Skeptical back: I share your skepticism sounds like an unguided shot gun diagnostic approach, spasm plus tenderness is muscular, start with trigger point injections, pain with lumbar extension and facet arthritic changes on imaging bone scan help find most metibolicaly active facet the. ESI Best for leg pain i dont use for back pain facet injection have 50%failure rate read dr sarno book. if imaging is negative .
Answered 11/25/2015
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