Ultrasound-guided Pain Research Articles

Ultrasound-guided pain management: pros, cons, and benefits for the Philippines.

Ultrasound-guided pain management: pros, cons, and benefits for the Philippines.

Comprehensive Atlas of Ultrasound-Guided Pain Management Injection Techniques, 2nd ed

Comprehensive Atlas of Ultrasound-Guided Pain Management Injection Techniques, 2nd ed

Ultrasound-guided interventions during pregnancy for lumbosacral pain unresponsive to conservative treatment: A retrospective review.

Current conventional therapeutic strategies for lumbosacral pain during pregnancy are usually inadequate and data regarding interventional analgesic procedures feasible in pregnant women is scarce. We decided to retrospectively review our experience of ultrasound-guided pain management procedures in pregnant women with lumbosacral pain unresponsive to conservative treatment. Twenty women in the second trimester of pregnancy with lumbosacral pain developed during pregnancy unresponsive to conservative treatments who underwent the following ultrasound-guided pain interventions were included: sacroiliac joint, caudal epidural, interlaminar epidural, and trigger point injections. All patients were followed up until early postnatal period using Visual Analogue Scale (VAS) and Oswestry Disability Index (ODI) scores. All but one patient achieved satisfactory pain control throughout the pregnancy with a single injection. Significant declines in ODI and VAS scores was attained within the first 2 weeks and first week of intervention, respectively, which was maintained thereafter until early postnatal period. Injections used for effective interventional pain management in nonpregnant populations seem to represent an effective and safe method also for pregnant women when performed under ultrasound guidance, with rapid onset and enduring duration of action until the time of delivery.

Atlas of Ultrasound-Guided Procedures in Interventional Pain Management, 2nd ed

The first edition of this book was published in 2011, and I was lucky enough to have it on my shelf to compare it with the present one that is reviewed. Since 2011, an update was to keep up with the huge volume of new techniques and information about ultrasound-guided techniques for pain and regional anesthesia. This is a single-editor book with several well-known authors contributing who cover the wide range of subjects reviewed in the text. The volume is nicely presented with a color hard cover, and the pages are of good-quality paper, although not as bright as in the First Edition that made the ultrasound pictures look better. The book is organized in 7 parts, covering imaging in interventional pain and basics of ultrasound, spine sonoanatomy and ultrasound-guided spine injections, ultrasound-guided abdominal and pelvic blocks, ultrasound-guided peripheral blocks and catheters, diagnostic and musculoskeletal ultrasound, diagnostic neurosonology, and advanced and new applications of ultrasound. In total, there are 36 chapters, a few more than in the First Edition, spread over 334 pages. Nineteen out of the 36 chapters unfortunately are carbon copies of the old ones from the first edition and 8 years having passed between publication times. In most of the areas, there are many new references and a much larger paradigm that were left unexplained to the reader. Among these “old chapters,” however, the reader may find real jewels requiring no changes or perhaps minimal updates like spine sonoanatomy by Dr Bernard Moriggl, basics of ultrasound: pitfalls and limitations by Drs Vincent Chan and Anahi Perlas, and essential knobology for ultrasound-guided regional and interventional pain management by Drs Alan J. R. Macfarlane, Cyrus C. H. Tse, and Richard Brull. Some of the newly written chapters are outstanding like the one on ultrasound-guided upper extremity blocks by Jason McVicar, Sheila Riazi, and Anahi Perlas with excellent text and beautiful and well-explained figures, ultrasound-guided superficial trigeminal nerve blocks by David A. Spinner and Jonathan S. Kirschner, ultrasound-guided greater occipital nerve block by Bernhard Moriggl and Manfred Greher, ultrasound of peripheral nerves by Swati Deshmukh and Jonathan Samet, and, finally, occipital neuralgia: sonoanatomy and sonopathology of the occipital nerves by the editor Samer N. Narouze. Pictures and drawings explaining procedures are well presented with nice colors, but in some cases, it is intriguing and disappointing not to find actual pictures with the needle in the tissue despite the fact that the authors are experienced in these techniques and must have a good collection of nice images from their work in the last 8 years. Both for the newcomer in the field of ultrasound-guided pain management as well as for the seasoned practitioner, this second edition is an outstanding text from a leader in the field. Some chapters, as explained by the editor in the prologue, include excellent step-by step descriptions of the techniques. We hope the next edition will come with some missed procedures like trans quadratus lumborum block, erector spinae block, sympathetic blocks at the lumbar region, pectoralis nerve, and serratus plane blocks. Juan Francisco Asenjo, MD, FRCPCDepartment of AnesthesiaThe Montreal General HospitalMcGill University Health CentreMontreal, Quebec, Canada[email protected] Julia Jackson, BScDepartment of AnesthesiaThe Montreal General HospitalMcGill UniversityMontreal, Quebec, Canada

Echo-guided invasive pain therapy: indications and limitations.

The purposes of this review are to summarize the advantages and limitations of ultrasound-guided pain interventions, and to illustrate those interventions with peripheral, axial and musculoskeletal pain procedures. With the capability of locating the interfascial plane, ultrasonography has led to the emergence of a series of plane blocks for the thoracoabdominal region in the recent decade.Ultrasonography for musculoskeletal procedures has been of growing interest because of the major advantage of direct visualization and scanning of various soft tissues and real-time spread in the injectate, thereby enhancing precision and efficacy, reducing risk of trauma and avoidance of radiation. For spine and intra-articular structures, ultrasonography is complicated by the bony shadow artefact and often deep location of the structure, making acquisition of ultrasound image challenging. Despite these difficulties, there is growing interest in applying ultrasonography for cervical spine and sacroiliac joint procedures. Pain intervention under ultrasound guidance is particularly valuable in peripheral and musculoskeletal procedures. There is growing interest of its application in cervical spine and sacroiliac joint. More outcome studies are required in the future to make ultrasound-guided pain intervention as the established procedure.

Sonographic tracking of trunk nerves: essential for ultrasound-guided pain management and research.

Delineation of architecture of peripheral nerves can be successfully achieved by high-resolution ultrasound (US), which is essential for US-guided pain management. There are numerous musculoskeletal pain syndromes involving the trunk nerves necessitating US for evaluation and guided interventions. The most common peripheral nerve disorders at the trunk region include thoracic outlet syndrome (brachial plexus), scapular winging (long thoracic nerve), interscapular pain (dorsal scapular nerve), and lumbar facet joint syndrome (medial branches of spinal nerves). Until now, there is no single article systematically summarizing the anatomy, sonographic pictures, and video demonstration of scanning techniques regarding trunk nerves. In this review, the authors have incorporated serial figures of transducer placement, US images, and videos for scanning the nerves in the trunk region and hope this paper helps physicians familiarize themselves with nerve sonoanatomy and further apply this technique for US-guided pain medicine and research.

Ultrasound-guided pain interventions

Ultrasound-guided pain interventions

Ultrasound-guided pain interventions in the knee region

Most routine intra-articular and extra-articular knee infiltrations performed in pain management are carried out by means of blind techniques or fluoroscopy-guided techniques. Alternatively, ultrasound-guided techniques are a safer and more precise way to perform these procedures. An extensive knowledge of knee anatomy will help us to obtain high-quality real-time ultrasound images before performing any infiltrations. In the current article, we present how to systematically examine the knee sonoanatomy and also describe the ultrasound-guided interventional basis for knee joint pain management.

Ultrasound-guided pain interventions in the hip region

To accomplish successful ultrasound-guided interventions for the management of pain in the hip region, a thorough understanding of the essential anatomy of the hip joint and adjacent structures is required. This is also the basis for the acquisition of high-quality dynamic real-time sonoanatomical images. This review article addresses the anatomy, sonoanatomy, and ultrasound-guided interventional approach to 3 key structures in this region—the intra-articular hip, the femoral nerve, and the obturator nerve—using important anatomical landmarks.

Ultrasound-guided pain interventions in the pelvis and the sacral spine

Ultrasound guidance of infiltrations in the management of chronic pain allows us to visualize in “real time” the advance of the needle and the diffusion of the analgesic agent in and around the pain-generating anatomical structures. It also enables us to avoid important structures, blood vessels, for example, located in the path of the puncture, thus, avoiding complications. The pelvic area has many pain-generating zones, including joints, muscles, and certain specific points, where nerve structures can be compressed. The involvement of these structures can produce pelvic or lower back pain along with pain that radiates to the lower limbs. Owing to its inability to penetrate bone, ultrasound is unable to visualize, and therefore infiltrate, a number of important nerves located on the anterior face of the sacrum, including the ganglion impar, inferior hypogastric plexus, and superior hypogastric plexus. In this article, we describe different techniques for the ultrasound-guided infiltration in the pelvic region, including the sacroiliac joint, pudendal nerve, coccygeal nerves, transsacral block, lateral branches of the posterior sacral roots, dorsal branch of the L5, caudal epidural infiltration, infiltration of the piriformis and gluteus medius muscles, infiltration of the iliolumbar ligament, ganglion impar block, and superior hypogastric plexus block.

Ultrasound-guided pain interventions in shoulder region

Shoulder pain is one of the common complaints to physicians in general practice. Among therapeutic measures used to treat this pain, invasive techniques, such as joints and periarticular injection, as well as suprascapular and axillary nerve block, play a crucial role. Ultrasound guidance is a safe alternative to blind techniques, increasing the safety and accuracy of the procedure and reducing complications. A good understanding of the anatomy and sonoanatomy is of paramount importance in performing the ultrasound-guided injections.

Ultrasound-Guided Pain Interventions - A Review of Techniques for Peripheral Nerves

Ultrasound has emerged to become a commonly used modality in the performance of chronic pain interventions. It allows direct visualization of tissue structure while allowing real time guidance of needle placement and medication administration. Ultrasound is a relatively affordable imaging tool and does not subject the practitioner or patient to radiation exposure. This review focuses on the anatomy and sonoanatomy of peripheral non-axial structures commonly involved in chronic pain conditions including the stellate ganglion, suprascapular, ilioinguinal, iliohypogastric, genitofemoral and lateral femoral cutaneous nerves. Additionally, the review discusses ultrasound guided intervention techniques applicable to these structures.

Atlas of Ultrasound-guided Procedures in Interventional Pain Management

Atlas of Ultrasound-guided Procedures in Interventional Pain Management

The American Society of Regional Anesthesia and Pain Medicine, the European Society of Regional Anaesthesia and Pain Therapy, and the Asian Australasian Federation of Pain Societies Joint Committee Recommendations for Education and Training in Ultrasound-Guided Interventional Pain Procedures

The use of ultrasound in pain medicine for interventional axial, nonaxial, and musculoskeletal pain procedures is rapidly evolving and growing. Because of the lack of specialty-specific guidelines for ultrasonography in pain medicine, an international collaborative effort consisting of members of the Special Interest Group on Ultrasonography in Pain Medicine from the American Society of Regional Anesthesia and Pain Medicine, the European Society of Regional Anaesthesia and Pain Therapy, and the Asian Australasian Federation of Pain Societies developed the following recommendations for education and training in ultrasound-guided interventional pain procedures. The purpose of these recommendations is to define the required skills for performing ultrasound-guided pain procedures, the processes for appropriate education, and training and quality improvement. Training algorithms are outlined for practice- and fellowship-based pathways. The previously published American Society of Regional Anesthesia and Pain Medicine and European Society of Regional Anaesthesia and Pain Therapy education and teaching recommendations for ultrasound-guided regional anesthesia served as a foundation for the pain medicine recommendations. Although the decision to grant ultrasound privileges occurs at the institutional level, the committee recommends that the training guidelines outlined in this document serve as the foundation for educational training and the advancement of the practice of ultrasonography in pain medicine.

Ultrasound-Guided Pain Control in the Cervical Spine: A Prospective Randomised Clinical Trial

Ultrasound-Guided Pain Control in the Cervical Spine: A Prospective Randomised Clinical Trial