Atlas of Pain Management Injection Techniques

Manubriosternal Joint Injection

Indications and Clinical Considerations The manubriosternal joint can serve as a source of pain that often may mimic pain of cardiac origin. It is susceptible to the development of arthritis, including osteoarthritis, rheumatoid arthritis, ankylosing spondylitis, Reiter syndrome, and psoriatic…

Costovertebral Joint Injection

Indications and Clinical Considerations The costovertebral joint can serve as a source of pain that often may mimic pain of pulmonary origin. The costovertebral joint is a true joint and is susceptible to the development of arthritis, including osteoarthritis, rheumatoid…

Costosternal Joint Injection Technique for Tietze Syndrome

Indications and Clinical Considerations A variety of other painful conditions affect the costosternal joints and occur with a much greater frequency than Tietze syndrome. The costosternal joints are susceptible to developing arthritis, including osteoarthritis, rheumatoid arthritis, ankylosing spondylitis, Reiter syndrome,…

Injection Technique for Latissimus Dorsi Muscle Syndrome

Indications and Clinical Considerations The latissimus dorsi muscle is susceptible to developing myofascial pain syndrome. Such pain most often occurs as a result of repetitive microtrauma to the muscle from activities such as vigorous use of exercise equipment or tasks…

Injection Technique for Serratus Anterior Muscle Syndrome

Indications and Clinical Considerations The serratus anterior muscle is susceptible to developing myofascial pain syndrome. Such pain most often occurs as a result of repetitive microtrauma to the muscle from activities such as vigorous or prolonged coughing, repetitive lifting of…

Long Thoracic Nerve Block

Indications and Clinical Considerations Long thoracic nerve entrapment syndrome is caused by compression or stretching of the long thoracic nerve as it passes beneath the subscapularis muscle to innervate the serratus anterior muscle ( Fig. 105.1 ). The most common…

Sternoclavicular Joint Pain

Indications and Clinical Considerations The sternoclavicular joint can serve as a source of pain that often can mimic pain of cardiac origin. The sternoclavicular joint is a true joint and is susceptible to the development of arthritis, including osteoarthritis, rheumatoid…

Injection Technique for Mucous Cysts of the Fingers

Indications and Clinical Considerations Mucous cysts are a common form of ganglion cysts that occur most commonly the dorsal surface of the fingers ( Fig. 103.1 ). Occasionally, mucous cysts can occur on the lateral or palmar surface of the…

Digital Nerve Block of the Fingers

Indications and Clinical Considerations Digital nerve block of the fingers is used primarily in 2 clinical situations: (1) to provide surgical anesthesia in the distribution of the digital nerves for laceration, tendon, and fracture repair; and (2) to provide postoperative…

Digital Nerve Block of the Thumb

Indications and Clinical Considerations Digital nerve block is used primarily in 2 clinical situations: (1) to provide surgical anesthesia in the distribution of the digital nerves for laceration, tendon, and fracture repair; and (2) to provide postoperative pain relief after…