do you have tips to avoid disc during infraneural approach? In this video you didn't even check contralateral view. is it because you were certain with tactile feedback in your hand?
Sometimes, I intentinally approach to the disc. why avoid intradiscal injection in case of severe bulging degenerated disc? Only care is the young healthy disc and procedure related infective discitis.
Dr. Lee, do you have any tips for accessing L5-S1 disc on fluoro? I sometimes experience difficulty targeting intradiscal approach on L5-S1 sue to high iliac crest and close proximity with nerve root
It is always challanging to approach to L5-S1 disc. There is no loyal road. Less tilt the C arm as possible. Oblique as much as possible. Slow as much as possible. turn the trajectory if the patient fell touch the nerve root. frequently communicate with the patient.
