next to me is our beautiful kind giant vitaly viktorovich protsenko, he is a professional anesthesiologist pain management here in a difficult situation where there were problems. where did the pain come from this woman, because she says from the first words that, she says there was a fracture, well, there would not have been a fracture, there would have been a slight deformation of the vertebrae themselves due to pronounced osteoporosis. violation of the posture expressed. degradative changes in these small mesh joints are the main problem in these small joints, which are subject to overload from the nose, they are small joints that are connected to each other and perform a shock-absorbing and motor function. that is, how small such hinges work with each other. here of course when more from there to there. it is impossible to get in without x-ray control, therefore pain treatment or the so-called interventional protocols for pain treatment is a complex professional procedure, we go to the pain management clinic, where dr. protsenko works, we start a small injection will be an injection. o

and of course, vitaly viktorovich protsenko, one of the best pain management specialists, an anesthesiologistse modern technologies, where there was a problem. this woman has so low back pain is typically female, where the main problem is dysfunction of the criss air joint. that is, here he presses the air joints of the sacrum, pelvic, bone and the main load occurs in this joint arthrosis large gait skewed pelvis is what we see in our patients. that is, the sacrum. the iliac joint is a narrow narrow joint, but it is necessary to get into it nowhere else and this can only be done under x-ray control. now let's go to the operating room and see how doctor-protsenko works on the screen the needle is set in the projection of the joint. standing in the joint, we see this first contrast, to make sure that the doctor is in the joint. and then we begin to introduce the medicine there. medical drug here it is a thread of the joint where the doctor injected the medicine with absolute accuracy? so the next second manipulation is, after all, a concomitant problem that is accompanied by joint dysfunction -

this is vitaly viktorovich protsenko, an anesthesiologist and specialist in pain management.rnia, and it hurts. here the nerve departs, and it goes to leg and pain radiates to the leg arose, radiculopathy sciatica. that is, it is a pronounced pain, along the way, of the root of the innervation zone of this nerve, and our task is to determine how seriously the compression is going on, that is, the pinching of this nerve. and what are we doing in this situation? our task is to remove urgently the inflammation of the edema of tension. and the most important thing is to remove the field symptom, so it is done by the anesthesia procedure. we will now show how it went. this is the control of x-rays strictly, doctors clearly find the place where it is necessary to make an injection, that is, the main task of bone landmarks. we see the hole where the nerve itself comes out and without injuring the nerve neatly. we insert the needle to the exit site and inject the drug itself. it's called x-ray. emyh walks this point, it is necessary to insert a needle to make sure, and then the drug