okay so once again we're going to treat superior clinical neuralgia in this patient who's had multiple colonial nerve blocks he's had the medial middle and loud ranch blocked with excellent relief short term and now he's here for a cryo ablation with the iovera device for the long-term treatment of his pain so mike i'm going to look for the first nerve first which is over here and we're going to work our way lateral okay so on the ultrasound you can see the posterior superior iliac spine coming into view and just lateral to that the hyperloosene structure is the superior colonial nerve medial branch and spraying with some vapor cooling spray and anesthetize the skin go pinch michael okay pressure mango and right there now note michael also had a peripheral nerve stimulator placed in the past which i did use the claris probe to place and we placed it near his pectoral nerves for pain related to a surgery in his chest wall you
