Image Guidance Technologies for Interventional Pain Procedures: Ultrasound, Fluoroscopy, and CT

AbstractChronic pain is a common medical condition. Patients who suffer uncontrolled chronic pain may require interventions including spinal injections and various nerve blocks. Interventional procedures have evolved and improved over time since epidural injection was first introduced for low back pain and sciatica in 1901. One of the major contributors in the improvement of these interventions is the advancement of imaging guidance technologies. The utilization of image guidance has dramatically improved the accuracy and safety of these interventions. The first image guidance technology adopted by pain specialists was fluoroscopy. This was followed by CT and ultrasound. Fluoroscopy can be used to visualize bony structures of the spine. It is still the most commonly used guidance technology in spinal injections. In the recent years, ultrasound guidance has been increasingly adopted by interventionists to perform various injections. Because its ability to visualize soft tissue, vessels, and nerves, this guidance technology appears to be a better option than fluoroscopy for interventions including SGB and celiac plexus blocks, when visualization of the vessels may prevent intravascular injection. The current evidence indicates the efficacies of these interventions are similar between ultrasound guidance and fluoroscopy guidance for SGB and celiac plexus blocks. For facet injections and interlaminar epidural steroid injections, it is important to visualize bony structures in ord...
Source: Current Pain and Headache Reports - Category: Neurology Source Type: research

Related Links:

At least three wrongful death lawsuits have now been filed against Dr. William Husel, the Columbus-area Mount Carmel Health System, and nurses and pharmacists employed by the system
Source: ABC News: Health - Category: Consumer Health News Tags: Health Source Type: news
An attorney says an additional wrongful death lawsuit has been filed alleging an Ohio doctor and the hospital where he worked caused a patient's death by improperly prescribing a lethal dose of pain medication
Source: ABC News: Health - Category: Consumer Health News Tags: Health Source Type: news
Authors: Yadav S, Dwivedi VK, Gupta S, Surolia A Abstract Neuropathic pain arises because of neuronal injury. Unlike inflammatory pain which can be managed by classical nonsteroid anti-inflammatory drugs (NSAIDs), neuropathic pain is difficult to treat. The classical NSAIDs work through inhibition of cyclooxygenase 2 (COX2) enzyme. However, COX2 inhibitors are insufficient to treat neuropathic pain. Hence, it becomes important to explore for novel molecules acting through cell surface molecules like ion channels, for the treatment of neuropathic pain. We investigated multiple bromobenzothiophene carboxamides for th...
Source: Advances in Experimental Medicine and Biology - Category: Research Tags: Adv Exp Med Biol Source Type: research
Authors: Hellwinkel JE, McCarty EC, Khodaee M Abstract Sports-related injuries to the shoulder are common causes of disability. Injuries to the sternoclavicular joint (SCJ) in sports are more rare, though have been reported in a small number of cases. SCJ injury classification is determined by the degree of joint displacement and direction of clavicular displacement. Direction of displacement is particularly important due to risk of injury to intrathoracic structures, which has the potential to result in fatal outcomes. These injuries are important to identify in athletes and can be difficult to assess on the field...
Source: The Physician and Sportsmedicine Online - Category: Sports Medicine Tags: Phys Sportsmed Source Type: research
This article highlights the diagnostic and therapeutic value of ultrasonography-guided hip injections for an orthopedic practice. The focus is on sonographic anatomy, introduction to technique, common indications, and pearls and pitfalls of these procedures. PMID: 30640742 [PubMed - as supplied by publisher]
Source: The Journal of the American Academy of Orthopaedic Surgeons - Category: Orthopaedics Tags: J Am Acad Orthop Surg Source Type: research
CONCLUSIONS AND CLINICAL IMPORTANCE: The results suggest that otitis externa may not necessarily precede cholesteatoma in all dogs. MRI appears to be more sensitive than CT for identifying cholesteatomas. Conservative treatment of cholesteatomas could be useful before or as an alternative to surgery. PMID: 30637895 [PubMed - in process]
Source: Veterinary Dermatology - Category: Veterinary Research Authors: Tags: Vet Dermatol Source Type: research
Publication date: Available online 16 January 2019Source: Life SciencesAuthor(s): Hui Gong, Xing Lyu, Shizhen Li, Ruohong Chen, Min Hu, Xiangyu ZhangAbstractObjectiveThe aim of this study was to evaluate the association between serum soluble semaphorin4D (sSema4D) and coronary heart disease (CHD) and the extent of coronary artery stenosis.MethodsThe study included 188 cases that underwent coronary angiography because of precordial pain. One hundred and twenty-eight cases were diagnosed with CHD; 60 cases with negative coronary angiography served as controls. Coronary stenosis was evaluated by the number of diseased coronar...
Source: Life Sciences - Category: Biology Source Type: research
Publication date: Available online 16 January 2019Source: Microchemical JournalAuthor(s): Liyakat Hamid Mujawar, Mohammad Soror El-ShahawiAbstractA simple paper-based colorimetric assay for trace determination and speciation of Cu2+ in water samples has been developed. The proposed method was based upon the use of a commercial book-paper patterned with miniaturized spots of 3‑(5‑hydroxy‑4‑carboxyphenylimino)‑5‑fluoro indol-2(H)one (HCFI) reagent. Book-paper was characterized by scanning electron microscopy, EDAX and goniometer analysis, where the latter analysis confirmed hydrophobic character (θ ~ 11...
Source: Microchemical Journal - Category: Chemistry Source Type: research
Publication date: Available online 16 January 2019Source: Microchemical JournalAuthor(s): Rouhollah Khani, Sara Sobhani, Toktam YariAbstractIn present study a magnetic dispersive micro-solid-phase extraction method (MD-μ-SPE) based imino-pyridine immobilized on iron oxide (γ-Fe2O3) as an efficient sorbent was developed for preconcentration and quantification trace amount of Rhodamine B in food and cosmetic products samples. The sorbent due to its high surface area, excellent adsorption capacity, good dispersion ability and high super-paramagnetic property was successfully synthesized and characterized by Fourier t...
Source: Microchemical Journal - Category: Chemistry Source Type: research
CONCLUSIONS: 18F-DOPA and 18F-FET PET/CT have a similar diagnostic accuracy in patients with recurrent HGG. However, 18F-DOPA PET/CT could be affected by inflammation conditions (false positive) that can alter the final results. Large comparative trials are warranted in order to better understand the utility of 18F-DOPA or 18F-FET PET/CT in patients with HGG. PMID: 30644351 [PubMed - as supplied by publisher]
Source: Current Radiopharmaceuticals - Category: Radiology Tags: Curr Radiopharm Source Type: research
More News: Back Pain | Chronic Pain | CT Scan | Eating Disorders & Weight Management | Headache | Low Back Pain | Migraine | Neurology | Obesity | Pain | Pain Management | PET Scan | Pneumothorax | Sciatica | Study | Ultrasound