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This is a new one to me. Can anyone help me out?
Patient in prone position with a pillow under the abdomen. Significantly elongated transverse processes were noted throughout the lumbar region including on the left side at the L5 level with close proximity to the left iliac crest with motion. The site of his pain was identified coinciding with this site and a 22-gauge, 3 1/2 inch spinal needle with a slighty curved tip was advanced into the junction between these two landmarks and after negative aspiration for air, blood or CSF, a total of 2mL of 1% lidocane and 40 mg of Kenalog in 1 mL were injected in a fanwise fashion through this region.
Thank you!
Patient in prone position with a pillow under the abdomen. Significantly elongated transverse processes were noted throughout the lumbar region including on the left side at the L5 level with close proximity to the left iliac crest with motion. The site of his pain was identified coinciding with this site and a 22-gauge, 3 1/2 inch spinal needle with a slighty curved tip was advanced into the junction between these two landmarks and after negative aspiration for air, blood or CSF, a total of 2mL of 1% lidocane and 40 mg of Kenalog in 1 mL were injected in a fanwise fashion through this region.
Thank you!