Joint Injections
Intra-articular (IA) joint and bursa injections are used to treat pain in the joint and surrounding structures. Musculoskeletal system disorders, including osteoarthritis, are some of the most common medical conditions…
PAIN MEDICINE
Pain Management in the Emergency Department
Emergency physicians provide acute care for an extraordinarily broad range of illnesses and injuries, the majority of which involves some degree of pain. Emergency providers also cause pain in the…
Intrathecal Drug Delivery: Patient Selection, Trialing, and Implantation
Intrathecal drug delivery for the treatment of pain is an outgrowth of pioneering research into spinal cord mechanisms and receptors that modulate nociceptive signal transmission to and within the central…
Spinal Cord and Peripheral Nerve Stimulation
Spinal Cord Stimulation Spinal cord stimulation (SCS), sometimes called dorsal column stimulation, describes the use of pulsed electrical energy near the spinal cord to control pain. This technique was first…
Intradiscal Procedures for the Treatment of Discogenic Lower Back and Leg Pain
Summary Although establishing the diagnosis of lumbar disk herniation with associated leg pain is usually intuitive, diagnosis and treatment of lumbar discogenic pain remain difficult. It may account for one…
Minimally Invasive Procedures for Vertebral Compression Fractures
One in two women and one in five men older than 50 years will experience an osteoporotic fracture, which can result in substantial pain, morbidity, and health care utilization. A…
Biopsychosocial Prescreening for Spinal Cord and Peripheral Nerve Stimulation Devices
Pain is a complex and serious medical condition, affecting more than 75 million Americans. Moreover, Gatchel and Gremillion have reported that the most frequently cited reason patients in the United…
Lumbar Discogenic Pain and Diskography
Overview of Low Back Pain Back pain has plagued humanity since time immemorial. In most cases, the development of low back pain (LBP) is self-limited and does not require operative…
Sacroiliac Joint Syndrome: Sacroiliac Joint Injections and Block/Radiofrequency of the Lateral Branches
Sacroiliac Joint Syndrome The pathologic conditions that affect the sacroiliac (SI) joint are myriad, including inflammatory, degenerative, traumatic, metabolic, infectious, neoplastic, and iatrogenic conditions, as well as sacroiliac joint syndrome….
Myofascial Injections: Trigger Point, Piriformis, Iliopsoas, and Scalene Injections
Overview of Myofascial Injections Myofascial pain is a common source of pain in the neck, low back region, and other areas of the body. The term “myofascial pain” encompasses muscle…
