes a shooting or radiating pain along that nerve root. In a selective nerve root block, a small needle is placed in the foramen alongside the nerve root and the medication is injected under imaging technology.

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Sacro-Iliac Block, 1-9-18 from Felix Roque, M.D. on Vimeo.

What is Sacroiliac Joint Pain and Block? THE SACRO-ILIAC JOINT is a large joint that connects the spine to the pelvis. When the joint develops sacro-iliac joint disease, it can cause pain in its immediate region or it can refer pain into the groin, abdomen, hip, buttock or leg. The sacro-iliac joint block is quick, non-invasive, and uses Fluoroscopy Guided-Image Technology to ensure that medication is applied at a high degree of accuracy. A sacro-iliac joint block’s purpose is twofold: to diagnosis sacro-iliac joint disease, and to treat sacro-iliac joint disease. In a diagnostic sacro-iliac joint block, the amount of immediate pain relief after injecting an anesthetic into the joint helps confirm whether or not a patient has sacro-iliac joint disease. In a therapeutic sacro-iliac joint block, a mixture of anesthetic and anti-inflammatory medication is injected into the affected joint to reduce inflammation, which can provide long-term pain relief. Although there are numerous ways to treat sacro-iliac joint disease, sacro-iliac joint blocks work powerfully to reduce inflammation and provide months of pain relief.   If you or someone you know suffers from low back pain or sacroiliac joint pain that negatively interferes with the physical emotional, socio-labor and family sphere, consult us in our pain clinic to offer you the most advanced medical treatments such as image-guided injection technology for the relief and pain management of your low back pain or sacroiliac joint pain; that you can recover the optimal physical and functional abilities quickly, allowing you reintegrate with all enjoyable experiences and your socio-occupational life.  More information: painreliefcenterpa.com/blog/300-sacro-iliac-joint-block

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Transforaminal Nerve Block, Lumbar, 1-8-18 from Felix Roque, M.D. on Vimeo.

CERVICAL NERVE ROOT BLOCK Selective cervical nerve root block is widely performed to diagnose the spinal level of cervical radiculopathy and relieve radicular pain, headache, shoulder stiffness, or extremity pain . Various complications associated with cervical nerve root block have been reported. Fluoroscopic guidance is usually utilized for selective cervical nerve root block, and computed tomography (CT) or magnetic resonance imaging guidance is also employed in difficult cases. Along the spine, there are several “holes” or “foramina” through which nerve roots emerge. If these foramina are partially closed from bulging disks, bone spurs, misalignment of vertebrae, arthritis etc., the nerve root can also be pinched. This typically causes a shooting or radiating pain along that nerve root. In a selective nerve root block, a small needle is placed in the foramen alongside the nerve root and the medication is injected under imaging technology. For more information visit dr.roque.net drroque.net/blog/285-bloqueo-trans-foraminal-selectivo-raquideo-alternativa-en-el-tratamiento-de-las-hernias-discales-cervicales-o-lumbares

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RADIOFREQUENCY ABLATION FOR BACK PAIN RELIEF, 12-27-17 from Felix Roque, M.D. on Vimeo.

65-year-old male patient had a severe incapacitating low back pain radiating to right buttock. He had weakness of legs. He could not sleep and perform his daily chores. He underwent a LUMBAR FACET MEDIAL NERVE BRANCH ABLATION AT LUMBAR LEVEL ( L4-L5) ) under Fluoroscopic Guided Image Technology for the relief of his pains. He HAD IMMEDIATE PAIN RELIEF!!!

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RADIOFREQUENCY ABLATION FOR BACK PAIN RELIEF, 12-13-17- from Felix Roque, M.D. on Vimeo.

CERVICAL OR LUMBAR FACET RADIOFREQUENCY NEUROTOMY for your neck or back PAIN RELIEF! is effective in reducing or eliminating neck and back pain as it blocks the medial nerve from transmitting the pain signal. It is typically performed in an outpatient setting. Using only a local aesthetic and x-ray as a guide your physician will insert a very small needle-sized tube, called the cannula, to the area of the affected nerve. Then, a very tiny electrode is fed through the cannula to the nerve. To check the accuracy of the placement, the physician will run a very mild current through the electrode causing the nerve to momentarily activate pain signals. The physician is able to recognize the proper placement of the electrode by confirming a muscle twitch in response to this mild current. The physician will then apply a numbing agent to the nerve, and then deliver the heat. This application of heat damages the medial nerve creating a lesion. Thus, this damaged area blocks the medial nerve from sending pain signals to the brain.

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Racz Procedure for back pain relief, 12-4-17-a from Felix Roque, M.D. on Vimeo.

What is RACZ PROCEDURE OR Lysis of Adhesions?

RACZ PROCEDURE or Lysis of adhesions is a procedure designed mainly to relieve pain resulting from back surgeries or irritation related pain caused by hernia discs. Surgery on the spine can occasionally result in scar tissue around spinal nerves. Approximately 10% to 25% of spinal surgery procedures give rise to these scars. The result is a fresh reoccurrence of pain from scar tissue growth in the epidural space of the vertebrae affected. Scar tissue can lead to compression, inflammation, or swelling in spinal nerves. It can also cause stenosis in the spine and pain in the “tailbone” (or sacroilial joint). Lysis of adhesions is performed to dissolve (i.e. lyse) the scar tissue (also known as adhesions). This has been shown to give relief from surgically-acquired pain in both the short and longer term.

EL PROCEDIMIENTO DE RACZ, TAMBIÉN CONOCIDA COMO EPIDUROLISIS O ADHESIOLISIS LUMBAR, utiliza un catéter para eliminar los residuos de las cicatrices formadas durante las cirugías de columna. Es primordial que el procedimiento se considere como opción terapéutica, tan pronto el paciente vuelva a sentir dolor y se evalúe para determinar si la causa de su dolor de espalda es debido a la compresión de nervios por cicatrices lumbares. El propósito principal de este procedimiento es la rotura de las adhesiones epidurales. Esta fibrosis produce dolor radicular, no sólo por efecto mecánico debido al trauma repetido producido cada vez que las raíces se estiran y se comprimen contra estas cicatrices, sino también debido a que estas adhesiones producen una disfunción en el drenaje venoso y linfático epidural (estasis venoso) que favorece el edema de las raíces nerviosas, dando lugar a radiculopatía.

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CERVICAL OR LUMBAR FACET RADIOFREQUENCY NEUROTOMY for your neck or back PAIN RELIEF! 8:8 from Felix Roque, M.D. on Vimeo.

CERVICAL OR LUMBAR FACET RADIOFREQUENCY NEUROTOMY for your neck or back PAIN RELIEF! is effective in reducing or eliminating neck and back pain as it blocks the medial nerve from transmitting the pain signal. It is typically performed in an outpatient setting. Using only a local aesthetic and x-ray as a guide your physician will insert a very small needle-sized tube, called the cannula, to the area of the affected nerve. Then, a very tiny electrode is fed through the cannula to the nerve. To check the accuracy of the placement, the physician will run a very mild current through the electrode causing the nerve to momentarily activate pain signals. The physician is able to recognize the proper placement of the electrode by confirming a muscle twitch in response to this mild current. The physician will then apply a numbing agent to the nerve, and then deliver the heat. This application of heat damages the medial nerve creating a lesion. Thus, this damaged area blocks the medial nerve from sending pain signals to the brain. 
For more information visit drroque.net

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RADIOFREQUENCY ABLATION FOR NECK PAIN RELIEF from Felix Roque, M.D. on Vimeo.

CERVICAL OR LUMBAR FACET RADIOFREQUENCY NEUROTOMY is effective in reducing or eliminating neck and back pain as it blocks the medial nerve from transmitting the pain signal. It is typically performed in an outpatient setting. Using only a local aesthetic and x-ray as a guide your physician will insert a very small needle-sized tube, called the cannula, to the area of the affected nerve. Then, a very tiny electrode is fed through the cannula to the nerve. To check the accuracy of the placement, the physician will run a very mild current through the electrode causing the nerve to momentarily activate pain signals. The physician is able to recognize the proper placement of the electrode by confirming a muscle twitch in response to this mild current. The physician will then apply a numbing agent to the nerve, and then deliver the heat. This application of heat damages the medial nerve creating a lesion. Thus, this damaged area blocks the medial nerve from sending pain signals to the brain. For more information visit drroque.net #radiofrequency #dolordeespalda #dolordecuello #radiofrecuencia #herniadiscal #handpain #dolordemano #painrelief #sacroiliacblock #bloqueosacroiliaco #hippain #dolordecadera #foraminalblock #bloqueoforaminal #facetblock #bloqueofacetario #racz #backpain #neckpain #herniateddisc #drroque #painrelief #vivirsindolor #epidural #drfeelgood #kneepain #shoulderpain #dolorderodilla #dolordehombro #berkeleycollege @dorador_ @berkeleycollege #viscosupplementation #viscosuplementacion #hymovis #nerveblock #bloqueodenervio #suprascapularblock #bloqueosuprascapular

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RACZ PROCEDURE or Lysis of Adhesions for NECK PAIN OR LOW BACK PAIN RELIEF. 10-23-17 from Felix Roque, M.D. on Vimeo.

RACZ PROCEDURE or Lysis of Adhesions for NECK PAIN OR LOW BACK PAIN RELIEF

RACZ PROCEDURE or Lysis of adhesions is a procedure designed mainly to relieve pain resulting from back surgeries or irritation related pain caused by hernia discs. Surgery on the spine can occasionally result in scar tissue around spinal nerves. Approximately 10% to 25% of spinal surgery procedures give rise to these scars. The result is a fresh reoccurrence of pain from scar tissue growth in the epidural space of the vertebrae affected. Scar tissue can lead to compression, inflammation, or swelling in spinal nerves. It can also cause stenosis in the spine and pain in the “tailbone” (or sacroilial joint). Lysis of adhesions is performed to dissolve (i.e. lyse) the scar tissue (also known as adhesions). This has been shown to give relief from surgically-acquired pain in both the short and longer term.

EL PROCEDIMIENTO DE RACZ, TAMBIÉN CONOCIDO COMO EPIDUROLISIS O ADHESIOLISIS PARA MEJORAR EL DOLOR DE CUELLO Y ESPALDA. Se utiliza un catéter para eliminar los residuos de las cicatrices formadas durante las cirugías de columna. Es primordial que el procedimiento se considere como opción terapéutica, tan pronto el paciente vuelva a sentir dolor y se evalúe para determinar si la causa de su dolor de espalda es debido a la compresión de nervios por cicatrices lumbares. El propósito principal de este procedimiento es la rotura de las adhesiones epidurales. Esta fibrosis produce dolor radicular, no sólo por efecto mecánico debido al trauma repetido producido cada vez que las raíces se estiran y se comprimen contra estas cicatrices, sino también debido a que estas adhesiones producen una disfunción en el drenaje venoso y linfático epidural (estasis venoso) que favorece el edema de las raíces nerviosas, dando lugar a radiculopatía. - See more at: drroque.net/…/233-procedimiento-de-racz-y-el-dol… #foraminalblock #bloqueoforaminal #facetblock #bloqueofacetario #racz #backpain #neckpain #herniateddisc #drroque #painrelief #vivirsindolor #epidural #drfeelgood #radiofrequency #dolordeespalda #dolordecuello #radiofrecuencia #herniadiscal #kneepain #shoulderpain #dolorderodilla #dolordehombro #berkeleycollege @dorador_ @berkeleycollege #viscosupplementation #viscosuplementacion #hymovis #nerveblock #bloqueodenervio #suprascapularblock #bloqueosuprascapular

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VISCOSUPLEMENTACION. 8-23-17 from Felix Roque, M.D. on Vimeo.

PACIENTE CON DOLOR SEVERO EN RODILLA DERECHA ES TRATADO CON VISCOSUPLEMENTACION BAJO TECNOLOGIA GUIADA DE IMAGEN FLUOROSCOPICA. El Dolor de Rodilla y la Viscosuplementacion DR.ROQUE.NET ”La Viscosuplementacion de la rodilla es hoy en día una alternativa para el tratamiento del DOLOR DE RODILLA secundaria a artrosis de la rodilla”. Dijo el Dr. Roque recientemente en una conferencia medica dirigida a médicos y estudiantes. #kneepain #viscosupplementation #viscosuplementacion #hyalgam #hymovis #ENDOSCOPYSURGERY. #HERNIATEDDISC #MINIMALLYINVASIVE #TOPDOCTOR #DrFR #PAINRELIEF #HERNIATEDDISC #LOWBACKPAIN #CIRUGIAENDOSCOPICA #DOLORDEESPALDA #discectomy #discectomia #dolordeespalda #foraminalblock #bloqueoforaminal #facetblock #bloqueofacetario #racz #backpain #neckpain #herniateddisc #drroque #painrelief #vivirsindolor #epidural #drfeelgood #radiofrequency #dolordeespalda #dolordecuello #radiofrecuencia #herniadiscal #kneepain #shoulderpain #dolorderodilla #dolordehombro #berkeleycollege @dorador_ @berkeleycollege #viscosupplementation #viscosuplementacion #hymovis #nerveblock #bloqueodenervio #suprascapularblock #bloqueosuprascapular #dolordecadera #hippain

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CERVICAL FACET MEDIAL NERVE BLOCK, 10-11-17 from Felix Roque, M.D. on Vimeo.

Patient's Guide to Facet Blocks What it is: The facet joint block is actually a test and a type of treatment. It is what is called a "therapeutic trial". This means that something is tried that should relieve your symptoms if the problem is coming from the structure that is being treated. For example, in the facet joint block, medication is injected into a joint that should numb the joint. If it works, then the doctor assumes that is where the problem is. Cortisone is sometimes used with the anesthetic to decrease the inflammation in the joint and give relief for several weeks or months. The relief is usually temporary. What the test shows: Like any joint in the body, facet joints can cause pain if they are irritated or inflamed. The facet joint block is a procedure where a local anesthetic medication (such as lidocaine or Novocain) is injected into the facet joint. This same type of medication is used by a dentist to numb your jaw, or a doctor to sew up a laceration. The lidocaine actually numbs the area around the facet joint. If all your pain goes away, the doctor can assume that the facet joint is a problem. What the test does not show: The test is actually to see how your symptoms react to the injection. It does not show anything about the nerves or the discs. It does not really involve taking any pictures except to make sure the needle is in the right place. How the test is done: A facet joint block is done by inserting a long needle into the center of the facet joint(s). The needle is inserted from the back. During a facet joint block, you will probably be given medication to help you relax, then a local anesthetic in the skin around the area of the back where the needle will be inserted. The doctor watches on a fluoroscope as he inserts the needle to make sure it goes into the correct facet joint. The fluoroscope is a special X-ray TV that allows the doctor to see your spine and the needle as it moves. Once the doctor is sure the needle is in the facet joint, he will inject a combination of anesthetic (like Novocain) and cortisone into the joint. What risks the test has: A facet joint block requires a needle to be inserted into the facet joint. This test has more risks associated with it than most other tests. This is one of the reasons that doctors prefer to use the "non-invasive" tests, such as the MRI and CAT scans, first. The risks associated with a facet joint block include infection of the joint and an allergic reaction to the medication that is injected. EL BLOQUEO FACETARIO es una prueba y además es un tipo de tratamiento que se le llamo muchas veces un tratamiento terapéutico. Eso quiere decir que cuando algo se trata debería mejorar sus síntomas, si el problema es en la estructura que fue tratada, por ejemplo en este caso se bloquea el nervio facetario y el dolor disminuye. Cuando se bloquea la faceta esta debe de producir un efecto de anestesia en ella y al mismo tiempo los antiinflamatorios que se utilizan van a bajar la inflamación y el dolor a la articulación que está siendo tratada; en este caso sea la articulación facetaria cervical o lumbar.

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Lumbar transforaminal block 8-21-17 from Felix Roque, M.D. on Vimeo.

Selective Trans-foraminal Nerve Root Blocks for Neck or Back Pain A selective nerve root block is an injection of a local anesthetic along a specific nerve root under fluoroscopy guided-image technology. Along the spine, there are several “holes” or “foramina” through which nerve roots emerge. If these foramina are partially closed from bulging disks, bone spurs, misalignment of vertebrae, arthritis etc., the nerve root can also be pinched. This typically causes a shooting or radiating pain along that nerve root. In a selective nerve root block, a small needle is placed in the foramen alongside the nerve root and the medication is injected under imaging technology. For more information visit dr.roque.net drroque.net/blog/285-bloqueo-trans-foraminal-selectivo-raquideo-alternativa-en-el-tratamiento-de-las-hernias-discales-cervicales-o-lumbares

#ENDOSCOPYSURGERY. #HERNIATEDDISC #MINIMALLYINVASIVE #TOPDOCTOR #DrFR #PAINRELIEF #HERNIATEDDISC #LOWBACKPAIN #CIRUGIAENDOSCOPICA #DOLORDEESPALDA #discectomy #discectomia #dolordeespalda #foraminalblock #bloqueoforaminal #facetblock #bloqueofacetario #racz #backpain #neckpain #herniateddisc #drroque #painrelief #vivirsindolor #epidural #drfeelgood #radiofrequency #dolordeespalda #dolordecuello #radiofrecuencia #herniadiscal #kneepain #shoulderpain #dolorderodilla #dolordehombro #berkeleycollege @dorador_ @berkeleycollege #viscosupplementation #viscosuplementacion #hymovis #nerveblock #bloqueodenervio #suprascapularblock #bloqueosuprascapular #dolordecadera #hippain

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ENDOSCOPY DISCECTOMY, 10-3-17_1 from Felix Roque, M.D. on Vimeo.

DR. QUARTERARO AND DR. ROQUE PERFORMING A PERCUTANEOUS DISCECTOMY Cirugía Endoscópica Mínimamente Invasiva de Columna Vertebral “El termino mínimamente invasivo significa que a través de pequeñas incisiones en la columna y con instrumental de video y endoscopios se puedan realizar un sin número de cirugías con el mas mínimo cuidado y sin causar mayor trauma, como resección de hernias Discales y muchas otras enfermedades de la columna,”

LAS PATOLOGÍAS QUE CON MÁS FRECUENCIA SE TRATAN SON: * Hernia Discal Lumbar y Cervical * Estenosis de Canal Lumbar o Cervical * Espondilolistesis Lumbar * Quistes Sinoviales * Fracturas Vertebrales Toracolumbares * Dolor lumbar Crónico Refractario con y sin radiculopatia de variadas etiologías  

Benefits of Minimally Invasive Surgery * Less Pain * Quicker Recovery * Shorter Hospital Stay * Better Cosmetic Results / Scarring * Quicker Return to Work

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Medial nerve branch block 9-13-17 from Felix Roque, M.D. on Vimeo.

* What is a Medial Nerve Branch Block? Medial branch blocks are an effective and direct way of treating pain originating from the facet joint of the spine. They deliver long-lasting steroids such as dexamethasome. In some cases a local anesthetic such as lidocaine, bupivacaine, or mepivacaine will also be injected. The medial branch block involves targeting the nerves that provide sensory signals to the facet joint (i.e. the medial branch) itself. Each facet joint is connected to two medial nerves that control small muscles in the back and neck. In the cervical area, the medial branch nerves are located on a bony groove in the neck. They are also found in a bony groove in the lower back area (lumbrosacral medial branch nerves). The thoracic medial branch nerves are located over a bone in upper back area. - See more at: drroque.net/procedures/interventional-procedures/facet-joint-injections#sthash.b6fQ90Nj.dpuf