Inadvertent Disk Injection : A Different Perspective

Dear Dr. Steven P. Cohen et al. I read with great interest your case report on “Inadvertent Disk Injection …”[1]. True, risk of infection is a theoretical complication, but in practice I have yet to see it occur. I would like to present a different clinical perspective. Many years ago, I reported in an ISIS newsletter three cases of inadvertent disk injection during transforaminal epidural steroid injection (tfesi) [2]. Rather than reposition the needle, I proceeded with the injection. In each instance, I was …