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Minimally Invasive Musculoskeletal Pain Medicine

2007 Edition, March 12, 2007

Complete Document

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Active, Most Current

Additional Comments:
ISBN: 978-0-8493-7256-8
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Product Details:

  • Revision: 2007 Edition, March 12, 2007
  • Published Date: March 12, 2007
  • Status: Active, Most Current
  • Document Language: English
  • Published By: CRC Press (CRC)
  • Page Count: 289
  • ANSI Approved: No
  • DoD Adopted: No

Description / Abstract:


The subspecialty of pain management has advanced considerably over the last 20 years. Once considered the domain of anesthesiology, it has now become an integral part of many specialties. This is reflected in the opening of the subspecialty board in pain medicine to multiple disciplines. The "fourth vital sign" concept has advanced pain medicine one step further to the point that it is a basic part of medical management. This book is a compilation of chapters regarding interventional pain management from a variety of subspecialties. It is our hope that the management of pain continues to grow in a multidisciplinary direction. There are a variety of interventional and noninterventional pain management techniques. The critical issue is not that any one mode of treatment is employed consistently by any certain physician, but that the correct strategy or combination of strategies is employed for the individual patient.

We have collected a number of experts in the field of musculoskeletal intervention and pain management, in a cooperative effort from the disciplines of physical medicine and rehabilitation, sports medicine, and radiology. The chapters in this book discuss the topics of pharmacology, office-based injections, viscosupplementation, trigger point injection, acupuncture, botulinum treatment, joint injection, and bone biopsies using image guidance, ultrasound-guided interventions, thermoablation, epidural injections, zygapophyseal joint intervention, and discography.

Imaging guidance plays an important role in many musculoskeletal interventions. Fluoroscopy, computed tomography, ultrasound, and magnetic resonance imaging can be used as tools to safely and accurately position needles, biopsy devices, radiofrequency probes, and other instruments in the optimal location. Proper selection of the guidance modality and approach requires knowledge of indications and contraindications of each as well as relevant anatomy. Proper technique is essential to ensure success, patient safety, and comfort. This book discusses the basics of many such image-guided procedures, and the chapters herein provide the reader with a framework for this practice. However, reading is not a substitute for hands-on training with an experienced practitioner. Furthermore, success with the most effective intervention must complement appropriate patient selection based on comprehensive evaluation and teleological thinking about the goal of any given procedure.