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- Aug 8, 2014
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Hey guys,
So a seasoned colleague of mine who does a ton of Med legal work (defense and plaintiff) doesn't do any cervical interlaminar ever. He only does what he calls "facet overflow" method. Basically he does a facet injection coming from posterior and injects 0.3 cc of contrast to confirm and 1cc of Dex into the facet joint itself so that it "overflows" ventrally. He says it's way safer , he considers Interlam too dangerous as he's seen people with 30 + years paralyze people , and he sent me this article to justify this method. He bills as a cervical TFESI and says it all holds up in court if you're ever deposed for any reason.
I actually tried gowned up with him on a case and saw the patient with him with someone with clear radiculopathy. The patient actually did well.
Thoughts on the efficacy and on billing it as a cervical tfesi?
So a seasoned colleague of mine who does a ton of Med legal work (defense and plaintiff) doesn't do any cervical interlaminar ever. He only does what he calls "facet overflow" method. Basically he does a facet injection coming from posterior and injects 0.3 cc of contrast to confirm and 1cc of Dex into the facet joint itself so that it "overflows" ventrally. He says it's way safer , he considers Interlam too dangerous as he's seen people with 30 + years paralyze people , and he sent me this article to justify this method. He bills as a cervical TFESI and says it all holds up in court if you're ever deposed for any reason.
I actually tried gowned up with him on a case and saw the patient with him with someone with clear radiculopathy. The patient actually did well.
Thoughts on the efficacy and on billing it as a cervical tfesi?