Complain of : Right leg pain with Back pain, Pain increasing on sitting, walking, standing, associated with numbness in the legMRI LS Spine : Space occupying lesion at L4-5 level on right side most probably cystic lesion compressing nerve routes.
Pain management Procedure: First treatment is planned to to do Tranforaminal epidural steroid injection, on dye injection filling defect is nicely observed between L4 and L5 nerve routes. (picture is below)
Later on Cyst is decompressed by Transfacet(intraarticular) needle approach under IITV guidance.
Yellow serous fluid came out , immediately patient became pain free.
6th floor, Addor Ambition,
Beside Vimal House, Navrang School Six Roads,
B/h. Navkar Institute, Navrangpura, Ahmedabad - 380014 Gujarat, INDIA