Ilioinguinal and Iliohypogastric Nerve Blocks Nashaat N. Rizk Harinarayan Balasubramanian Patient Position: Supine. Indications: Differential nerve block for groin pain, ilioinguinal neuralgia, and post-herniorrhaphy pain. Needle Size: 22-gauge, 50-mm insulated…
Lateral Femoral Cutaneous Nerve Block Nashaat N. Rizk Harinarayan Balasubramanian Patient Position: Supine, with the thigh in a neutral position. Indications: In the diagnosis and treatment of meralgia paresthetica, a…
Myoneural Injections Nashaat N. Rizk Albert J. Carvelli Patient Position: Prone on fluoroscopy table. Indications: Myofascial pain in muscle groups secondary to areas of ischemia in those muscles as a…
Sacroiliac Joint Injection Nashaat N. Rizk Albert J. Carvelli Patient Position: Prone on the fluoroscopy table. Indications: Sacroiliac pain syndrome. Needle Size: 22-gauge, 88-mm spinal needle. Medication/Volume: 0.5% bupivacaine 2…
Sympathetic Blocks A. Stellate Ganglion Block Nashaat N. Rizk Cheryl D. Bernstein Patient Position: Supine, with a roll placed under the shoulders to extend the neck. Indications: Diagnosis and treatment…
Trigger Point Injection Nashaat N. Rizk Albert J. Carvelli Patient Position: Sitting or lying in a comfortable position. Indications: Myofascial pain syndromes. Needle Size: 25-gauge, 38-mm needle. Medication/Volume: 0.25% bupivacaine…
Trigeminal Ganglion Block Miles Day Rinoo Vasant Shah Patient Position: Supine. Indications: Trigeminal neuralgia (“tic douloureux”), cluster headache, ocular pain, cancer pain, surgical anesthesia, differential neural blockade, prognostic block for…
Occipital Blocks A. C2 Selective Nerve Block Nashaat N. Rizk Patient Position: Supine. Indications: Postherpetic neuralgia and headaches secondary to greater occipital neuralgia. Needle Size: 25-gauge, 88-mm Quincke needle. Medication/Volume:…
Facet Blocks Nashaat N. Rizk Meera Appaswarny A. Cervical Facet Block Patient Position: Supine, for medial branch block. Indications: Cervical facet syndromes as seen with sudden stop of vehicle (whiplash),…
Sphenopalatine Block Miles Day Rinoo Vasant Shah Patient Position: Supine. Indications: Pain syndromes involving the face and head including sphenopalatine neuralgia, sympathetically maintained pain, trigeminal neuralgia, migraine headaches, cluster headaches,…
