Pars injection

[spondy14]

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Any experience with pars injections, and any literature (or personal experience) out there supporting even short term efficacy. I have had a couple of referrals and even though they are an easy injection, doubt their worth. I would not want my 16 yo kid to get em.

 

[Pain_doc]

I've only performed them for diagnostic purposes. If the patient's pain won't resolve and the fracture is "cold" on imaging, then the surgeon sends them for a diagnostic injection. If the injection reproduces the typical pain and subsequently gets relief, the surgeon offers them a repair. I've done this injection perhaps 6 times, and no patient has ever received long lasting pain relief from the injection itself.