S1 nerve root injection (fluoroscopy)

Case contributed by Frank Gaillard
Diagnosis certain

Presentation

Elderly patient with symptoms attributable to the left S1 nerve root.

Fluoroscopy

.

Case Discussion

Under fluoroscopic guidance, a needle is advanced through the posterior foramen until the pain is reproduced. Perineural and extradural location is confirmed with an injection of a small amount of contrast, following which a mixture of bupivacaine and betamethasone valerate is injected. 

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.