galperin, slowly -slowly.careful, it’s mostly my lower back, my legs can’t walk well, my walking has become unsteady, so, leaning on walking sticks, lyudmila aleksanovna came to see the lord of pain, doctor galperin. every movement is painful, even lying on the couch is a huge problem. where it hurts, well, in my lower back, right at the tailbone, right across my back, yes, to establish where the source of pain is, dr. golperin uses a c-arc, this is an x-ray machine that transmits an image to the screen in real time, for the doctor this device is like a sight . this procedure cannot be done without this device. tseduga takes an x-ray, the doctor sees it on the screen where to place the needle to administer the medicine. look, this is pedicle of the vertebral arch. this gap is a joint, here the joint is from ross, it is practically invisible, you can even see two hooks, how they fit together. here's the joint and the joint is right here. now we will give an injection into these joints, at four. the cause of pai

galperin’s operating room, in the treatment room, a patient with back pain, because of this pain, elena live, and for her it’s just like her back hurts, and there can be several generators of this pain in the lower back in the back, only under the control of an x-ray can a doctor determine the source of pain, this device is called a tseduga, this is an x-ray, like a sight, the patient’s pain... turned out to be in the sacroiliac joint. the sacroiliac joint is a joint between the sacrum and the ilium, very strong, very small, held together by ligaments. over the years, the ligaments weaken, the composite joint is destroyed, and a focus of inflammation and swelling appears in it. now she has pain on the left, this place right here , in order to accurately hit the target, dr. galper uses contrast, the contrast should color the joint, if the doctor hits it correctly, look, i put a syringe, you see, i have a dark tube appeared, this is a syringe, which is filled with contrast, before injecting my medicine that heals, i will inject contrast into the joint in order to make sure that my needle