Richard Derby, MD's portrait
Richard Derby, MD
Medical Director
Spinal Diagnostics & Treatment Center
Daly City, CA
Dr. Derby is a member of the SpineUniverse Editorial Board.

Articles on SpineUniverse from Richard Derby, MD

When, How, and Why to Use Epidural Corticosteroid Injections: An Overview

Spinal epidural steroid injections are commonly utilized in the treatment of acute spinal pain and may provide diagnostic confirmation of a specific "pain generator."

Rationale: How, When, and Why to Use Epidural Corticosteroid Injections

There is an ongoing trend toward non-surgical management of disc herniations with or without radiculopathy.

Indications, Risks, and Contraindications: Epidural Corticosteroid Injections

A review of the indications, risks, and contraindications for epidural steroid injections including study results.

Epidural Corticosteroid Injections: Technical Considerations, Part A

Fluoroscopic guidance and contrast medium greated increase the accuracy and safety of epidural steroid injections.

Epidural Corticosteroid Injections: Technical Considerations - Part B

Various routes for administration of epidural steroids are discussed; figures included.

Epidural Corticosteroid Injections: Technical Considerations - Part C

The selective administration of epidural corticosteroid at the presumed most symptomatic level can provide pain relief from neural irritation and inflammation.

Epidural Corticosteroid Injections: Conclusion

Epidural steroid injections have a role in radicular pain, as proven with some controlled and many uncontrolled studies, including meta-anaylses.

References: When, How, and Why to Use Epidural Corticosteroid Injections: An Overview

References for the article "When, How, and Why to Use Epidural Corticosteroid Injections."

Procedural Safety Guidelines for Cervical Epidural Steroid Injections: Appendix 1: Part A

Safety guidelines for cervical epidural steroid injections.

Procedural Safety Guidelines for Cervical Epidural Steroid Injections: Appendix 1 - Part B

Part B of Appendix 1 that outlines safety guidelines for cervical epidural steroid injections.

Selective Nerve Root Blocks: Introduction

Nerve root blocks were developed as a means by which to define the source, if not the cause, of nerve root pain.

Application: Selective Nerve Root Blocks

Selective nerve root blocks can be used to treat various hypotheses.

Lumbar Nerve Root Blocks: Technique Part A

Early techniques of lumbar nerve root blocks required that the needle be directed at the target nerve.

Lumbar Nerve Root Blocks: Part B - Technique

Lumbar nerve block techniques discussed and illustrated.

Lumbar Nerve Root Blocks: Part C -Technique

During the injection of contrast medium the opportunity is taken to record any pain response offered by the patient.
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