By Chris Faubel, M.D. –
Best done under fluoroscopic-guidance so the crest can be visualized and you can ensure an even distribution of injection sites (red X's).
To learn about Iliolumbar Syndrome, follow this link.
CPT codes:
- 20550 “Injection(s); single tendon sheath, or ligament, aponeurosis”
- 77002 “Fluoroscopic guidance for all types of needle placement, i.e., biopsy, aspiration, injection, or localization device”
PROCEDURE TECHNIQUE:
Solution: Varies depending on the number of sites that you plan to inject. Typically, I inject four sites and use a 4-ml solution consisting of 3-ml of 0.5% bupivicaine and 1-ml of Depo-Medrol 40mg/ml. You can also use just local anesthetic if the patient has an elevated blood sugar.
Position: Prone
