Lumbar Epidural Injection

Lumbar Epidural Injection Procedure

PATIENT:  ____________________

PHYSICIAN: 

DIAGNOSIS:  Lumbar Radiculopathy

DATE OF PROCEDURE:  ____________

PROCEDURE:  Lumbar Epidural Injection

The patient/family member has been informed of the risks and the benefits of the planned procedure.

In the fluoroscopy room the patient was placed in a prone position and the skin over the lumbosacral spine was prepped and draped in a sterile manner.  The skin and deeper tissues were numbed with 1% lidocaine.  Using a translaminar approach at the ________ level, a 3½ inch 20 gauge Touhy needle was advanced under fluoroscopic guidance, using the loss of resistance technique into the epidural space.  Needle position was conformed on AP and lateral views.  Aspiration was negative for CSF and blood.  10 cc of a mixture of _________ and 80 mg of methylprednisolone was injected into the epidural space.

Patient tolerated the procedure very well.

Complications:  None.

Full discharge instructions were given to the patient.  The patient was discharged in a stable condition.