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Selective Lumbar Injections Selective injection in the spine is one of the most powerful diagnostic and therapeutic modalities available to the practitioner. Gives us information about the structures generating pain, less reliably obtained from PE, spinal imaging, or electrodiagnostic testing. 90% of spinal diagnosis depends on history and physical exam with testing to confirm the diagnosis. Most useful in those patients with residual pain and restricted ROM and function, despite 4-6 weeks of aggressive rehabilitation. Previous slide Next slide Back to first slide View graphic version © 1998 Specialty Physicians Alliance. All rights reserved. If you have questions or comments please contact webmaster@spa-ortho.com