Atlas of Pain Management Injection Techniques

Injection Technique for Driver’s Elbow

Indications and Clinical Considerations The ulnar nerve is susceptible to compression when a driver or passenger rests his or her elbow on the lower sill of the vehicle window while the shoulder is abducted and the elbow flexed. When the…

Ulnar Nerve Block at the Elbow

Indications and Clinical Considerations Cubital tunnel syndrome is caused by compression of the ulnar nerve by an aponeurotic band that runs from the medial epicondyle of the humerus to the medial border of the olecranon ( Fig. 58.1 ). This…

Injection Technique for Anconeus Epitrochlearis

Indications and Clinical Considerations Anconeus epitrochlearis is an uncommon cause of lateral forearm pain and weakness that can be quite distressing to the patient. It is caused by entrapment and compression of the ulnar nerve at the elbow by an…

Injection Technique for Anconeus Syndrome

Indications and Clinical Considerations The anconeus muscle is susceptible to developing myofascial pain syndrome. Such pain most often occurs as a result of repetitive microtrauma to the muscle from such activities as prolonged ironing, handshaking, or digging. Improper 1-handed backhand…

Intra-Articular Injection of the Elbow Joint

Indications and Clinical Considerations The elbow joint is susceptible to developing arthritis from a variety of conditions that have the ability to damage the joint cartilage. Osteoarthritis of the joint is the most common form of arthritis that results in…

Radial Nerve Block at the Humerus

Indications and Clinical Considerations Injury of the proximal portion of the radial nerve at the level of the humerus is commonly encountered in clinical practice. It is frequently seen following antecedent trauma including humeral shaft fractures and following stab and…

Medial Brachial Cutaneous Nerve Block

Indications and Clinical Considerations Medial brachial cutaneous nerve block is used primarily as an adjunct to brachial plexus block rather than as a stand-alone regional anesthesia and pain management procedure. The medial brachial cutaneous nerve is the smallest branch of…

Intercostobrachial Nerve Block

Indications and Clinical Considerations Intercostobrachial cutaneous nerve block is used primarily as an adjunct to brachial plexus block rather than as a stand-alone regional anesthesia and pain management procedure. The intercostobrachial cutaneous nerve is not part of the brachial plexus…

Injection Technique for Scapulocostal Syndrome

Indications and Clinical Considerations Scapulocostal syndrome describes a constellation of symptoms consisting of unilateral pain and associated paresthesias occurring at the medial border of the scapula, referred pain radiating from the deltoid region to the dorsum of the hand, and…