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Chapter-06 Interpretation of CT Scan for Interventional Pain Treatment Procedures

BOOK TITLE: Symptom Oriented Pain Management

Author
1. Deshmukh Manoj
2. Goti Mahesh
ISBN
9789350257975
DOI
10.5005/jp/books/11597_6
Edition
1/e
Publishing Year
2012
Pages
9
Author Affiliations
1. Lilavati Hospital, Bandra (West), Mumbai, Maharashtra, India, Lilavati Hospital and Research Centre, Mumbai, Maharashtra, India
2. Lilavati Hospital, Bandra (West), Mumbai, Maharashtra, India
Chapter keywords

Abstract

Interventional pain treatment procedures with neurolytic block can be achieved by injecting alcohol or phenol and involves intentional destruction of a nerve or nerve plexus or ganglion to interrupt nociceptive pathways with precise percutaneous techniques guided with computed tomography (CT). CT-guided interventional pain procedures are pterygopalatine ganglion block and brachial plexus block. In the diagnostic CT scans where facet joints arthropathy is shown as the source of pain, intra-articular injection of steroids are given to the patients. Percutaneous cementoplasty discusses about the bone metastasis alcoholization. Possible mechanisms for pain from bone metastasis are stimulation of nerve endings in the endosteum resulting from the release of chemical agents from the destroyed bone tissue; stretching of periosteum by the increasing size of the tumor; fracture; and tumor growth into surrounding nerves and tissues.

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