4th Quarter 2016 Pain Nav MSK Nursing IRR- Case Study #1

61yof-Lumbar Medial Branch Nerve Radiofrequency Ablation (64635), (64636)

Blue Shield California

C/O chronic low back pain and walks with a cane.
Request for bilateral L 4 – 5 radiofrequency ablation of the medial branch nerves.
TX: She has had a single medial branch nerve blocks which gave 60 – 70 % relief at 11 days. PE: showed decreased range of motion.
Imaging showed lumbar spondylolisthesis

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