This course will review fundamental techniques to ensure safe and efficacious fluoroscopic and ultrasound – guided spinal procedures. We will review bevel control, multiplanar fluoroscopic and ultrasound imaging views to enhance safety and understand needle positioning. We will review special imaging such as the contralateral oblique (CLO) view. We will review techniques for performing lumbar intradiscal, medial branch and radiofrequency procedures as well as cervical medial branch blocks, stellate ganglion blocks, radiofrequency and interlaminar epidural steroid injections.