Atlas of Pain Management Injection Techniques

Sacrococcygeal Joint Injection

Indications and Clinical Considerations Coccydynia is a common pain syndrome characterized by pain localized to the tailbone that radiates into the lower sacrum and perineum. Coccydynia affects females more frequently than males. It occurs most often after direct trauma to…

Sacral Nerve Block

Indications and Clinical Considerations Sacral nerve block is useful in the evaluation and management of radicular and perineal pain that is believed to be subserved by the sacral nerves. This technique also is useful as an adjunct to provide surgical…

Spermatic Cord Block

Indications and Clinical Considerations Spermatic cord block is used to provide surgical anesthesia for scrotal surgery, pain management of painful conditions of the scrotum, and postoperative pain management following scrotal surgeries ( Figs. 144.1 and 144.2 ). The ultrasound-guided approach…

Dorsal Penile Nerve Block

Indications and Clinical Considerations Dorsal penile nerve block is used to provide surgical anesthesia for circumcision, dorsal slit procedures, repair of penile lacerations, paraphimosis reductions, and the release of penile skin that is trapped in a pants zipper ( Fig.…

Genitofemoral Nerve Block

Indications and Clinical Considerations Genitofemoral neuralgia is one of the most common causes of lower abdominal and pelvic pain encountered in clinical practice. It may be caused by compression of or damage to the genitofemoral nerve anywhere along its path.…

Iliohypogastric Nerve Block

Indications and Clinical Considerations Iliohypogastric nerve block is useful in evaluating and managing groin pain thought to be subserved by the iliohypogastric nerve, including the pain associated with iliohypogastric neuralgia. The technique also is useful for providing surgical anesthesia for…