Пікірлер
@user-cs3my3sk9i
@user-cs3my3sk9i Күн бұрын
thank you for your several movies about all joints injection. I am curious to know your opinion on the use of intra-articular injections for this condition. Do you believe that such injections can be beneficial for patients with tennis elbow? If so, do you typically recommend or administer them?
@Mahmut-sro
@Mahmut-sro 17 күн бұрын
👏🏻👏🏻
@alpmur
@alpmur 17 күн бұрын
Great job! Congrats 🎉
@Weiyang5268
@Weiyang5268 22 күн бұрын
在相鄰橫突間的更深處相對應的是# 腰肌Psoas ( 不是腰方肌QL喔 ) ( 0:17 在L3及其以上至T12則是腰方肌?。 B.🌹 [縱置]-[經椎板 ] Sagittal paramedian laminar view 0:59 C.🟨 [斜縱置?]-[斜]經椎板?] 1:15 矢狀paramedian laminar oblique process view (畫面上這麼註,沒錯)
@ericbignacio
@ericbignacio 23 күн бұрын
Im suffering this also both feet for how many years😢
@songulkeskinkavak
@songulkeskinkavak 23 күн бұрын
🎉🎉🎉🎉
@Weiyang5268
@Weiyang5268 23 күн бұрын
1:09. 1:58 2:18
@asilzadeasilzade5210
@asilzadeasilzade5210 24 күн бұрын
Hocam elinize sağlık Toplam kaç ml mayi? İçerik?
@profmuratkarkucakmd4615
@profmuratkarkucakmd4615 24 күн бұрын
3-5 ml
@osint6372
@osint6372 Ай бұрын
Does the L5 cyst press against the sciatic nerve? Is it possible to pop it with the injection as well?
@wanashraf4489
@wanashraf4489 Ай бұрын
does the effect of improved rom immediately post injection?
@mrmamet2694
@mrmamet2694 Ай бұрын
Hocam elinize sağlık 👏👏
@asilzadeasilzade5210
@asilzadeasilzade5210 Ай бұрын
Hocam elinize sağlık. Semptom ve semptom süresi ne idi vakanizin
@theindianonly8580
@theindianonly8580 Ай бұрын
Do you inject any medication along with PRP, in same sitting or medication eg bupivacine and hyluronidase or depomedrol
@JA-gp7nn
@JA-gp7nn Ай бұрын
Do you usually provide an anaesthetic, like lidocaine or a cold spray, at the area prior to giving the cortisone injection? Or are these injections usually not needing much anaesthetic?
@profmuratkarkucakmd4615
@profmuratkarkucakmd4615 Ай бұрын
No, I do not apply locally.
@profmuratkarkucakmd4615
@profmuratkarkucakmd4615 Ай бұрын
No, I do not apply locally.
@wanashraf4489
@wanashraf4489 Ай бұрын
hi prof,whats the solution you use to target the DRG
@profmuratkarkucakmd4615
@profmuratkarkucakmd4615 Ай бұрын
bupivacain+Nacĺ+decort=5ml
@wanashraf4489
@wanashraf4489 Ай бұрын
@@profmuratkarkucakmd4615 have you tried to mix dextrose 30% instead of nacl?so dextrose + bupi+ steroid
@wanashraf4489
@wanashraf4489 Ай бұрын
hi prof,hows the result of the injection?
@thenomadicDR
@thenomadicDR 2 ай бұрын
Hi prof. Would you recommend PRP injection for achilles injury? As some study said prp has no effect on achilles recovery.
@profmuratkarkucakmd4615
@profmuratkarkucakmd4615 2 ай бұрын
I think it is the best injection that can be done. Most patients benefit from this injection.
@RicardoSena
@RicardoSena 3 ай бұрын
there is a mixture in this PRP?
@profmuratkarkucakmd4615
@profmuratkarkucakmd4615 2 ай бұрын
There is no.
@_Logical_being
@_Logical_being 3 ай бұрын
I am suffering from this problem from 2 years😢😢😢😢, please god help me please😢😢😢
@profmuratkarkucakmd4615
@profmuratkarkucakmd4615 2 ай бұрын
Get an injection. If it doesn't go away, I recommend surgery.
@_Logical_being
@_Logical_being 2 ай бұрын
@@profmuratkarkucakmd4615 I have taken 8 shots of Methylprednisolone steroid injections and it still didn't work, I mean it is in control now but on daily basis I by mistake make it hurt so badly🥹, I met a surgeon he also suggest me to do surgery but he told me their is a risk of hand paralysis. I am doing whatever I can but I didn't want to do surgery of it😭😭😭
@alvaroz7240
@alvaroz7240 3 ай бұрын
A transforaminal injection should reach the corresponding intervertebral disc?
@alvaroz7240
@alvaroz7240 3 ай бұрын
is this the space between two facets that 'the disc should be found ? Thanks for the video!
@profmuratkarkucakmd4615
@profmuratkarkucakmd4615 2 ай бұрын
yes
@waterlilywaterlily5587
@waterlilywaterlily5587 3 ай бұрын
Is it 23G spinal needle? 🙏
@profmuratkarkucakmd4615
@profmuratkarkucakmd4615 2 ай бұрын
It is 22g but a bit long
@waterlilywaterlily5587
@waterlilywaterlily5587 3 ай бұрын
Thanks for sharing this work. May I ask what kind of probe cover are you using while doing this aseptic procedures?
@alvaroz7240
@alvaroz7240 3 ай бұрын
Thanks for the vid Dr. If I may ask, which structure are you injecing from minute 2:00 onwards?
@profmuratkarkucakmd4615
@profmuratkarkucakmd4615 3 ай бұрын
The target structure is foramna
@profmuratkarkucakmd4615
@profmuratkarkucakmd4615 3 ай бұрын
This injection was made for foraminal disc herniation
@GgeekGgeek-vi5ig
@GgeekGgeek-vi5ig 3 ай бұрын
Gjack dari jalan kebun Klang Selangor darul Ehsan Malaysia ♥️🚥❣️♥️🚥😅....
@and-x8344
@and-x8344 3 ай бұрын
Hello doctor, what is the best choice for long term solution, PRP therapy?
@profmuratkarkucakmd4615
@profmuratkarkucakmd4615 3 ай бұрын
1 time in 3 weeks. 2 or 3 injections in total
@boutainatouil2622
@boutainatouil2622 3 ай бұрын
Did you inject in the peritendon or inside the tendon Referring to you experience does it work for calming pain? I have a patient with a chronic calcific tendinitis and fissurations Is The steroid injection indicated
@profmuratkarkucakmd4615
@profmuratkarkucakmd4615 2 ай бұрын
We perform peritendinous steroid injections. We perform regenerative applications into the tendon.
@boutainatouil2622
@boutainatouil2622 2 ай бұрын
​@@profmuratkarkucakmd4615what do you mean by regenerative application
@rebeccawaller3561
@rebeccawaller3561 3 ай бұрын
Just had this done yesterday (medially). I am so happy in the marked reduction in symptoms.
@profmuratkarkucakmd4615
@profmuratkarkucakmd4615 3 ай бұрын
Nice work. Congratulations
@profmuratkarkucakmd4615
@profmuratkarkucakmd4615 3 ай бұрын
It is somewhat safe to do laterally. Greetings
@linkardbusinesscards5325
@linkardbusinesscards5325 3 ай бұрын
How can I book an appointment at your clinic ?
@cesartovar9813
@cesartovar9813 4 ай бұрын
How much ml in children and adults
@profmuratkarkucakmd4615
@profmuratkarkucakmd4615 2 ай бұрын
adult
@ashmiahmed5130
@ashmiahmed5130 4 ай бұрын
Need help doctor regarding this disease
@vachibal3553
@vachibal3553 4 ай бұрын
My doctor just put 1 cc
@profmuratkarkucakmd4615
@profmuratkarkucakmd4615 2 ай бұрын
1 cc may be less
@thenomadicDR
@thenomadicDR 4 ай бұрын
What is the position of the knee? Is it supine in 90 degree flex?
@profmuratkarkucakmd4615
@profmuratkarkucakmd4615 4 ай бұрын
The patient is in a side-lying position and the knee is in a neutral position. Because we inject the lateral meniscus
@mustafakacmaz9291
@mustafakacmaz9291 5 ай бұрын
Murat hocam PRP enjeksiyonlarından sonra özellikle tekrarlayan enjeksiyonlardan sonra enjeksiyondan birkaç saat sonra başlayan ve bir iki gün süren ağrı ile karşılasıyormusunuz. bunu inflamatuar yanıtın şiddetine mi bağlamak lazım
@profmuratkarkucakmd4615
@profmuratkarkucakmd4615 5 ай бұрын
günaydın evet her hastada olmasa karşılıyoruz. rejeneratif inflamatuvar süreçle ilişkili olabilir. yanı sıra verdiğimiz serum %100 seçici olmadan pek çok mediatörü o bölgeye veriyoruz...
@actuallyCSB
@actuallyCSB 5 ай бұрын
kaç cc veriyorsunuz? steroid ile sf kombine mi yoksa sadece steroid mi?
@profmuratkarkucakmd4615
@profmuratkarkucakmd4615 5 ай бұрын
2-3 ml bir karışım yeterli olacaktır. lokal anestezi+ depo steroid
@user-uf7fl6kf1z
@user-uf7fl6kf1z 5 ай бұрын
Nice and helpful
@profmuratkarkucakmd4615
@profmuratkarkucakmd4615 5 ай бұрын
thanks
@bushaircheruvadi8361
@bushaircheruvadi8361 5 ай бұрын
Is it have any side effect ? If yes ,explain it
@profmuratkarkucakmd4615
@profmuratkarkucakmd4615 5 ай бұрын
Yes, the side effects are similar to those seen with local steroid injections. These side effects can be reduced if performed together with USG.
@jimboland1730
@jimboland1730 5 ай бұрын
Music is very distracting. Explanation vastly better. Otherwise very informative.
@profmuratkarkucakmd4615
@profmuratkarkucakmd4615 5 ай бұрын
Hello, now I am preparing a video without music. Thanks for your suggestion
@thenomadicDR
@thenomadicDR 5 ай бұрын
hi prof. do you think intraarticular steroid is still preferable in patient with joint pain? as steroid can cause cartilage degeneration as well.
@profmuratkarkucakmd4615
@profmuratkarkucakmd4615 5 ай бұрын
Yes, steroids should be preferred first in joints with intense inflammation. Because inflammation can damage the joint more than steroids. Afterwards, regenerative treatments should be preferred.
@thenomadicDR
@thenomadicDR 5 ай бұрын
@@profmuratkarkucakmd4615 thanks prof for the reply. I've been hesitant to give steroid injection to my patient as I'm worried it might damage the joint more.
@pierocarozza4709
@pierocarozza4709 5 ай бұрын
Why out of plane? Is It Better in plane?
@profmuratkarkucakmd4615
@profmuratkarkucakmd4615 5 ай бұрын
Hello, the best way to reach the transforaminal region between the two facet joints is out of plane entry.
@juventus_____
@juventus_____ 5 ай бұрын
Salam dr Is it safe to give injection for piriformis for long period of time
@profmuratkarkucakmd4615
@profmuratkarkucakmd4615 5 ай бұрын
It is safe piriformis injections but temporary paresthesia may occur within a day or two after the injection. It need to perform by an experienced physician
@mrmamet2694
@mrmamet2694 5 ай бұрын
Teşekkürler hocam
@TheBlackbelair
@TheBlackbelair 5 ай бұрын
It would seem that the injection should be at the top or near the top of the femoral head instead of the neck.
@muhammadsarwar5170
@muhammadsarwar5170 5 ай бұрын
Fine ❤
@profmuratkarkucakmd4615
@profmuratkarkucakmd4615 5 ай бұрын
👍
@rajaekhaloufi2004
@rajaekhaloufi2004 5 ай бұрын
Is it all the time guided with ultrasound?
@profmuratkarkucakmd4615
@profmuratkarkucakmd4615 5 ай бұрын
Hı yes ı use. because I have USG
@stevel4940
@stevel4940 6 ай бұрын
My Orthopedic Doctor did this for me yesterday and oh my! What a relief!
@thenomadicDR
@thenomadicDR 6 ай бұрын
do we just put the needle above the suprascapular notch?
@DTUFINOPhotography
@DTUFINOPhotography 6 ай бұрын
I havea slight shoulder labral tear and a cyst on spinoglenoid notch and measures approximately 1.5 X 1.4 x 1.3 Cm. I was givent a cortisone shot for pain and it has relived 95% of the pain, but the cyst is def pressing up on my nerve cashing severe pain when i dont have cortisone. Doc suggested shoulder surgery but i cant do that RIGHT now. I can get this done as a first option. So you know anywhere in nyc that does this? I'd like to weigh my options before going full surgery.
@ReportTheHackers
@ReportTheHackers 6 ай бұрын
How would one go about getting diagnosed with this? Are there places where physician are more aware and able to diagnose this condition or is this generally known by diagnostic radiologists to look for?
@profmuratkarkucakmd4615
@profmuratkarkucakmd4615 5 ай бұрын
When this diagnosis is made, the best method is USG-guided calcification aspiration. Because it is the method that causes the least damage to the tendon. If it does not go away, surgery should be considered.