Encounter — Linda Martinez

Lumbar epidural steroid injection L4-L5 under fluoroscopic guidance. Patient in prone position. C-arm positioned for AP and lateral views. After sterile prep, 22-gauge Tuohy needle advanced to L4-L5 interlaminar space using loss-of-resistance technique. Contrast injection confirmed epidural spread without intravascular uptake. Injected 80mg triamcinolone + 2mL 0.25% bupivacaine. No complications. Patient monitored 30 min post-procedure, vitals stable.