ESIs
Lumbar ESIs saved my ARSE for quite some time~ I've had around 21 all together or some such number!!! Was asking for one recently and Utilization Review denied due to no real documentation as to the benefit as well as denying my Methadone since it's not proven that Methadone is actually helpful for pain relief as it's primary/proven use is for withdrawl from Heroin. I'm paraphrasing but pretty much this was what was said in 6 pages of UR BS.
Again, Lumbar ESIs helped me greatly, esp. transforaminal approach (caudal worked as well but seemed less effective at certain levels).
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