Lumbar facet injection and Von Willebrand disease

18 yo female with a history of congenital scoliosis s/p surgical repair ~7 years ago. Apparently almost bled to death on the operating table. Later workup found that she has Von Willebrand's disease. Fast forward to now: Came in for axial back pain. Imaging shows some adjacent level disease in the facets. Was thinking about injecting. I think most would get a heme consult prior to proceeding with something like an epidural. Would you guys do the same for IA facet injection as well? thanks
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Pain Medicine Source Type: forums