Table 3.
Summary of Guideline Recommendations
ESIs | Facet Joint Injections | |
---|---|---|
Pre-injection radiological assessment | MRI to assess epidural width (cervical)61 | |
Guidance | Fluoroscopic (US for caudal)61,62 Real time fluoroscopy for all TF46 |
Fluoroscopic61,63 Posterior or Oblique approach for Cervical RF63 |
Medications | Non-particulate steroids (all cervical approaches and transforaminal lumbar higher than L3)61,62 | Non-particulate steroids (cervical)61–63 |
Sedation | Minimal61 | Minimal61,63 |
Anticoagulants | Discontinue46 | Discontinue (cervical)46 |
Anti-aggregants | Discontinue46 | Discontinue (cervical)46 |