Selective Nerve Root Blocks

Dr Mert Akbas details the significance and methodology of selective nerve root blocks, introduced in 1971 for treating lower leg radicular pain. He highlights the importance of accurate diagnosis and identification of the affected spinal nerve root for various conditions, including radiculopathy and post-herpetic neuralgia. Techniques for executing selective nerve root blocks are elaborated, emphasizing patient positioning, needle guidance, and contrast application. Dr. Akbas also discusses the choice of techniques, such as caudal and transforaminal lysis, tailored to patient anatomy and specific medical conditions. The efficacy of these procedures in diagnosing and treating lumbar radiculopathy, spinal stenosis, and failed back surgery syndrome is underscored.