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BJA Advance Access originally published online on July 3, 2007
British Journal of Anaesthesia 2007 99(3):412-414; doi:10.1093/bja/aem178
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© The Board of Management and Trustees of the British Journal of Anaesthesia 2007. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org

Lumbar radiculopathy after zygapophyseal joint injection

A. Sehgal* and J. M. J. Valentine

Department of Anaesthesia, Norfolk and Norwich University Hospital, Norwich NR4 7UY, UK

* Corresponding author: Department of Anaesthesia Norfolk and Norwich University Hospital, Colney Lane, Norwich NR4 7UY, UK. E-mail: arunsehgal2k{at}yahoo.com

We report a case of lumbar radiculopathy after zygapophyseal joint injections for chronic low back pain. The management of the patient and potential causes for the radiculopathy are discussed. The case acts as a reminder that the spinal nerve roots should be considered when performing intra-articular facet joint injections and demonstrates the importance of including nerve injury in the patient consent process as a rare, but significant complication.

Keywords: injections, spinal; low back pain, therapy; radiculopathy; zygapophyseal joint


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