Facet Joint Injection
A patient with pseudo radicular pain posted for facet joint steroid injection. (Pain Management)
Challenge : Posterior approach needs precise orbital angle to reach facet joints.
Procedure : Both facet joints targeted with targeting device precisely. Mixture of anaesthetic and steroid injected to relieve pain.
Target Depth : 54mm
Target Size : 2mm
Selective Nerve Root Block (SNRB)
A patient with sciatica, posted for Selective Nerve Root Block at sacral level (Pain Management)
Challenge : Targeting perineural space needs precise orbital angle and depth.
Procedure : Nerve root targeted precisely with targeting device, through a space between sacrum and iliac bone. Contrast enhancement confirms the target. Mixture of anaesthetic and steroid to relieve pain.
Target Depth : 68mm
Target Size : 10mm
Nerve Root Block Notes
Nerve Root Block at the level of S1, planned for pain management
Challenge : Targeting nerve root need precise orbital angle and accurate depth, overshoot may injure nerve.
Procedure : S1 level nerve root targeted precisely with targeting device without traumatizing nerve. Mixture of anaethetic and steriod injected to relieve pain.
Target Depth : 75mm
Accuracy : 2mm
Epidural Injection, L5-S1 Level
A patient with back pain posted for epidural steroid injection (Pain Management)
Challenge : Precise orbital angle needed to reach nerve root.
Procedure : L5-S1 level epidural space targeted precisely with targeting device without traumatizing nerve root. Mixture of anaesthetic and steroid injected to relieve pain.
Target Depth : 78mm
Orbital Angle : 13.8°
Bilateral Celiac Plexus Alcohol Ablation
A patient with pancreatic tumor posted for Pain Management procedure
Challenge : Targeting celiac plexus, needs precise angle and depth: overshoot of the needle may hit vital organs.
Procedure : Celiac plexus targeted with precision without involving critical abdominal structures. Phenol injected to relieve pain.
Target Depth : 95mm(R), 96mm(L)
Orbital Angle : 15.26°(R), 11.42°(L)
Trans Aortic Celiac Plexus Block
A patient with Cholangiocarcinoma posted for Pain Management procedure
Challenge : To reach the deep seated celiac plexus is difficult by manual approach.
Procedure : Targeting device assisted to reach the target up to the aortic wall and needle advanced by “loss of resistance technique” to reach the plexus.
Target Depth : 51mm
Orbital Angle : 7.97°