Podcast with Dr. Shubin: we talk about therapeutic and diagnostic blockades for back pain, who and when they are indicated, we discuss the features of the procedure and cases from practice. The episode is dense, the content in the time codes below: Contents: 00:00 What is the episode about? "I stroke people, and Dr. Shubin pricks them" 02:03 Stenosis is not all the same. Not every stenosis needs to be operated on 08:47 An intervertebral disc can "scream" about its pain. Discogenic pain exists 09:44 Spondylosis is when the vertebrae are "soldered". Why is this not scary? 14:08 How do you know that a patient needs an injection? 18:32 Is it possible to mix different drugs in one injection? 23:09 What hormonal drug is used in the blockade? Nuance: this drug lies differently in different tissues 25:05 Going through an intervertebral joint with a needle is inhumane. How to make an injection with precision and avoid contact with bone tissue? 32:15 SHOCK: about pain during an injection. Why superficial anesthesia if it will still hurt deeper? 38:10 Who tolerates pain the worst? Portrait of such a patient 39:11 A story from practice: an elderly patient cannot lie on his stomach, he is suffocating, how to do a blockade? 41:09 Blockades for headaches associated with the neck 50:40 Methods of treating severe migraines: ablation, monoclonal antibodies 53:23 Bone marrow edema - is it possible to inject medicine there? 56:46 Baastrup syndrome - kissing vertebrae. Pain between the spinous processes - is it possible to do a blockade? 1:00:09 What do humans and corgis have in common? Evolutionary theory: how did it happen that disc tissue does not recover? Shubin Dmitry Nikolaevich - doctor of the highest category, neurologist, chiropractor Website: https://doctorshubin.ru/ Our clinics: Clinic of Dr. Epifanov in Moscow: Moscow, Gamalei st., 23 k1 Phone for an appointment: +7 495 212 17 25 Website: https://epifanov.clinic/ Clinic in Samara: Epifanov Vertebrology Center at the Nauka Medical Center Phone for an appointment +7 846 211 0461 Instagram*: / epifanovclinic.ru VK: https://vk.com/epifanovclinic Website: https://epifanovclinic.ru/ Clinic of Dr. Epifanov in Grozny: Grozny, st. Tasuyev, 8D (entrance from Tuchina Street, near the mosque) Phone for booking 8 (871) 277-45-37 Instagram*: https://instagram.com/eclinic.groznyi... website: https://е-клиник.рф/ Clinic in Kazakhstan: website: http://epifanovclinic.kz/#rec491532734 tel: +7 727 310 2982 Tkachev Clinic in Volgograd website: https://tkachevclinic.ru tel: +7 995 409 8888 Tkachev Clinic in Moscow Website: https://tkachevmoscow.ru/ tel: 8 499 11 06 222 Telegram: https://t.me/tkachev_clinic Instagram*: / tkachevclinic Contact me: Anton Epifanov Website: https://doktorepifanov.ru/ Telegram: https://t.me/epifanovnews Yandex Zen: https://zen.yandex.ru/id/6223052abb1b... VK: https://vk.com/drepifanov Online courses: https://epifanov.online/ Instagram*: / doktorepifanov — belongs to Meta, recognized as extremist in the Russian Federation, activities are prohibited on the territory of the Russian Federation.