Dr. Maria Luz Padilla discusses ultrasound anatomy and procedures of the lumbosacral spine. These procedures can be challenging and have many complications. They are nevertheless important for interventional pain. Sagittal view and transverse view methods can be used during these procedures. Using both these views (by turning the transducer) is important to localize your position in the cervical space before giving the injection.

Dr. Javier de Andres discusses lumbar sympathetic and hypogastric plexus blocks. In this talk, he focuses on anatomy of the autonomic nervous system. It is due to its anatomy that it can be a target of sympathetic blocks. Dr. de Andres goes over lumbar sympathetic block and hypogastric block rationales, functional anatomy, indications, contraindications, materials, techniques, and complications. He starts and ends his talk with a brief discussion on football.

Dr. Dominic Hegarty discusses intralaminar epidurals targeting the cervical spine. He discusses indications, anatomy, complications, and risk management of intralaminar epidurals in the cervical spine. Risk assessment is also very important. Steroids can also help. Dr. Hegarty also talks about evidence based clinical solutions. The research in this area is promising.

Dr. Gabor Racz first describes the scarring triangle as a concept. It is scar tissue that is located in-between the L5 dorsal root ganglion (DRG) and the S1 nerve root and above the L5-S1 disc. The scarring triangle poses a problem for catheters and other procedures such as spinal fusions. A case study in pain is discussed, as are other examples of the scarring triangle.