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Case Simulator
Work through realistic clinical scenarios requiring procedural decisions, level selection, and result interpretation.
Lumbar Radiculopathy: L5 Distribution
beginner4 questions
A 58-year-old male presents with 3 months of right-sided low back pain radiating down the posterolateral leg to the dorsum of the foot. Pain is rated ...
Sacroiliac Joint Pain: Diagnosis and Treatment
beginner3 questions
A 42-year-old female presents with 4 months of left-sided buttock pain that occasionally radiates to the posterior thigh but never below the knee. Pai...
Cervical Radiculopathy: C6 Distribution
intermediate3 questions
A 45-year-old female presents with 6 weeks of left neck pain radiating to the left lateral forearm and thumb. Pain is 8/10, worse with left cervical e...
Facet-Mediated Pain: Diagnostic Workup to RFA
intermediate4 questions
A 68-year-old male presents with 2 years of bilateral axial low back pain without radicular features. Pain is rated 5-6/10, worse with prolonged stand...
Failed Epidural: Reassessing the Pain Generator
intermediate3 questions
A 52-year-old female was referred after two right L5-S1 transforaminal epidural steroid injections provided zero relief. She reports right-sided low b...
Anticoagulation Dilemma: High-Risk Patient Needs TFESI
advanced4 questions
A 72-year-old male with a mechanical aortic valve on warfarin (target INR 2.5-3.5) presents with 2 months of left-sided L5 radiculopathy. Pain is 8/10...
Vertebrogenic Pain: Modic Changes and BVN Ablation
advanced4 questions
A 55-year-old female presents with 18 months of chronic axial low back pain rated 5-7/10. Pain is constant with a deep, aching quality centered in the...
Spinal Cord Stimulation: FBSS Candidate Evaluation
advanced4 questions
A 48-year-old male presents with 2 years of persistent left leg radicular pain following an L4-5 decompressive laminectomy. Surgery was performed for ...