PatMacc
Contributor
I have read the other posts on medial nerve blocks and have found them very helpful. I have one that is a bit werd. He says he does medial branch block at L5, the sacral ala and S1 neural foramen on left.
Light sedation, back prepped, Betadine x 3, teh C amr fluoro brought in to visualize transverse process at L5 and sacral ala. Skin anesthetized with 1% lidocaine, approximately 2 cc were injected at each level. At this point a 25 gauge curved tip spinal needle was advanced, made bony contact with medial superior most aspect of transverse process at L5. Sacaral ala on the left and lateral aspect on the neural foramen on the left. At this point 1 cc of 0.25% Marcaine plain with 10 mg of Depo-Medrol were injected.
I am thinking one level, 64475-LT. Another person thinks it should be 64475-LT, 64476-LT 64476-LT. I think they are thinking the sacral ala and S1 neural foramen are different. Thanks in advance. These are confusing.
Light sedation, back prepped, Betadine x 3, teh C amr fluoro brought in to visualize transverse process at L5 and sacral ala. Skin anesthetized with 1% lidocaine, approximately 2 cc were injected at each level. At this point a 25 gauge curved tip spinal needle was advanced, made bony contact with medial superior most aspect of transverse process at L5. Sacaral ala on the left and lateral aspect on the neural foramen on the left. At this point 1 cc of 0.25% Marcaine plain with 10 mg of Depo-Medrol were injected.
I am thinking one level, 64475-LT. Another person thinks it should be 64475-LT, 64476-LT 64476-LT. I think they are thinking the sacral ala and S1 neural foramen are different. Thanks in advance. These are confusing.