KEY FACTS Terminology Selective anesthesia of lumbar nerve medial branch in diagnostic evaluation of lumbar facet joint pain Preprocedure Facet joint pain Useful in selecting patients for medial branch radiofrequency ablation procedure Procedure Target: Junction of superior articular process and…
KEY FACTS Terminology Injection of glucocorticoid/long-acting anesthetic into thoracic epidural space via interlaminar or transforaminal approach Procedure Interlaminar epidural steroid injection (ESI) Define margins of lamina and interlaminar space Transforaminal ESI Ensure good visualization of neural foramen on true lateral…
KEY FACTS Terminology Selective corticosteroid and long-acting anesthetic injection of thoracic nerve root at level of neural foramen Preprocedure Indications Thoracic radiculopathy Persistent pain after vertebroplasty/kyphoplasty Neoplastic compression of thoracic nerve root Procedure Use nonparticulate steroid to minimize vascular risk…
KEY FACTS Terminology Injection of long-acting anesthetic ± corticosteroid into thoracic facet joint Preprocedure Preprocedure imaging Correlate level with prior imaging – Evaluate for 12 ribs &/or transitional vertebral anatomy Indications for procedure and future treatment plan Is facet joint…
KEY FACTS Terminology Selective anesthesia of thoracic spinal nerve medial branch in assessment of thoracic facet joint pain Preprocedure Thoracic facet joint pain Confirm clinical suspicion (diagnostic) Evaluate likelihood of successful facet neurolysis Preprocedure imaging Procedure Target Immediately above transverse…
KEY FACTS Terminology Percutaneous injection of glucocorticoid into cervical epidural space Interlaminar: Approach epidural space between lamina Transforaminal: Approach epidural space via neural foramen Preprocedure Indication Cervical pain &/or cervical radiculopathy Coagulopathy Preprocedure imaging Assess adequate epidural space to accommodate…
KEY FACTS Terminology Selective anesthesia of cervical nerve root at level of neural foramen Preprocedure Radiculopathy corresponding to cervical dermatome Procedure Target Superior articular process of same number vertebra as nerve being injected (nerve comes out 1 level above) At…
KEY FACTS Terminology Anesthetic ± corticosteroid injection into cervical facet joint Diagnostic study for pain referable to cervical facet joint Preprocedure Indications Chronic or acute on chronic cervical facet osteoarthritis Posttraumatic osteoarthritis Preprocedure imaging Correlate imaging abnormality with patient symptoms…
KEY FACTS Terminology Selective anesthesia of cervical nerve medial branch in diagnosis of cervical facet joint pain Preprocedure Facet joint pain Useful in selecting patients for medial branch radiofrequency ablation procedure Need to block level above and below facet joint…
KEY FACTS Terminology Tarsal tunnel syndrome You’re Reading a Preview Become a Clinical Tree membership for Full access and enjoy Unlimited articles Become membership If you are a member. Log in here