Myoneural Injections
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
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
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
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
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
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
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
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,…
Continuous Sciatic Nerve Blocks
Continuous Sciatic Nerve Blocks Maria Matuszczak Didier Sciard A. Parasacral Approach Patient Position: Lateral, with the side to be blocked upright. Indications: Anesthesia and postoperative analgesia for surgery below the…
Cryoneurolysis of Peripheral Nerves
Cryoneurolysis of Peripheral Nerves Nashaat N. Rizk Harinarayan Balasubramanian Patient Position: Depends on the nerve. Indications: Neuroma, causalgia, flexion contractures, and nerve entrapment syndromes. Anatomic Landmarks: The same as for…
