"Back Mouse"

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facetguy

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Does anyone have a specific injection/treatment protocol for "back mice", those tender fibro-fatty nodules in the lumbosacral region?
 
If a patient is convinced that they hurt, I will inject them with 1% plain lidocaine. If they report they got relief, I'll offer to perform excision as office based. Fun, simple, and if it makes them feel better.....
 
are they really painful? or has the patient just beaten the crap out of them trying to massage their facets?
 
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