Indications and Clinical Considerations The muscles of the back are particularly susceptible to the development of myofascial pain syndrome. Flexion–extension injuries to the back or repeated microtrauma secondary to improper lifting and bending may result in the development of myofascial…
Indications and Clinical Considerations The fascia iliaca compartment approach to lumbar plexus block has the advantage over the Winnie 3-in-1 technique of having a higher success rate than the Winnie technique for blockade of the lateral femoral cutaneous and obturator…
Indications and Clinical Considerations Transversalis fascia plane block is useful in evaluating and managing lateral subcostal abdominal and groin pain. The technique also is useful in providing surgical anesthesia for iliac crest bone harvest, appendectomy, cecostomy, and inguinal hernia repair…
Indications and Clinical Considerations The transversus abdominis plane (TAP) block is a straightforward technique that can be used as a diagnostic and therapeutic maneuver as well as to provide surgical anesthesia for abdominal surgeries below the umbilicus. It can aid…
Indications and Clinical Considerations Erector spinae plane block is used as an alternative to paravertebral nerve block and thoracic and lumbar epidural block to provide surgical anesthesia for surgeries involving the thorax, cervical and thoracic spine, reconstructive breast and chest…
Indications and Clinical Considerations Intercostal nerve block is useful in evaluating and managing pain involving the chest wall and the upper abdominal wall. Intercostal nerve block with local anesthetic can be used as a diagnostic tool when performing differential neural…
Indications and Clinical Considerations Slipping rib syndrome is a constellation of symptoms, including severe knifelike pain emanating from the lower costal cartilages associated with hypermobility of the anterior end of the lower costal cartilages. Other names for slipping rib syndrome…
Indications and Clinical Considerations Anterior cutaneous nerve entrapment syndrome is a constellation of symptoms, including severe, knifelike pain emanating from the anterior abdominal wall associated with point tenderness over the affected anterior cutaneous nerve. The pain radiates medially to the…
Indications and Clinical Considerations The xiphisternal joint can serve as a source of pain that may often mimic pain of cardiac and upper abdominal origin. It is susceptible to the development of arthritis, including osteoarthritis, rheumatoid arthritis, ankylosing spondylitis, Reiter…
Indications and Clinical Considerations Sternalis syndrome is a constellation of symptoms consisting of midline anterior chest wall pain that can radiate to the retrosternal area and the medial aspect of the arm ( Fig. 111.1 ). Sternalis syndrome can mimic…