Full Description
Effective pain management requires increasingly specialized knowledge.
Multidisciplinary information is required if you intend to practice pain management at a high level of effectiveness. This includes anatomy and physiology, pain syndromes, diagnosis and management, and the correct use of interventional techniques.
Pain-Relieving Procedures: The Illustrated Guide provides you with a step-by-step guide to interventional techniques underpinned by a solid multidisciplinary knowledge base. The text is enhanced by the wide use of illustrations, including amazing color 3D-CT images that enable you to easily visualize anatomy.
The first part of the book gives the fundamentals you need for modern pain practice. The second part describes all commonly used procedures, using a head-to-toe organization.
The head
The neck
The thoracic region
The thoraco-abdominal region
The lumbar region
The pelvic and sacral region
A special chapter covers more advanced techniques such as continuous analgesia, spinal cord and sacral stimulation, vertebroplasty and kyphoplasty.
Each procedure is described using a template that includes anatomy, indications, contraindications, technique and complications. Helpful hints throughout will help you refine your practice to achieve better results.
Concise, straightforward, and indispensable, Pain-Relieving Procedures: The Illustrated Guide provides the most effective interventional methods for those practicing pain management.
Contents
Foreword by Professor Dr Maarten van Kleef vii
Foreword by Dr J. C. D. Wells ix
Preface xi
Acknowledgments xiii
Part 1 General Principles 1
1 History of Interventional Pain Medicine 3
2 Principles for Performing Percutaneous Invasive Procedures 9
3 Physical and Psychological Assessment of the Patient with Pain 12
4 Preparing the Patient for Interventional Pain Procedures 18
5 Monitoring the Patient Before During and After the Procedure 25
6 Radiation Safety and Use of Fluoroscopy During Interventional Pain Procedures 28
7 Sedation and Analgesia for Interventional Pain Procedures 40
8 Drugs Used During Interventional Pain Procedures 46
9 Tools and Equipment Used in Interventional Pain Procedures 61
10 Principles and Descriptions of Special Techniques 68
Radiofrequency lesions (contributed by Eric R. Cosman Sr and Eric R. Cosman Jr) 68
Principles of ultrasonography 79
Further reading 90
Part 2 Description of Specific Techniques 93
11 Simple, Frequent Procedures in the Musculoskeletal Region 95
Injections into Upper Extremity Joints 95
Shoulder joint 95
Elbow joint 99
Wrist joint 102
Injections into Lower Extremity Joints 104
Hip joint 104
Knee joint 107
Ankle joint 110
Injections into Myofascial Trigger Points 112
Further reading 128
12 Interventional Pain Procedures in the Head 130
Percutaneous block and lesioning of the trigeminal ganglion 130
Percutaneous maxillary nerve block 142
Percutaneous mandibular nerve block 146
Percutaneous block of the terminal branches of the trigeminal nerve 149
Percutaneous block and lesioning of the sphenopalatine ganglion 154
Percutaneous block and lesioning of the glossopharyngeal nerve 161
Further reading 165
13 Interventional Pain Procedures in the Neck 166
Percutaneous block and lesioning of greater and lesser occipital nerves 166
Percutaneous block and lesioning of third occipital nerve 169
Percutaneous interlaminar block of the cervical epidural space 173
Percutaneous transforaminal block of the cervical epidural space 184
Percutaneous block and lesioning of the cervical facet joint 191
Percutaneous discography of the cervical discs 200
Percutaneous block of the phrenic nerve 205
Percutaneous block and lesioning of the stellate ganglion 207
Further reading 217
14 Interventional Pain Procedures in the Thoracic Region 219
Percutaneous interlaminar block of the thoracic epidural space 219
Percutaneous transforaminal block of the thoracic epidural space 225
Percutaneous block and lesioning of the thoracic facet joint and medial branch 229
Percutaneous thoracic discography 235
Percutaneous block and lesioning of the suprascapular nerve 240
Percutaneous block and lesioning of the thoracic sympathetic chain 244
Percutaneous block of the intercostal nerve 249
Further reading 255
15 Interventional Procedures for Visceral Pain in the Thoraco-Abdominal Region 256
Percutaneous block and lesioning of the splanchnic nerve 256
Percutaneous block and lesioning of the celiac plexus 264
Further reading 272
16 Interventional Pain Procedures in the Lumbar Region 274
Percutaneous interlaminar block of the lumbar epidural space 274
Percutaneous transforaminal block of the lumbar epidural space 283
Percutaneous block and lesioning of the lumbar facet joint and medial branch 293
Percutaneous block and lesioning of the lumbar sympathetic ganglia 302
Percutaneous block and lesioning of the rami communicantes 308
Percutaneous discography and lesioning of the lumbar disc 311
Percutaneous intradiscal procedures 323
Further reading 335
17 Interventional Pain Procedures in the Pelvic and Sacral Regions 337
Percutaneous interlaminar block of the caudal epidural space 337
Percutaneous technique of caudal epidural neuroplasty 344
Epiduroscopy 353
Percutaneous block and lesioning of the sacral nerve 361
Percutaneous block and lesioning of the superior hypogastric plexus 365
Percutaneous block of the impar ganglion 372
Percutaneous block and lesioning of the sacroiliac joint 376
Further reading 383
18 Advanced Techniques 384
Technique of intraspinal continuous analgesia 384
Technique of spinal cord stimulation 401
Technique of sacral nerve root stimulation (contributed by S. Ozyalcin) 413
Vertebroplasty 423
Kyphoplasty 432
Further reading 436
Index 437
