|
Chief Complaint
|
Lumbar Physical Exam
|
|
# injection in the current series
|
Relief from previous injection
|
|
Complications
|
Complication comments
|
|
Procedure Dx, Therapeutic or both
|
|
|
Bilat FJI L3-4,L4-5,L5-S1
|
|
|
Side
|
First Level
|
|
Similar proc was performed on levels
• • •
|
|
|
Anesthetic Used
|
|
|
Complications
|
Complication comments
|
|
Follow up
• • •
|
Follow up comments
|
