Fig. 15.1 Oblique view of transforaminal epidural steroid injection and needle placement. Image from personal library Fig. 15.2 Contrast spread in anteroposterior view showing contrast material spread primarily on the…
Fig. 37.1 Initial presentation of the implantable pulse generator (IPG) extrusion. Image from personal library Fig. 37.2 Extrusion of the IPG immediately before explantation. As seen in this image, the…
Route of needle entry Site of injury Interlaminar approach 1. Injury to the spinal cord 2. Injury of spinal nerve, ventral or dorsal ramus with lateral deviation of the needle Transforaminal approach…
Fig. 34.1 Early would infection, localized to the intrathecal pump pocket with small dehiscence and purulent drainage 2 weeks after initial placement. Image from Dr. Malik personal library 34.4 Clinical…
Fig. 28.1 Cross section of abdominal wall depicting CDC classification of surgical site infection [3] Diagnosis of surgical site infections can be very challenging but is crucial in dictating the…
Formulation Administration Dose Half-life Indication Buprenex IM, IV 0.3 mg/mL 1.2–7.2 h Moderate to severe pain Butrans Transdermal patch 5, 7.5, 10, 15, 20 μg/h 24–46 h Chronic pain Subutex…
Volume, mL (knee) Clarity Color Viscosity WBC/mm2 PML (%) Culture Normal <3.5 Transparent Clear High <200 <25 Negative Noninflammatory Often >3.5 Translucent-opaque Yellow High 0–2000 <25 Negative Inflammatory Often…
Fig. 44.1 Serratus anterior muscle with common trigger point. Image based on web open-source material: https://www.quora.com/What-causes-side-stitch-while-running-and-what-are-good-ways-to-deal-with-this-pain General and musculoskeletal physical exam findings in a patient with a serratus anterior trigger…
© Springer International Publishing AG 2018Magdalena Anitescu, Honorio T. Benzon and Mark S. Wallace (eds.)Challenging Cases and Complication Management in Pain Medicinehttps://doi.org/10.1007/978-3-319-60072-7_42 42. Vascular Uptake of PMMA After Spinal Procedures Khalid Malik1 (1) Department of Anesthesiology,…
Fig. 36.1 Picture of a small area of opening 2 weeks after placement of the intrathecal drug delivery system in a patient with chronic nonmalignant pain. System was explanted as…
