Open AccessIntradiscal Flow During a Transforaminal Epidural Steroid Injection
Author(s) -
Levi David
Publication year - 2010
Publication title -
pain medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.893
H-Index - 97
eISSN - 1526-4637
pISSN - 1526-2375
DOI - 10.1111/j.1526-4637.2010.00844.x
Subject(s) - medicine , epidural steroid injection , anesthesia , surgery , low back pain , pathology , alternative medicine
Objective. To present a case of inadvertent intradiscal flow during a L4/5 transforaminal epidural steroid injection. Design. Case report. Setting. Outpatient private practice. Patients. Single case. Intervention. Lumbar transforaminal epidural steroid injection. Results. Flow of contrast indicating needle entry into extruded disc material with filling of the L4/5 disc. Conclusion. This case demonstrates the possibility of needle entry into disc material in the presence of a large lateral disc extrusion with cephalad migration during a transforaminal epidural steroid injection.