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Postprocedure Follow-Up • Expect some degree of immediate relief with local anesthetic effect • Expect from 2 to 5 days to start steroid effect • Assess patient for lower extremity weakness • Assess patient for any signs of intravascular anesthetic injection • Avoid submersion in water (eg, swimming, bathtub) for 24 to 48 hours • Keep pain log Potential Complications and Pitfalls • Intravascular injection into aorta or vena cava (needle is too anterior) • Intrathecal or epidural injection (needle is too medial or larger volumes are injected) • Lumbar plexus block (psoas compartment injection) • Hematoma formation • Abscess formation • Allergy to any component of procedure Clinical Pearls • Thorough history and physical examination to ensure accurate diagnosis