I just saw a patient, new to me, with T12 compression fracture, I assume chronic, who then underwent T10-L2 fusion with pedicle screws and rods (no screws in T12). Surgery was on 6/6/14, about 4-5 months ago. She has two pains. One is in the middle of the surgical area, approximately T12, that she describes as a deep ache, and she and her surgeon are operating under the assumption that this is post-surgical pain that may take 1 year from time of surgery to resolve, so taking a wait and see approach. In addition, she has allodynia around the T10-11 level, fairly localized to the area of the surgical scar, maybe extending 2-3 inches lateral from midline. This is a what bothers her more. The surgeon sent her to me with request/recommendation for "T11-L1 facet injection/MBB" (this is literally what he wrote). I have no idea what to make of this... First who knows if the medial branch nerve is still intact from the pedicle screws going in. Even if it were, it innervates the facet joint and multifidus…as far as I am aware, it is not involved in cutaneous sensation. Is there any rationale for MBB to address cutaneous allodynia? First of all, she is so sensitive in the area, I am afraid that a procedure could just make things worse. So we are trying lidocaine patch or cream, and will work on increasing Lyrica.