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…
Pathogenesis, Diagnosis, and Treatment of Zygapophyseal (Facet) Joint Pain
Low back pain (LBP) and neck pain represent an epidemic throughout the industrialized world. More than 75% of patients reporting spine pain are between 18 and 65 years old, thereby…
Truncal Blocks
Similar to peripheral nerve blocks of the upper or lower limb, truncal blocks provide excellent postoperative pain relief, avoid the risk for major complications associated with central nerve blockade such…
Radiofrequency Treatment
The use of electric current for pain management has a long history. As early as the second half of the 19th century, brain lesions were made in animals with the…
Peripheral and Visceral Sympathetic Blocks
Cervical Sympathetic (Stellate Ganglion) Block Stellate ganglion block (SGB) was originally introduced by René Leriche for the treatment of angina pectoris. Findley and Patzer eventually modified the technique, which has…
Chemical Neurolytic Blocks
Neurolytic therapy remains a therapy of last resort. However, for the appropriate patient, it can result in significant improvement of quality of life and possibly improved function. Few other interventional…
