Multimodality Imaging Guidance in Interventional Pain Management

Multimodality Imaging Guidance for Interventional Pain Management is a comprehensive resource that covers fluoroscopy-guided procedures, ultrasound interventions, and computed tomography (CT)-guided procedures used in interventional pain management. Fluoroscopy-guided procedures have been the standard of care for many years and are widely available and affordable. Due to the lack of radiation exposure and the ability to see various soft tissue structures, ultrasound-guided interventions are more precise and safer. Primarily performed by radiologists, the benefits, disadvantages, and basic techniques of CT-guided procedures are also included in the volume. By covering all imaging modalities, Multimodality Imaging Guidance for Interventional Pain Management allows for an efficient comparison of the capabilities of each modality.

Contents

Part I: Introduction to Multimodality Imaging Guidance
1. Basics of Fluoroscopy
2. Basics of Ultrasound
3. Basics of CT-guided Injections
Part II: Spine Anatomy and Injections
Section A. Cervical Spine
4. Cervical Transforaminal/Nerve Root Injections: Fluoroscopy
5. Cervical Nerve Root Block: Ultrasound
6. Cervical Nerve Root Injections: CT
7. Cervical Facet Nerve Block and Radio Frequency Application (RFA): Fluoroscopy
8. Cervical Facet Nerve Blocks: Ultrasound
9. Cervical Intra-Articular Facet Block: CT
10. Cervical Interlaminar Epidural Injections: Fluoroscopy
11. Atlanto-axial joint (AAJ) Injection: Ultrasound-guided
12. Atlanto-axial Joint (AAJ) Injection: CT and Flouroscopy/Digital Subtraction
Section B. Thoracic Spine
13. Thoracic Epidural and Nerve Root Injections: Fluoroscopy
14. Thoracic Nerve Root and Facet Injections: CT-Guided
15. Thoracic Facet Nerve Joints: Fluoroscopy
Section C. Lumbar Spine
16. Lumbar Transforaminal and Nerve Root Injections: Fluoroscopy
17. Lumbar Transforaminal Injections: Ultrasound
18. Lumbar Transforaminal and Nerve Root Injection: CT
19. Facet Joint Interventions: Fluoroscopy
20. Lumbar Medial Branch Blocks: Ultrasound
21. Lumbar Epidural Injections: Fluoroscopy
22. Central Neuraxial Blockade: Ultrasound
23. Lumbar Disc Procedures: Fluoroscopy
Section D. Sacrum
24. Caudal Epidural Steroid Injection: Fluoroscopy
25. Caudal Epidural Steroid Injection: Ultrasound
26. Vertebral Augmentation: Fluoroscopy and CT
Part III: Non-spinal Injections
Section A. Sympathetic and Visceral Blocks
27. Cervical Sympathetic Block: Fluoroscopy
28. Stellate Ganglion Block: Ultrasound Guided
29. Stellate Ganglion Block and Neurolysis: CT
30. Lumbar Sympathetic Block: Fluoroscopy
31. Lumbar Sympathetic Block and Neurolysis: CT
32. Celiac Plexus Blockade and Neurolysis: Fluoroscopy
33. Celiac Plexus Blockade and Neurolysis: Ultrasound
34. Celiac Plexus Blockade and Neurolysis: CT
35. Superior Hypogastric Block and Neurolysis: CT, Fluoroscopy, Ultrasound
36. Ganglion Impar Block: Fluoroscopy and US
Section B. Peripheral Nerve Blocks
37. Peripheral Nerve Blocks in Chronic Pain
Part IV: Musculoskeletal Applications
Section A. Joint Injections
38. Sacroiliac Joint Injection: Fluoroscopy
39. Sacroiliac Joint Injections: CT
40. Hip Joint Injections: US
41. Knee Joint Injections: Ultrasound
42. Ankle and Foot Injections: US
43. Shoulder Interventional Procedure Under Ultrasound Guidance
44. Elbow Injections: US
45. Hand and Wrist Injections: US
Section B. Soft Tissue Injections
46. Pyriformis Muscle Injections: Fluoroscopy
47. Piriformis Muscle, Psoas Muscle and Quadaratus lumborum Muscle Injections: Ultrasound
48. Psoas and Quadratus Lumborum Muscle Injections: Flouroscopy

Samer N. Narouze, Chairman, Center for Pain Medicine, Summa Western Reserve Hospital, Cuyahoga Falls, Ohio

Samer N. Narouze MD, PhD is a Clinical Professor of Anesthesiology and Pain Management at Ohio University, a Clinical Professor of Neurological Surgery at Ohio State University, and Chairman of the Center for Pain Medicine at Western Reserve Hospital in Cuyahoga Falls, Ohio

Contributors:

Khalid Abdulraheem, MD
Resident, Department of Anesthesiology
Medical College of Wisconsin
Milwaukee, Wisconsin

Ramsin Benyamin, MD
Clinical Assistant Professor of Surgery
University of Illinois
Urbana-Champaign, Illinois

Honorio T. Benzon, MD
Professor of Anesthesiology
Northwestern University Feinberg School of Medicine
Chicago, Illinois

Marko Bodor, MD
Department of Physical Medicine and Rehabilitation
University of California, Davis
Department of Neurological Surgery
University of California, San Francisco
San Francisco, California

Robert B. Bolash, MD
Staff Physician
Department of Pain Management
Cleveland Clinic
Cleveland, Ohio

Christopher Bonzon, MD
Interventional Spine and Sports Medicine
Napa, California

Allan L. Brook, MD
Professor of Clinical Radiology and Neurological Surgery
Albert Einstein College of Medicine
Montefiore Medical Center
New York, New York

Kenneth B. Chapman, MD
Clinical Assistant Professor of Anesthesiology, Perioperative Care, and Pain Medicine
NYU Langone Medical Center
President, The Spine & Pain Institute of New York
New York, New York

Jianguo Cheng, MD, PhD
Professor of Pain Medicine
Program Director of Pain Medicine Fellowship
Departments of Pain Management and Neurosciences
Cleveland Clinic
Cleveland, Ohio

Ki Jinn Chin, MBBS, MMed, FANZCA, FRCPC
Department of Anesthesia
Toronto Western Hospital
University of Toronto
Toronto, ON, Canada

Steven P. Cohen, MD
Professor of Anesthesiology & Critical Care Medicine
Johns Hopkins School of Medicine
Walter Reed National Military Medical Center
Baltimore, Maryland

Sean Colio, MD
Swedish Medical Group
Seattle, Washington

Shrif Costandi, MD
Department of Pain Management
Cleveland Clinic
Cleveland, Ohio

Daniel Finelli, MD
Akron Radiology, Inc.
Akron, Ohio

Michael Gofeld, MD
Department of Anesthesia
St Michael's Hospital
University of Toronto
Toronto, ON, Canada

Vahid Grami, MD, MPH
GMC Interventional Pain Center
Danville, Pennsylvania

Karina Gritsenko, MD
Assistant Professor of Anesthesiology
Assistant Professor of Family and Social Medicine
Albert Einstein College of Medicine
Montefiore Medical Center
New York, New York

Maged Guirguis, MD
Clinical Fellow
Department of Pain Management
Cleveland Clinic
Cleveland, Ohio

Salim M. Hayek, MD
Professor of Anesthesiology
Case Western Reserve University
Chief, Division of Pain Medicine
University Hospitals of Cleveland
Cleveland, Ohio

Billy K. Hih, MD, PhD
Professor of Pain Medicine
The University of Texas MD Anderson Cancer Center
Houston, Texas

David Hiller, MD
Division of Anesthesia Pain Management
Scripps Health
San Diego, California

Joseph Hung,MD
Assistant Professor of Clinical Anesthesiology
Weill Cornell Medical College
Memorial Sloan Kettering Cancer Center
New York, New York

Marc A. Huntoon, MD
Professor of Anesthesiology
Vanderbilt University
Nashville, Tennessee

David Jamison, MD
Department of Anesthesiology
Walter Reed National Military Medical Center
Bethesda, Maryland

Karan Johar, MD
Fellow, Pain Medicine Program
Department of Anesthesiology
Medical College of Wisconsin
Milwaukee, Wisconsin

Greesh John, MD
Pain Medicine Fellow
Department of Anesthesiology
Northwestern University
Feinberg School of Medicine
Chicago, Illinois

Mihir Kamdar, MD
Instructor in Medicine
Cancer Pain Clinic
Massachusetts General Hospital
Boston, Massachusetts

Leonardo Kapural, MD, PhD
Professor of Anesthesiology
Wake Forest School of Medicine
Carolinas Pain Institute and Center for Clinical Research
Winston Salem, North Carolina

Bruno Kastler, MD, PhD
Chief of Radiology and Director
Bioengineering Laboratory
Besancon, France

Mark C. Kendall, MD
Research Assistant Professor
Department of Anesthesiology
Northwestern University
Feinberg School of Medicine
Chicago, Illinois

Boleslav Kosharskyy, MD
Assistant Professor of Anesthesiology, Physical Medicine and Rehabilitation
Albert Einstein College of Medicine
Montefiore Medical Center
New York, New York

Michael Kot, MD
Department of Pain Management
Cleveland Clinic
Cleveland, Ohio

Adam Kramer, MD
Clinical Fellow
Department of Pain Management
Cleveland Clinic
Cleveland, Ohio

Arno Lataster, MSc
Department of Anatomy and Embryology
Maastricht University
CAPHRI School for Public Health and Primary Care
Maastricht, The Netherlands

Imanuel R. Lerman, MD, MS
Assistant Professor of Anesthesiology
University of California at San Diego
La Jolla, California

Chia-Shiang (Sean) Lin, MD
Chief Director of Pain Management Center
Section Director of Pain Management
Department of Anesthesiology and Pain Management
Mackay Memorial Hospital
Taipei, Taiwan

Lesley Lirette, MD
Ochsner Clinic
New Orleans, Louisiana

Krikor Malajikian, MD
Akron Radiology, Inc.
Akron, Ohio

Tariq Malik, MD
Assistant Professor of Anesthesiology
University of Chicago Pritzker School of Medicine
Chicago, Illinois

Nagy Mekhail MD, PhD
Carl E. Wasmuth Endowed Chair, Department of Pain Management
Director, Evidence Based Pain Medicine Research
Cleveland Clinic
Cleveland, Ohio

Antoun Nader, MD
Professor of Anesthesiology and Orthopedics
Section Chief, Acute Pain and Regional Anesthesiology
Fellowship Co-director, Adult and Pediatric Regional Anesthesia and Acute Pain Management
Northwestern University Feinberg School of Medicine
Chicago, Illinois

Kent H. Nouri, MD
Assistant Professor, Department of Pain Medicine
Division of Anesthesiology and Critical Care
The University of Texas MD Anderson Cancer Center
Houston, Texas

Vikram B. Patel, MD, FIPP, DABIPP
President and Medical Director
ACMI Pain Care, LLC
Algonquin, Illinois

Philip W.H. Peng, MBBS, FRCPC
Professor of Anesthesiology
University of Toronto
Toronto Western Hospital
Wasser Pain Management Center
Mount Sinai Hospital
Toronto, Ontario, Canada

Jeffrey D. Petersohn, MD
Advanced Spine and Orthopedic Institute
Shore Medical Center
Somers Point, New Jersey

David A. Provenzano, MD
Executive Director
Institute for Pain Diagnostics and Care
Ohio Valley General Hospital
Pittsburgh, Pennsylvania

Hariharan Shankar, MD
Associate Professor of Anesthesiology
Medical College of Wisconsin
Milwaukee, Wisconsin

Naum Shaparin, MD
Associate Professor of Clinical Anesthesiology, Family & Social Medicine
Assistant Professor of Physical Medicine and Rehabilitation
Albert Einstein College of Medicine
Director of Pain Services
Montefiore Medical Center
New York, New York

Andreas Siegenthaler, MD
Department of Anesthesiology and Pain Therapy
University of Bern Inselspital
Bern, Switzerland

Andrew Toy, MD
Interventional Spine and Sports Medicine
Napa, California

Paul Singh Tumber, MD, FRCPC
Assistant Professor of Anesthesiology
University of Toronto
Toronto Western Hospital
Wasser Pain Management Center
Mount Sinai Hospital
Toronto, Ontario, Canada

Dmitri Souzdalnitski, MD, PhD
Staff Physician
Department of Pain Management
Cleveland Clinic
Cleveland, Ohio

Youssef Saweris, MD
Department of Pain Management
Cleveland Clinic
Cleveland, Ohio

Jacob Sellon, MD
Instructor of Physical Medicine & Rehabilitation
Mayo Clinic
Rochester, Minnesota

Hariharan Shankar, MD
Professor of Anesthesiology
Medical College of Wisconsin
Milwaukee, Wisconsin

Jay Smith, MD
Professor of Physical Medicine & Rehabilitation
Departments of Physical Medicine & Rehabilitation, Radiology and Anatomy
Mayo Clinic
Rochester, Minnesota

Pavan Tankha, DO
Chief Fellow
Department of Pain Management
Cleveland Clinic
Cleveland, Ohio

Ricardo Vallejo, MD, PhD
Director of Research
Millennium Pain Center
Bloomington, Illinois

Maarten van Eerd, MD, FIPP
Department of Anesthesiology and Pain Management
University Medical Center Maastricht
Maastricht, The Netherlands
Department of Anesthesiology and Pain Management
Amphia Hospital
Breda, The Netherlands

Maarten van Kleef, MD, PhD, FIPP
Department of Anesthesiology and Pain Management
University Medical Center Maastricht
Maastricht, The Netherlands

Marina Vardanyan, MD
Resident
Department of Anesthesiology
Medical College of Wisconsin
Milwaukee, Wisconsin

Bruce Vrooman, MD
Pain Management
Cleveland Clinic
Cleveland, Ohio

Amaresh Vydyanathan, MD
Assistant Professor of Anesthesiology, Physical Medicine and Rehabilitation
Albert Einstein College of Medicine
Montefiore Medical Center
New York, New York

Joseph Walker, MD
Bloomington Anesthesiologists
Bloomington, Indiana

Indy Wilkinson, MD
Department of Anesthesiology
Womack Army Medical Center
Fort Bragg, North Carolina

Tilman Wolter, MD
Interdisciplinary Pain Centre
University Hospital Freiburg
Freiburg, Germany