Treating back pain at the root

UCSF Radiologist Dr. Hess describes how medical imaging can assist in back pain management at the source.

Place the needle in three places

  1. Selective nerve root block
  2. Transforaminal epidural
  3. Interlaminar epidural


  • Conscious sedation (valium, fentanyl, or valium and morphine to make you calm during the procedure)
  • Image-based planning
  • Needle placement using imaging guidance
  • Test injection 


Chief of Neuroradiology
Associate Chair for Quality and Safety
Co-Director, Neuroimaging RIG
Professor, Clinical Radiology

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