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okay were going to do a Lamar video branch block for our patient here is 38 year old female shoes the car accident and its having pretty bad back pain she got a couple of the girls and still had pain within the back itself and you get a block about a month ago she had really really profound relief or the pain started graduate Kovacs available people procedure the video brass wants to intervene the lumbar facet joints of the joints that you got they can be damaged leadership they can be damaged in an accident unless youre done so that nerve is little branch off the nerve root it around here pitch there and innervates the joints above below that level right at that point at the junction of the superior articular process the transverse process that [] right okay so look right here you can see I shoulda joint pretty clearly looking at my needle on the screen there thats why Im going down isnt essentially you can see the students are so clear its kind of darker than indication d
