Osteoradnecrosis treatment options

[donaldduck]

So, the local radiation oncologist called me up about a patient with osteoradnecrosis of the 5th and 6th right rib and now the patient has basically pain syndrome consistent with an intercostal neuralgia. I would really like to offer this patient a block but would be prefer not to use steroids. What other options for injectate could I use.

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[TheLoneWolf]

Diagnostic blocks then RFA

 

[Ferrismonk]

Blocks then RF
PNS
Meds