Lumbar interlaminar epidural steroid injection technique

  • The exiting mixed spinal nerve gives off the eventual medial branch that supplies the facet joint at that level, and the joint immediately below .
  • Therefore, each zygapophyseal joint receives innervation from the medial branch at that level, and from the the medial branch above it.
  • Photo (right): Note the facet joints (with capsule) have nerves (yellow) from the same level, and from the level above.
  • Example: The L4/L5 foramen has the L4 mixed nerve exiting.  The L4 dorsal ramus gives rise to the medial branch, which then innervates the L4/L5 facet joint (same level), and thebelow L5/S1 facet.  That same L5/S1 facet also receives innervation from the L5 dorsal ramus.
  • Note: The L5 dorsal ramus does NOT have a medial branch, so you block or “burn” the dorsal ramus itself.

    Before you can determine if our minimally invasive lumbar stabilization — an effective alternative to highly invasive traditional open back fusion — is the right procedure for you, you must find learn about why a lumbar fusion in the L4-L5 vertebrae is a common treatment for chronic lower back pain. At Laser Spine Institute, we believe that our patients should be well educated about their spinal conditions and the treatment options available so each patient can make an informed decision about the best treatment option for his/her needs.

    Lumbar interlaminar epidural steroid injection technique

    lumbar interlaminar epidural steroid injection technique

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