[Maria]

Someone that is ethical about the ESI helping you would probably not offer it the 3rd time if the 1st and 2nd don't help. Some PMs would go ahead and do the series of 3 because it's their bread and butter so to speak and a series of 3 have already been authorized however that makes me think twice about the person doing the procedure.

Always with the use of fluroscopy(sp) BTW.

Thankfully ESIs help me. Particularly the transforaminal approach. I've been told when I'm getting L4 and/or L5S1 area done and that's what's helpful to me. L3 even with annular tear seems to be useless. Caudal approach seems OK for L5S1 area but it doesn't last that long with me or help as much.