Interventional Pain Management: Image-Guided Procedures, by P. Prithvi Raj MD, Leland Lou MD, Serdar Erdine MD, Peter S.

By P. Prithvi Raj MD, Leland Lou MD, Serdar Erdine MD, Peter S. Staats MD, Steven D. Waldman MD JD, Gabor Racz MD, Michael Hammer MD, David Niv MD, Ricardo Ruiz-Lopez MD, James E. Heavner DVM PhD

Completely revised and reorganized, this second variation will give you meticulous how-to-do-it assistance on acting trendy best radiographically guided local anesthesia and ache administration recommendations. popular specialists clarify how you can make optimum use of fluoroscopy, MRI, and CT to pinpoint the precise anatomic website for every procedure.and a DVD of videos indicates you the way to accomplish it so much effectively.Provides fluoroscopic, MR, and CT photographs coupled with distinctive line drawings for every method to make sure right positioning and straightforward software of techniques.Offers easy-to-follow step by step descriptions addressing each point of sufferer positioning, using radiographic options for tissue-specific enhancement, and proper strategies for anesthesia/analgesia management so that you might be definite your sufferer could be ache unfastened in the course of the procedure.Discusses attainable issues that can assist you keep away from errors. contains descriptions of approaches for every photograph guided procedure in addition to the ways on hand for such imaging so that you can pick out the proper approach for each sufferer. gains new sections complex concepts and rising strategies, contains new techniques into the higher and reduce extremity and head and neck chapters, and revises all different chapters considerably to place you at the cusp of the most recent advances within the field.Includes a DVD of movies demonstrating right sufferer positioning and tough techniques displaying you precisely how you can continue. makes use of approximately 1,600 crisp illustrations, 50% new to this version, to light up each inspiration. offers a whole reorganization through physique area and centred content material that can assist you get to the knowledge you would like fast.

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A T-1 weighted sagittal MR image demonstrates fracture dislocation at T3-T4 with complete transsection of the spinal cord. Decreased spinal intensity is noted in the involved vertebral bodies consistent with marrow edema. (From Raj PP, editor: Practical Management of Pain, 3rd ed. St. Louis, Mosby, 2000, figure 27-29, p. 63,66 FAILED BACK SURGERY SYNDROME PLAIN RADIOGRAPHY Failed back surgery syndrome (FBSS) is a large contributor to both medical and socioeconomic problems in the United States. More than two thirds of those patients enrolled in Traditionally, the plain radiograph has been the first imaging test performed in the evaluation of low back pain because it is relatively inexpensive, widely available, reliable, quick, and FIGURE 1-24 Epidural fibrosis.

Most fractures pose no serious diagnostic dilemma and can be easily identified on plain radiographs. Occasionally, however, a hairline fracture that is elusive on plain film can be easily detected on a bone scan. 90 The majority of adult patients and all pediatric patients demonstrate increased activity at the fracture site within 72 hours of injury. Some fractures in older patients, however, are not identified until up to 5 days after the injury. FIGURE 1-34 Stress fracture. Technetium 99m methylene diphosphonate (99mTc-MDP) scan demonstrating stress fracture of the second metatarsal in a female runner complaining of pain over the dorsum of the foot.

From Raj PP, editor: Practical Management of Pain, 3rd ed. St. Louis, Mosby, 2000, figure 27-23, p. ) FIGURE 1-36 Seven-day gallium 67 scan. Planar images 7 days after injection with gallium 67 citrate in a 17-year-old patient with persistent abdominal pain. Images show increased uptake within the right lower quadrant. Followup CT examination revealed a large inflammatory mass in the region of the cecum. Periappendiceal abscess was confirmed at surgery. (From Raj PP, editor: Practical Management of Pain, 3rd ed.

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