((((((Deb)))))),
I've had epidurals done -- both cervical and lumbar.
They only used the fluoroscope one time. And this is a major teaching hospital in Boston.
The ones that they do in my neck always work. Thanks be to G-d.
The only one that's ever worked in my lumbar region is the one that was done with the fluoroscope. It lasted close to 18 months

I consider that one of my *life miracles*. It was so bless-ed to not feel that horrible pain.
I have the same concerns that you do. How the heck can they tell what they're doing without the fluoroscope. I have weird architecture in the lumbar area -- some of my facet joints are fusing to my pelvis and I also have a hemangioma. I wonder what would happen if they ever hit the hemangioma
The last time I had both neck and back epidurals -- one late spring and the other in early summer, I knew they wouldn't use the fluoroscope in my neck -- I just wanted pain relief. I specifically made the appointment to use the fluoroscope in the lumbar region. The doctor had no assistants (other than the nurse) and he just did the procedure ...
a waste of the steroids. I didn't even get the relief that you get from the anesthetic. I got no pain relief at all. I didn't even get the steroid rage that I usually get -- which makes me think the dang thing went off into spinal limbo somewhere (and I ain't talking about no dance

).
I can only get three injections per year. That means that I only have one left for two areas

There should be a place in 7734 for doctors that don't use the safest procedures available.
I agree with everyone else. The thoracic area is very complicated. They have no idea what you're like internally in that area because they've never used the fluoroscope (at least I had one prior one to tell him where to do). I wouldn't let him touch me.
They get $1,000 for doing each one of these things. Some of these doctors are just needle jockeys -- they pass out the injection and go on to the next one.
Don't let him touch you. If he's a competent, intelligent doctor, he will listen to your concerns and use the fluoroscope (after all, he can get more money for doing it fluoroscopically).
BIG HUGS. I hope you get you pain relief. I hope you get your miracle.
Barb