Atlas of Pain Management Injection Techniques

Injection Technique for Frozen Shoulder Syndrome

Indications and Clinical Considerations The term frozen shoulder describes a constellation of clinical symptoms, including the unilateral progressive limitation of passive and active range of motion of the shoulder and pain on range of motion ( Fig. 50.1 ). Usually,…

Subcoracoid Bursa Injection

Indications and Clinical Considerations Bursae are formed from synovial sacs whose purpose is to 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…

Subdeltoid 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, which is invested with a…

Injection Technique for Quadrilateral Space Syndrome

Indications and Clinical Considerations Quadrilateral space syndrome is an uncommon cause of shoulder and posterior upper arm pain first described by Cahill and Palmer in 1983. It is now encountered more frequently in clinical practice because magnetic resonance imaging (MRI)…

Suprascapular Nerve Block

Indications and Clinical Considerations Suprascapular nerve block with local anesthetic can be used as a diagnostic tool when performing differential neural blockade on an anatomic basis in the evaluation of shoulder girdle and shoulder joint pain. If destruction of the…

Injection Technique for Rotator Cuff Tear

Indications and Clinical Considerations Rotator cuff tears frequently occur after seemingly minor trauma to the musculotendinous unit of the shoulder. However, the disease responsible for the tear is usually a long time in the making and is most often the…

Injection Technique for Triceps Brachii Syndrome

Indications and Clinical Considerations The triceps brachii muscle is susceptible to developing myofascial pain syndrome. Prolonged activities that require holding the elbow in front of the chest, such as driving or knitting, or repetitive strenuous activities requiring forearm extension, such…

Injection Technique for Biceps Brachii Syndrome

Indications and Clinical Considerations The biceps brachii muscle is susceptible to developing myofascial pain syndrome. Prolonged lifting of heavy objects held close to the body or repetitive activities that require repeated flexion of the upper extremity, such as repeated use…

Injection Technique for Os Acromiale Pain Syndrome

Indications and Clinical Considerations Patients with os acromiale pain syndrome will have diffuse shoulder pain with an associated feeling of weakness combined with loss of range of motion. The pain is often worse at night; patients often report that they…

Injection Technique for Subacromial Impingement Syndrome

Indications and Clinical Considerations Patients with subacromial impingement syndrome have diffuse shoulder pain with an associated feeling of weakness combined with loss of range of motion. The pain is often worse at night, and patients often report that they are…