Ebook Atlas of pain medicine procedures: Part 2

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Ebook Atlas of pain medicine procedures: Part 2

SECTION VMUSCULOSKELETALINJECTIONSCHAPTER 50Fluoroscopy and Ultrasound-Guided Joint InjectionsJennifer Solomon, Christine Roque-Dang, and James WyssIM

Ebook Atlas of pain medicine procedures: Part 2MAGE-GUIDED PERIPHERAL JOINTINJECTION INDICATIONSThe most common clinical indication for an image-guided interventional procedure is pain in the targe

ted anatomic location, which has either failed other conservative treatments or as an adjunctive treatment. The primary advantage of image-guided inte Ebook Atlas of pain medicine procedures: Part 2

rventional procedures over blind injections includes needle placement confirmation and the ability to view the targeted area and relevant anatomy.Cort

Ebook Atlas of pain medicine procedures: Part 2

icosteroid injections are frequently used as conservative treatments in the management of various conditions, including osteoarthritis, tendonitis, bu

SECTION VMUSCULOSKELETALINJECTIONSCHAPTER 50Fluoroscopy and Ultrasound-Guided Joint InjectionsJennifer Solomon, Christine Roque-Dang, and James WyssIM

Ebook Atlas of pain medicine procedures: Part 2). In addition, patients at higher risk for developing nonsteroidal anti-inflammatory drug (NSAID)-induced renal dysfunction or gastric and duodenal u

lcers are candidates for intra-articular steroid injections to avoid the potential systemic effects that occur with oral anti-inflammatory medications Ebook Atlas of pain medicine procedures: Part 2

. However, the detrimental effects of repealed steroid injections on soft tissue structures like articular cartilage and tendons have not yet been det

Ebook Atlas of pain medicine procedures: Part 2

ermined.The advantages of ultrasound-guided percutaneous interventional proceduresare as follows:•Real-time assessment•Guidance, and continuous needle

SECTION VMUSCULOSKELETALINJECTIONSCHAPTER 50Fluoroscopy and Ultrasound-Guided Joint InjectionsJennifer Solomon, Christine Roque-Dang, and James WyssIM

Ebook Atlas of pain medicine procedures: Part 2ime needle visualization and the acquisition of imaging frames throughout the injection course. The visualization occurs at different C-arm angles. Th

e primary disadvantage of fluoroscopy is radiation exposure to both the patient and physician.BASIC CONCERNS AND CONTRAINDICATIONSWith therapeutic int Ebook Atlas of pain medicine procedures: Part 2

erventions, the benefits and risks of the procedure must be considered. Generally, peripheral joint corticosteroid injections are considered to be saf

Ebook Atlas of pain medicine procedures: Part 2

e and conservative treatments. However, each patient’s risk factors for complications must be carefully considered prior to undergoing the procedure.S

SECTION VMUSCULOSKELETALINJECTIONSCHAPTER 50Fluoroscopy and Ultrasound-Guided Joint InjectionsJennifer Solomon, Christine Roque-Dang, and James WyssIM

Ebook Atlas of pain medicine procedures: Part 2ncreased risk for infection•Patients with thrombocytopenia•Patients who may be unable to tolerate positioning•Patients with allodynia or complex regio

nal pain syndrome (CRPS), who will be unable to tolerate the procedure•Patients on anticoagulant medications, who have been unable to stop these medic Ebook Atlas of pain medicine procedures: Part 2

ations at an appropriate time interval•For fluoroscopically guided procedures with the use of contrast dye, patients with allergies to contrast, shell

Ebook Atlas of pain medicine procedures: Part 2

fish, or iodine may be considered for interventional procedures without contrastContraindications for injection include:•Infection, systemic or locali

SECTION VMUSCULOSKELETALINJECTIONSCHAPTER 50Fluoroscopy and Ultrasound-Guided Joint InjectionsJennifer Solomon, Christine Roque-Dang, and James WyssIM