3rd Quarter 2016 Pain Nav MSK Nursing IRR- Case Study #1

Health Plan: BSC


59 year old female, request is for a caudal ESI.

Physical exam shows decreased ROM/lumbar Lordosis, positive facet loading, normal motor sensory reflexes.

She has had a hip bursa injection with at least 80% improvement. She continues to have LBP and would like to try an ESI.

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