Atlas of Pain Management Injection Techniques

Injection Technique for Metatarsalgia Pain Syndrome

Indications and Clinical Considerations Metatarsalgia is one of the most common pain syndromes that affects the forefoot. It is characterized by tenderness and pain over the metatarsal heads. The patient often feels that he or she is walking with a…

Injection Technique for Sesamoiditis Pain

Indications and Clinical Considerations Sesamoiditis is one of the most common pain syndromes that affects the forefoot. It is characterized by tenderness and pain over the metatarsal heads. Although the first sesamoid bone of the first metatarsal head is affected…

Intermetatarsal Bursa Injection

Indications and Clinical Considerations Bursae are formed from synovial sacs that allow easy sliding of muscles and tendons across one another at areas of repeated movement. These synovial sacs are lined with a synovial membrane invested with a network of…

Injection Technique for Morton Neuroma Syndrome

Indications and Clinical Considerations Morton neuroma is one of the most common pain syndromes that affects the forefoot. It is characterized by tenderness and burning pain in the plantar surface of the forefoot, with associated painful paresthesias into the affected…

Injection Technique for Hammer Toe Pain Syndrome

Indications and Clinical Considerations The term hammer toe refers to a constellation of symptoms including a painful flexion deformity of the proximal interphalangeal joint with the middle and distal phalanges flexed down onto the proximal phalange ( Fig. 196.1 ).…

Injection Technique for Mallet Toe Pain Syndrome

Indications and Clinical Considerations The term mallet toe refers to a constellation of symptoms including a painful flexion deformity of the distal interphalangeal joint ( Fig. 195.1 ). The second toe is affected most often, but all other toes and…

Injection Technique for Bunionette Pain Syndrome

Indications and Clinical Considerations The term bunionette refers to a constellation of symptoms including soft-tissue swelling over the fifth metatarsophalangeal joint associated with abnormal angulation of the joint that results in a prominent fifth metatarsal head with associated medial angulation…

Injection Technique for Bunion Pain Syndrome

Indications and Clinical Considerations The term bunion refers to a constellation of symptoms including soft-tissue swelling over the first metatarsophalangeal joint associated with abnormal angulation of the joint that results in a prominent first metatarsal head with associated overlapping of…

Posterior Tibialis Tendon Injection

Indications and Clinical Considerations The posterior tibialis tendon is susceptible to developing tendinitis as it curves around the medial malleolus ( Fig. 192.1 ). Acute eversion injury of the ankle is the most common cause of the development of posterior…

Superficial Extensor Tendon Injection

Indications and Clinical Considerations The superficial extensor tendons are susceptible to developing tendinitis as they pass over the dorsum of the foot. Shoes, boots, or ice skates that are laced too tightly, as well as wrinkles in the tongue of…