Hello, please tell me if removing the episacral lipoma will relieve my pain? I’m scheduled for this
@rene55307 күн бұрын
Halloween, please tell me if removing the episacral lipoma will relieve the pain??
@sigogglin17 күн бұрын
I have an issue with the perineal branch of this nerve, can it be blocked as part of a pudendal block? I think they missed this branch on my diagnostic PFCN block I just had done
@GiantAppreciable07Ай бұрын
Good comprehensive presentation
@thecryptosurferАй бұрын
Hey Dr Terkawi, would it still be Cluneal Nerve if its main pain is 6cm from illiac crest, and around 11cm from centre of spine? Please would really appreciate help. Thanks
@dr.terkawiАй бұрын
Hard to tell without proper history and physical examination. The course of those nerves are variable.
@Weiyang5268Ай бұрын
7:21
@miguelangelramirezlopez9867Ай бұрын
Excelente Doctor
@johandekock8421Ай бұрын
Thank you! Very informative and I thoroughly enjoyed it
@dr.terkawiАй бұрын
Glad it was helpful!
@johannlundin-knutsen92982 ай бұрын
I found this extremely informative. You are describing a patient that I had problems diagnosing properly. Thank you so much😳👍
@dr.terkawiАй бұрын
You are welcome
@dr.johnmcfadden41242 ай бұрын
Most may benefit from Alpha Lipoic Acid.
@lr50343 ай бұрын
Wonderful insight from a sufferers persective thank you. I seem still to be unable to find anyone who describes my issue. I have no trigger points and the bilateral burning area of my skin gets worse when in contact with a seat/chair or if driving, its on the upper area of my buttocks but around 3 inches below the iliac crest, it was slight but since doing some stretches it has gotten worse though is sometimes gone when I awake, but after sitting for a short while will return. Have you ever heard of this Dr Terkawi?
@dr.terkawi3 ай бұрын
Thank you for your comment. I am sorry I cannot provide any consultation outside my clinic at Stanford pain medicine. If you are close by you can ask your PCP to refer you and the clinic will review the referral. Thank you for your understanding.
@lr50343 ай бұрын
@@dr.terkawi Unfortunately I am in England but thank you for answering Dr 🙂
@tracykeelan8534Ай бұрын
Have you followed up to see if it's piriformis syndrome
@lr5034Ай бұрын
@@tracykeelan8534 Mine is higher up at the superior cluneal nerve position. The NHS neurology team here in England have got back to me saying they have never treated anyone with my symptoms lmao they are just the worst.
@antonoxinos95073 ай бұрын
Thank you very much, sir! Amazing lectures! Really appreciate it!
@dr.terkawi3 ай бұрын
You are welcome. I am glad they are helpful. Make sure you share the lectures with your friends.
@antonoxinos95073 ай бұрын
Thank you very much, sir!
@antonoxinos95073 ай бұрын
Thank you very much, sir!
@dr.terkawi3 ай бұрын
You are welcome!
@mysteriousbella68783 ай бұрын
Nice job
@dr.terkawiАй бұрын
Thank you! Cheers!
@antonoxinos95073 ай бұрын
Thank you, sir! It was an amazing lecture !
@dr.terkawi3 ай бұрын
Most welcome!
@BinDhuwaihy3 ай бұрын
Really great job! Thanks Dr. Abdullah. How can I contact you dr. ? Your DM message at X is closed
@mdbkhwang4 ай бұрын
Thank you so much for excellent lecture
@dr.terkawi4 ай бұрын
You are most welcome
@user-dg6xo4zv9o4 ай бұрын
Great job! Thanks a lot!
@hajresswayah4 ай бұрын
Is it possible to target/inject the nerve from the spinal root if these two methods didnt work?
@dr.terkawi4 ай бұрын
Yes, off course. We can do DRG stimulator and injections.
@shubhamrawat16584 ай бұрын
Sir what is the parmanent treatment for this
@maryfrancesspoonmore67625 ай бұрын
I would like to watch a permanent P Ud END Al nerve block
@nightowl62605 ай бұрын
The injection may confirm the diagnosis, but what are the treatments after that is accomplished?
@dr.terkawi5 ай бұрын
The injection can be both diagnostic and therapeutic. Please talk to your local doctor.
@nightowl62605 ай бұрын
I have this pattern of pain on the R and DRIVING is very painful.
@raadisa79935 ай бұрын
جزاك الله خيرا
@raulcastillo33796 ай бұрын
Excelent
@tasneemrashed55016 ай бұрын
Thank you so much
@dr.dillynitish38986 ай бұрын
Thank u so much very informative 😊
@dr.terkawi6 ай бұрын
You are welcome
@shabanimajaliwa52586 ай бұрын
Hello Dr Terkawi, your video has been very helpful for me to understand this relevant anatomy as anesthesiologist. I would like to share a novel approach for PFCN block,
@user-pv2jq5hz1l6 ай бұрын
Great lecture~! Thank you for sharing.
@harunwana7 ай бұрын
Awesome lecture
@dr.terkawi7 ай бұрын
Thanks and welcome
@vontrap69427 ай бұрын
A lot of doctors, including neurosurgeons don't know anything about cluneal nerves. I am due surgery in 2 weeks for what appears to be back mice on my left iliac crest. My theory is these are pressing on cluneal nerves. It has been 8 years of serious pain, many many specialist visits, injections, radio-frequency rhizotomy's and I diagnosed myself because no one would listen. I had one neurosurgeon state it was in my head that I could feel lumps. Another doctor said it was bone. Back mice are lipomas and are very clearly not bone! So after a few months of steroid injections having found a pain doctor that knew about them, though with little relief, I found a surgeon that will take them out. Hopefully it will ease the pain and I can have some normality. It appears that most doctors can only see the spine. If that is fine then surely there is no pain. One flare up I was in the ER on morphine and used a walker for 2 weeks. I was 42 at the time, as active and fit as I coukd be for someone with back issues.
@terrythomas81095 ай бұрын
You hit the nail on the head. I hope they got it out for you. After removing my back mouse ( March of 2023) on my left lower back side I have not had another attack of pain so bad I could not walk and was wheel chair bound. Neurosurgeons and most back pain management are useless in assessing this easy solution. They all want to inject the spine with steroids. I have had this debilitating issue for 14 years and had to diagnose myself finally. The neurosurgeon would not even do the surgery and dismissed me for not having a second spine surgery instead, he referred me to a run of the mill general surgeon. he removed a 1/4 lb lipoma over the superior cluneal nerve. Now I have the beginnings of a right side mouse that is aggravating right lower back pain and groin pain on the right side. It is not the size that the left was but it is starting.
@dr.terkawi5 ай бұрын
On this video minute 19:10 I talk about "back mouse". I am glad this video was helpful. Hopefully you will feel better soon.
@dr.terkawi5 ай бұрын
On this video minute 19:10 I talk about "back mouse". I am glad this video was helpful. Hopefully you will feel better soon.
@monticae3 ай бұрын
@@terrythomas8109I had to diagnosed myself as well. The problem is that the doctors only rely on technology and they don’t touch, palpate,poke prod and really feel the body to understand the pain.
@tracykeelan8534Ай бұрын
Did the removal of your lipoma resolve your pain
@user-kc3ij2ro2u8 ай бұрын
I am doing systematic review about the effects of nefopam on opioid consumption , I have question regarding pain medication Adding morphine or fentanyl affects the pain reduction response ?? Difference in medication may affect? It may affect my reading of the reduction of opioid consumption or not related?
@dr.terkawi8 ай бұрын
In the last slide I said brachial nerve, sorry I meant the radial nerve.
@mohammadsalem57448 ай бұрын
Nice presentation
@anchalejirawanichkul95729 ай бұрын
Thank you for your great lecture. Looking forward to the next vdo.❤
@dr.terkawi9 ай бұрын
You're most welcome!
@evgenyreider85969 ай бұрын
Thank you very much!
@dr.terkawi9 ай бұрын
You're welcome!
@wafaibrahim36910 ай бұрын
يعطيك العافيه 🌹🌹🌹
@wafaibrahim36910 ай бұрын
❤ thanks you so much
@dr.terkawi10 ай бұрын
Always welcome
@jamesweber493810 ай бұрын
Do you know of anywhere in Ontario Canada where I can get treatment for this ? I have been trying for 23 years to get to the cause of pain every time I sit and no cause has been definitively found.
@dr.terkawi10 ай бұрын
Sorry, I do not know.
@dr.johnvogel34308 ай бұрын
Philip Peng, Yasmine Hoydonckx or Anuj Bhatia in Toronto. They are mostly at Toronto Western in the pain department, but do go to other hospitals.
@jamesweber49388 ай бұрын
Thank you for the information. It appears you are a doctor ? Can I ask where ?@@dr.johnvogel3430
@Theleahmurr7 ай бұрын
How did you make out? I'm in Sask and trying to figure this out too and it's hell :(
@Theleahmurr7 ай бұрын
Do you know about any that offer it in Saskatchewan, Canada? @@dr.johnvogel3430
@canergunay304710 ай бұрын
Can inguinal hernia cause that
@dr.terkawi10 ай бұрын
I do not think so. I will publish a new video about genitofemoral nerve; this can happen secondary to inguinal hernia.
@thatonecinnamonguy10 ай бұрын
Thank you Sir!
@dr.terkawi10 ай бұрын
Welcome!
@jeancatherinesingoatoya592411 ай бұрын
Very amazing , and interesting it’s possible to have the presentation 🙏🏻 please
@dr.terkawi11 ай бұрын
Thank you! I cannot share the presentation, but you have the video for free.
@wafaibrahim36911 ай бұрын
You Must see Video …. 🎉🎉🎉🎉
@wafaibrahim36911 ай бұрын
Thanks for sharing ⭐️🙏🙏🌿
@dr.terkawi11 ай бұрын
Thank you too
@user-en9fx8xw6u11 ай бұрын
I love your video. Thank you. PLEASE don't stop upload.
@dr.terkawi11 ай бұрын
Thank you, I will
@lindalewendling Жыл бұрын
Very enjoyable lecture. I’ve learned very much. Very clear. Thank you so much.
@dr.terkawi Жыл бұрын
You are very welcome
@ngxoxo Жыл бұрын
is pulsed rf safe for an inflamed superficial radial nerve caused by needle-stick injury?
@jasonverbarg9790 Жыл бұрын
Amazing video, how would you as a Dr. differ PN from OI pain as they can mimic each other if blocks did not help?
@mahmoudalmasry8081 Жыл бұрын
Is cluneal nerve Rfa is covered currently by Medicare ?
@dr.terkawi Жыл бұрын
I am not sure
@waiki8223 Жыл бұрын
Thank you so much! Amazing overview of the muscular anatomy, the best I've seen! Very helpful for me as an anesthesiologist at the beginning of my career.
@dr.terkawi Жыл бұрын
Glad it was helpful!
@dr.terkawi Жыл бұрын
Keep an eye for the upper and lower limbs videos that I should upload in the next few weeks.