Pain management has rapidly become a growing specialty area of medicine. So many of us suffer from lower back (lumbar) and upper back and neck (cervical) disk issues. The nerve pain associated with these degenerative issues are frequently treated with epidural steroid injections and nerve blocking techniques. Although these procedures provide welcome relief, they come with risks. One of the risks are “Missed Target” where the injection misses its mark and can traumatize the nerve roots causing traumatic neuropathy, a painful lifelong condition all its own. Even worse, a missed target on nerve root blocks can end up injecting a “cain” such as Lidocaine directly into an artery such as a vertebral artery. This type of missed target can have devastating consequence as the sending the agent directly to the brain resulting in paralysis and mental incapacity.