• Pain Med · May 2010

    Case Reports

    Intradiscal flow during a transforaminal epidural steroid injection.

    • David Levi.
    • Advanced Pain Management, Virginia Beach, VA, USA. levid@cox.net
    • Pain Med. 2010 May 1;11(5):716-8.

    ObjectiveTo present a case of inadvertent intradiscal flow during a L4/5 transforaminal epidural steroid injection.DesignCase report.SettingOutpatient private practice.PatientsSingle case.InterventionLumbar transforaminal epidural steroid injection.ResultsFlow 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.

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