An incredibly effective and safe fascial plane block that provides multilevel thoracic nerve anesthesia with a single injection. Useful for a wide variety of acute and chronic pain conditions.
so here we're using the l7 which is the mid-range probe and i'm looking at the spinous process the lamina and the transverse process is lateral right there is it is the transverse process and the superior articular process and i'm going to give a little bit of a vapor coolant spray prior to inserting the needle okay hi robert a little pinch okay feel that i sure do okay almost done it's over okay i'm sorry about that that's all right okay i hope it helps you so this patient has pain in the lower back what we did was trigger points of his lower back i also anesthetized the erector spinae muscle and got into the plane to help alleviate some of his pain he does have some pain radiating down and i let some of the local anesthetic go into the intercostal space as well to help them with the pain that's referred from the power vertebral space on the left side in the in the lower ribs down to his flank
