Atlas of Pain Management Injection Techniques

Ilioinguinal Nerve Block

Indications and Clinical Considerations Ilioinguinal nerve entrapment syndrome is caused by compression of the ilioinguinal nerve as it passes through the transversus abdominis muscle at the level of the anterior superior iliac spine ( Fig. 140.1 ). The most common…

Injection Technique for Osteitis Pubis Syndrome

Indications and Clinical Considerations Osteitis pubis is a constellation of symptoms that includes a localized tenderness over the symphysis pubis, pain radiating into the inner thigh, and a waddling gait. Characteristic radiographic changes of erosion, sclerosis, and widening of the…

Lateral Femoral Cutaneous Nerve Block

Indications and Clinical Considerations Meralgia paresthetica is caused by compression of the lateral femoral cutaneous nerve by the inguinal ligament as it passes through or under the inguinal ligament ( Fig. 137.1 ). This entrapment neuropathy manifests as pain, numbness,…

Obturator Nerve Block

Indications and Clinical Considerations Obturator nerve entrapment syndrome is caused by compression of the obturator nerve as it passes through the upper part of the obturator canal ( Figs. 136.1 and 136.2 ). The most common causes of compression of…

Injection Technique for Levator Ani Pain Syndrome

Indications and Clinical Considerations The levator ani muscle is susceptible to the development of myofascial pain syndrome. Such pain most often occurs as a result of repetitive microtrauma to the muscle from activities such as mountain biking and horseback riding,…

Injection Technique for Gluteus Medius Syndrome

Indications and Clinical Considerations The gluteus medius 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 running on soft surfaces and overuse of…

Injection Technique for Gluteus Maximus Syndrome

Indications and Clinical Considerations The gluteus maximus muscle is susceptible to developing myofascial pain syndrome. This pain most often occurs as a result of repetitive microtrauma to the muscle from activities such as running on soft surfaces and overuse of…

Intra-Articular Injection of the Sacroiliac Joint

Indications and Clinical Considerations The sacroiliac joint is susceptible to developing arthritis from a variety of conditions that all have the ability to damage the joint cartilage. The sacroiliac joint also is susceptible to developing strain from trauma or misuse.…

Injection Technique for Snapping Hip Syndrome

Indications and Clinical Considerations Snapping hip syndrome, which is also known as coxa saltans, is a constellation of symptoms that include a snapping sensation in the lateral hip associated with sudden, sharp pain in the area of the greater trochanter.…