Essentials of Interventional Techniques in Managing Chronic Pain

This comprehensive review covers the full and latest array of interventional techniques for managing chronic pain.  Chapters are grouped by specific treatment modalities that include spinal interventional techniques, non-spinal and peripheral nerve blocks, sympathetic interventional techniques, soft tissue and joint injections, and implantables.  

This second edition features new chapters covering challenges with opioid therapy, impact of COVID-19, and spinal interventional techniques.

Practical step-by-step and evidence-based guidance is given to each approach in order to improve the clinician's understanding.  Innovative and timely, Essentials of Interventional Techniques in Managing Chronic Pain is a critical resource for anesthesiologists, neurologists, and rehabilitation and pain physicians.

PART I – BASIC CONSIDERATIONS:.- Evolution of Interventional Pain Management.- Chronic Pain: Pathophysiology and Mechanism.- Pharmacology and Clinical Relevance of Commonly Used Drugs.- Compliance and Documentation for Evaluation and Management Services in Interventional Pain Management Practice.- Facility Documentation Requirements for Interventional Techniques.- Sedation for Interventional Techniques.- Antiplatelet and Anticoagulant Therapy in Interventional Pain Management.- Principles of Evidence-Based Medicine.- PART II – SPINAL INTERVENTIONAL TECHNIQUES.- Anatomy of Spine for the Interventionalist.- Radiology of the Spine for the Interventionalist.- Fluoroscopy in Interventional Pain Management.- Needle Manipulation Techniques.- Lumbar Epidural Injections.- Thoracic Epidural Injections.-  Cervical Epidural Injections.- Lumbar Percutaneous Adhesiolysis.- Discography.- Lumbar Endoscopic Spinal Decompression.- Sacroiliac Joint Injections and Radiofrequency Neurotomy.- LumbarFacet Joint Interventions.- Thoracic Facet Joint Interventions.- Cervical Facet Joint Interventions.- Atlanto-Occipital and Atlanto-Axial Interventions.- Percutaneous Image-Guided Lumbar Decompression (PILD).- Vertebroplasty, Kyphoplasty, and Sacroplasty.- Intraosseous Basivertebral Nerve Ablation for Vertebrogenic Pain.- Interspinous Distraction Devices.- PART III – NON-SPINAL AND PERIPHERAL NERVE BLOCKS.- Ultrasound Basics.- Trigeminal Nerve Blocks and Neurolysis.- Occipital Nerve Blocks and Neurolysis.- Suprascapular, Axillary, Lateral Pectoral and Subscapular Nerve Blocks and Neurolysis.- Paravertebral and Chest Wall Intercostal Nerve Blocks and Neurolysis.- Abdominal Wall Blocks and Neurolysis.- Nerve Blocks for Pelvic Pain.- Neurolytic and Stimulation Procedures for Pelvic Pain.- Upper Extremity Injections, Neurolysis, and Stimulation.- Lower Extremity Injections, Neurolysis, and Stimulation.- PART IV – SYMPATHETIC INTERVENTIONAL TECHNIQUES.- Sphenopalatine Ganglion Blocks.- Cervical and Thoracic Sympathetic Chain and Related Interventions.- Lumbar Sympathetic Blocks and Sympatholysis.- Hypogastric Plexus Blocks.- Ganglion Impar Blocks.- Celiac Plexus Blocks and Splanchnic Nerve Blocks.- PART V – SOFT TISSUE AND JOINT INJECTIONS.- Trigger Point Injections.- Tendon Insertion, Tendon Sheath, and Bursa Injections.- Botulinum Toxin Injections for Chronic Pain.- Upper Extremity Joint Injections.- Lower Extremity Joint Injections.- PART VI – IMPLANTABLES.- Spinal Cord Stimulation.- Intrathecal Drug Delivery for Chronic Pain.- Peripheral Nerve Stimulation.- Disease Modifying Therapies - Restorative Neurostimulation for Chronic Low Back Pain.-

Laxmaiah Manchikanti, MD

Chairman of the Board and Chief Executive Officer, ASIPP and SIPMS

Medical Director

Pain Management Center of Paducah

Clinical Professor

Anesthesiology and Perioperative Medicine

University of Louisville

Louisville, Kentucky

USA

Vijay Singh, MD

Niagara Health Center

Niagara, WI 

USA

Frank J.E. Falco, MD

Dr. Falco is retired from active practice; however, was formerly the Medical Director of Mid Atlantic Spine & Pain Physicians, Newark, DE; Director, Pain Medicine Fellowship Program, Temple University Hospital, Philadelphia, PA; and Adjunct Associate Professor, Department of PM&R, Temple University Medical School, Philadelphia, PA.

Alan D. Kaye, MD, PhD

Dr. Kaye is Professor, Pain Fellowship Director, Provost, Chief AcademicOfficer, Vice Chancellor of Academic Affairs, Departments of Anesthesiology and Pharmacology, Toxicology, and Neurosciences, LSU Health Sciences Center, Shreveport, Ochsner Shreveport Hospital and Pain Clinic Feist-Wieller Cancer Center, Shreveport, LA, USA

Amol Soin, MD

Dr. Soin is Medical Director, Ohio Pain Clinic, and Clinical Assistant Professor of Surgery at Wright State University, Dayton, OH, USA.

Joshua A. Hirsch, MD

Dr. Hirsch is Vice Chair and Service Line Chief of Neurointerventional Radiology, Chief of Neurointerventional Spine, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA