Advanced Pain Management in Interventional Radiology

A Case-Based Approach

John David Prologo, Charles E. Ray, John David Prologo, Charles E. Ray

• Publisher: Thieme
• Year: 2024
• eBook ISBN: 9781684201419
• Edition: 1
• Topic: Medicine
• Subtopic: Radiology, Radiotherapy & Nuclear Medicine

A practical, case-based guide on how to perform minimally invasive, image-guided procedures for pain management

Minimally-invasive techniques with fewer complications are continually being developed to provide relief to patients with debilitating, unrelenting pain. Although significant advancements have been made and development continues at a rapid pace, it is essential that progress continues and clinicians unfamiliar with these techniques learn and incorporate them into practice. Advanced Pain Management in Interventional Radiology edited by renowned interventional radiologists J. David Prologo and Charles E. Ray Jr. is the first textbook to use case examples to detail the latest image-guided interventional approaches to treat conditions, diseases, and syndromes associated with unremitting, incapacitating pain.

Fifty chapters by top experts in the field provide reviews of clinical conditions and technical guidance on how to perform procedures for a wide range of challenging pain conditions. The book starts with an insightful chapter on opioids, with discussion of history, the devastating opioid crisis, an overview of interventional pain procedures, and the important role interventional radiologists play in decreasing opioid use in select populations. Subsequently, each of the case-based chapters is consistently formatted with the case presentation, clinical evaluation, review of pertinent imaging, development of a treatment plan (including non-IR treatment options), technical details, potential complications, and a literature review of the featured technique.

Key Features

• A periprocedural, multidisciplinary team approach emphasizes the importance of clinical evaluation of patients for making differential diagnoses and developing treatment plans
• Pearls on techniques, as well as pre- and post-procedural patient management
• Illustrated, step by step guidance on how to perform image-guided interventional techniques in complex pain patients, including 10 high-quality video clips
• Chapter discussion blocks with pertinent companion cases describe the challenges and nuances of each of the primary techniques

This book provides interventional radiologists, anesthesiologists, neurologists, and other clinicians with in-depth understanding of the clinical indications and methodologies for treating complex pain patients with advanced interventional pain management procedures.

Table of contents

• Advanced Pain Management in Interventional Radiology
• Title
• Copyright
• Dedication
• Contents
• Videos
• Preface
• Acknowledgements
• Contributors
• 1 The Opioid Crisis: A Brief History
• 2 Practice Building Techniques
• 3 The Freestanding Outpatient Clinic
• 4 Lytic Vertebral Body Metastasis with Fracture
• 5 Lytic Lesions Involving the Vertebral Body without Associated Fracture
• 6 Sclerotic Lesions Involving the Vertebral Body
• 7 Multiple Myeloma in the Spine
• 8 Painful Osseous Metastatic Disease I (Lytic, Non-Weight Bearing)
• 9 Painful Osseous Metastatic Disease I (Sclerotic)
• 10 Painful Neoplastic Disease of the Head and Neck
• 11 Painful Soft Tissue Metastases
• 12 Cryoneurolysis I
• 13 Cryoneurolysis II—No Direct Nerve Involvement
• 14 Celiac Plexus Neurolysis
• 15 Intrathecal Pain Pumps
• 16 Osteoporotic Fracture I (Minimal Height Loss Vertebroplasty)
• 17 Osteoporotic Fracture II
• 18 Osteoporotic Fracture III: Vertebral Augmentation Devices
• 19 Osteoporotic Fracture IV: Curved Balloon Kyphoplasty
• 20 Sacroplasty
• 21 Benign Lesions of the Spine I—Aneurysmal Bone Cysts
• 22 Benign Lesions of the Spine II: Hemangiomas
• 23 Benign Lesions of the Spine III: Osteoblastoma
• 24 Axial Pain Related to Disk Disease (Epidurals vs. Biologics vs. Other)
• 25 Axial Back Pain Related to Sacroiliac Disease
• 26 Radicular Pain Related to Disk Disease I (Transforaminal Injections)
• 27 Radicular Pain Related to Synovial Cysts
• 28 Percutaneous Spinal Decompression
• 29 Neurostimulators
• 30 Basivertebral Nerve Ablation
• 31 CT-Guided Peripheral Nerve Blocks
• 32 Peripheral Nerve Blocks (Ultrasound)
• 33 Peripheral Nerve Blocks (MRI)
• 34 Nerve Ablations I (Genicular RF)
• 35 Nerve Ablations II—Intercostal Neuralgia
• 36 Genicular Artery Embolization
• 37 Osteoid Osteoma I
• 38 Osteoid Osteoma II: Pediatric Hip Pain
• 39 Joint Injections
• 40 Image-Guided (Fluoroscopic and Ultrasound) Joint, Tendon, and Bursal Injections
• 41 Appendicular Fracture Stabilizations (Cement and/or Screw Fixation)
• 42 Pudendal Interventions
• 43 Pelvic Congestion Syndrome
• 44 Caudal Block
• 45 Superior Hypogastric Nerve Block I
• 46 Hypogastric Nerve Block II
• 47 Coccydynia
• 48 Regenerative Medicine—Mesenchymal Stromal Cells
• 49 Biologics II: Platelet-Rich Plasma
• 50 Nerve Ablations (Peripheral Neuropathy)
• 51 Index
• Additional MedOne Access Information