Minimally invasive, image-guided percutaneous techniques have been added to the list of available treatment options for spinal pain. Image-guided techniques with fluoroscopy or computed tomography increase the precision of these procedures and help confirm needle placement. Cervical, thoracic, lumbosacral, and sacroiliac pain can be evaluated and treated safely and effectively with injections of local anesthetics or long-acting steroids into facet joints, sacroiliac joints, selective nerve roots, spondylolytic areas, and the epidural space. This is a simple procedure performed by doctors who have received additional training.
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