Index

Interventional Pain Management: A Practical Approach DK Baheti, Sanjay Bakshi, Sanjeeva Gupta, RP Gehdoo

SECTION A: BASICS IN INTERVENTIONAL PAIN MANAGEMENT
ONE:Basis of Radiological Imaging
- HISTORY
- ATOMIC STRUCTURE
- ELECTRON ORBITS AND ENERGY LEVELS
- ELECTROMAGNETIC SPECTRUM
- PRODUCTION OF X-RAYS
  - X-ray Tube (Fig. 1.2)
  - Glass Enclosure
- CATHODE
- LINE FOCUS PRINCIPLE (FIG. 1.3)
- THE ANODE
- ROTATING ANODE
- HEEL EFFECT
- TUBE SHIELDING
- TUBE RATING CHARTS
- METAL/CERAMIC X-RAY TABLES (FIG. 1.4)
- PROCESS OF X-RAY GENERATION
  - General Radiation/Bremsstrahlung
  - Characteristic Radiation
- X-RAY GENERATORS
- LAWS OF TRANSFORMER
- RECTIFICATION
- RECTIFIER
- ATTENUATION
- SCATTER RADIATION
- FILTERS
- COLLIMATORS
- GRIDS
- MOUNTING GRIDS
- FLUOROSCOPIC IMAGING
  - The Design of Image Intensifier
- ELECTROSTATIC FOCUSING LENS
- ACCELERATING ANODE
- OUTPUT PHOSPHOR
- CLOSED CIRCUIT TELEVISION
- RADIATION PROTECTION
- RADIATION UNITS
  - Medical Radiation
- DOSE LIMITING RECOMMENDATIONS
  - Occupational Exposure
  - Public (Non-occupational) Exposure
  - Trainees Under 18 years of Age
  - Embryo Fetus Exposure
- PROTECTIVE BARRIERS
- RECOMMENDED FOR FURTHER READING
TWO:Spinal Radioanatomy Revisited
- INTRODUCTION
- STRUCTURE OF A TYPICAL VERTEBRA (FIGS 2.1 TO 2.4)
  - Thoracic Vertebrae (Figs 2.5 and 2.6)
  - Lumbar Vertebrae (Figs 2.1 and 2.6)
- SCOTTY DOG (FIGS 2.8 AND 2.9)
- RECOMMENDED FOR FURTHER READING
THREE:Neurolytic Agents and Neurodestructive Techniques
- INTRODUCTION
- MECHANISM OF ACTION
- CONCLUSION
SECTION B: DOCUMENTATION AND PROTOCOL
FOUR:Informed Consent for Interventional Pain Procedures
FIVE:Role of Investigations in Interventional Pain Procedures
- INTRODUCTION
  - Biochemical Investigations
  - Diagnostic
- IMAGING STUDIES
- THERMOGRAPHY (FIG. 5.9)
  - recommended For further Reading
SIX:Protocol for Interventional Pain Procedures: A Suggested Format
SEVEN:Evaluation of Pain Patient
- EXAMINATION
- RECOMMENDED FOR FURTHER READING
EIGHT:Stimulation Guided Pain Mapping
- INTRODUCTION
SECTION C: HEAD AND NECK
NINE:Trigeminal Nerve Block
- ANATOMY
TEN:Maxillary Nerve Block
- INTRODUCTION
- ANATOMY (FIG. 10.1)
- RECOMMENDED FOR FURTHER READING
ELEVEN:Mandibular Nerve Block
- INTRODUCTION
- ANATOMY
- RECOMMENDED READING
TWELVE:Sphenopalatine Ganglion Block
- ANATOMY (FIG. 12.1)
- REFERENCES
- RECOMMENDED FOR FURTHER READING
THIRTEEN:Glossopharyngeal Nerve Block
- INTRODUCTION
- APPLIED ANATOMY (FIG. 13.1)
- TECHNIQUE OF GLOSSOPHARYNGEAL NERVE BLOCK
  - The Extraoral Approach
  - The Intraoral Approach
- POTENTIAL COMPLICATIONS
- NEURODESTRUCTIVE PROCEDURES
FOURTEEN:Stellate Ganglion Block
- ANATOMICAL CONSIDERATIONS
- INDICATIONS
- CONTRAINDICATIONS
  - Relative Contraindications
  - Preparation of the Patient
- EQUIPMENT AND DRUGS
- TECHNIQUE
  - Blind Approach (Fig. 14.3)
  - Fluoroscopy Guided Approach
- SUCCESSFUL SYMPATHETIC BLOCK
- CONCLUSION
FIFTEEN:Nerve Blocks for the Scalp and Injections
- SENSORY SUPPLY OF THE SCALP
- SUPERFICIAL CERVICAL PLEXUS BLOCK
- GREATER AND LESSER OCCIPITAL NERVE BLOCKS
  - Anatomy (Fig. 15.4)
  - Technique (Fig. 15.5)
- GREATER AURICULAR NERVE BLOCK
  - Anatomy
  - Technique (Fig. 15.6)
- BOTULINUM TOXIN A INJECTIONS FOR MIGRAINE
SECTION D: CHEST AND THORAX
SIXTEEN:Suprascapular Nerve Block
- INTRODUCTION
- ANATOMY
SEVENTEEN:Intercostal Nerve Block
- INTRODUCTION
- ANATOMY
EIGHTEEN:Intrapleural Block
- INTRODUCTION
- COMPLICATIONS
SECTION E: ABDOMEN AND PELVIS
NINETEEN:Celiac Plexus Block
- INTRODUCTION
- DRUGS AND CONCENTRATION
  - Procedure
    - Pre Operative Preparation
- POSTERIOR APPROACH - COMMON AND PREFERRED APPROACH
  - Position and Landmarks (Fig. 19.2)
- ANTERIOR APPROACH
- INTRADISCAL APPROACH
- COMPLICATIONS OF NEUROLYTIC CELIAC PLEXUS BLOCK
- EVOLUTION IN THE TECHNIQUE OF CPB
- RECENT ADVANCES AND ITS IMPLICATIONS
TWENTY:Lumbar Sympathetic Block
- INTRODUCTION
- INDICATIONS
- POSITION AND LANDMARKS
  - Problems
  - Discharge Instructions
    - No Driving for that Day
TWENTY ONE:Hypogastric Plexus Block
- INTRODUCTION
- PRE-OPERATIVE PREPARATION
- PROCEDURE
- POST-PROCEDURAL CARE
  - Problems
  - Discharge Instructions
    - No Driving for that Day
TWENTY TWO:Ganglion of Impar Block
- INTRODUCTION
- LATERAL POSITION APPROACH - ANOCOCCYGEAL OR TRANS- SACROCOCCYGEAL APPROACH
SECTION F: SPINE AND BACK
TWENTY THREE:Cervical Epidural Block
- OVERVIEW
- ANATOMY
- TECHNIQUE FOR TRANSLAMINAR EPIDURAL INJECTIONS
TWENTY FOUR:Cervical Facet, Median Branch Blocks
- ANATOMY
- INDICATIONS
- CONTRAINDICATIONS
- EQUIPMENT-CERVICAL FACET AND CERVICAL MEDIAL BRANCH BLOCK
- TECHNIQUE- CERVICAL MEDIAL BRANCH BLOCK
- COMPLICATIONS
- CERVICAL FACET - INTRAARTICULAR TECHNIQUE
- COMPLICATION
TWENTY FIVE:Lumbar and Caudal Epidural Blocks
- INTRODUCTION
- ANATOMY
TWENTY SIX:Lumbar Facet and Median Branch Block
- INTRODUCTION
  - Evaluation
- ANATOMY
  - Procedures
- CONTRAINDICATIONS
- CONCLUSION
TWENTY SEVEN:Sacroiliac Joint Block
- INTRODUCTION
SECTION G: ADVANCED PAIN MANAGEMENT
TWENTY EIGHT:Percutaneous Adhesiolysis for Failed Back Surgery Syndrome and Other Applications
- INTRODUCTION
- APPLIED ANATOMY
- INDICATIONS AND CONTRAINDICATIONS
- TECHNICAL CONSIDERATIONS
- MODIFIED MANCHIKANTI TECHNIQUE
- SIDE EFFECTS AND COMPLICATIONS
TWENTY NINE:Epiduroscopy for Chronic Low-Back Pain and Radiculopathy
- INTRODUCTION
THIRTY:Spinal Cord Stimulation
- INTRODUCTION
THIRTY ONE:Neuromodulation for Chronic Pain
THIRTY TWO:Discography
THIRTY THREE:Intradiscal Electrothermal Therapy (IDET)
- INTRADISCAL ELECTROTHERMAL THERAPY
- INDICATIONS
- TECHNIQUE (FIGS 33.1 TO 33.9)
- POST-OPERATIVE INSTRUCTIONS
- COMPLICATIONS
- STUDIES RELATED TO IDET
- SUMMARY
THIRTY FOUR:Percutaneous Lumbar Discectomy
- INTRODUCTION
THIRTY FIVE:Vertebroplasty
- INTRODUCTION
- COMPLICATIONS
- RESULTS
- KYPHOPLASTY
THIRTY SIX:Ozone and its Applications in Pain Management
THIRTY SEVEN:Radiofrequency Coagulation
- HISTORY OF LESIONING OF NEVOUS SYSTEMS
  - Radiofrequency Lesioning
- LUMBAR RADIOFREQUENCY DENERVATION
- RADIOFREQUENCY DENERVATION OF CERVICAL MEDIAL BRANCHES
THIRTY EIGHT:Intrathecal Implantable Devices
- INTRODUCTION
- INDICATIONS
- CONTRAINDICATIONS
- DRUGS USED
  - Screening of Patient
- EQUIPMENT FOR INTRATHECAL IMPLANTATION
- PROCEDURE
- POST-PROCEDURE CHECK LIST
- COMPLICATIONS
- HELPFUL HINTS
SECTION H: WHAT'S NEW IN INTERVENTIONAL PAIN MANAGEMENT
THIRTY NINE:Blunt Tip Needle
- INTRODUCTION
- RECENT ADVANCES AND ITS IMPLICATIONS
SECTION I: ALTERNATE THERAPIES
FORTY:Intramuscular Stimulation
- INTRODUCTION
- CENTRAL MECHANISMS IN NEUROPATHIC PAIN1
- CLINICAL FEATURES
- DIAGNOSIS
- TREATMENT
- PHYSICAL THERAPY TREATMENT PRINCIPLES
- CONCLUSION

INDEX

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Index

Chapter Notes