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As interventionalists become more involved with patients as care providers rather than solely as proceduralists, understanding and treating pain is a vital part of daily practice. This book provides an overview of the multiple techniques used in the management of pain in interventional radiology suites. Topics include techniques for the treatment and prevention of pain caused by interventional procedures, as well as minimally invasive techniques used to treat patients with chronic pain symptoms. Approximately half of the book is dedicated to the diagnosis and treatment of spinal pain; other chapters focus on intraprocedural and post-procedural pain management, embolization and ablation techniques used to treat patients with uncontrollable pain, and alternative treatments for pain relief. This book is a practical resource for anyone looking to acquire skills in locoregional or systemic pain control and wishing to improve the quality of life for patients undergoing procedures or suffering from disease-related pain. - Overview of minimally invasive pain control techniques - Treatment of chronic back pain - Technical descriptions of common procedures using imaging guidance used to treat patients in pain CONTENTS 1. Pain management in interventional radiology: an introduction Jason R. Bauer and Charles E. Ray, Jr.; 2. Clinical evaluation of low back pain Anthony Dwyer, Curt Freudenberger and Vikas Patel; Part I. Locoregional Pain Control: 3. Local anesthetics Jan Namyslowski; 4. Functional lumbar spine anatomy: a review Anthony P. Dwyer, Curt Freudenberger, Vikas Patel, Michael Fleisher and Charles E. Ray, Jr.; 5. Percutaneous vertebroplasty Mitchell T. Smith and Charles E. Ray, Jr.; 6. Kyphoplasty Frances D. Faro, Anthony Dwyer and Vikas V. Patel; 7. Epidural steroid injections Brian Peterson; 8. Selective nerve root blocks Brian Peterson, Kirkland W. Davis and James Choi; 9. Discography Charles E. Ray, Jr. and Leo J. Rothbarth; 10. Facet (zygapophyseal) joint injections Nick Stence; 11. Articular interventions in pain management: a general approach Blaze Cook; 12. Percutaneous management of visceral pain Frank Morello; 13. Embolization of painful neoplasms Jennifer R. Huddleston and Stephen P. Johnson; 14. Image-guided ablation of painful osteolyses David T. Wang and Charles E. Ray, Jr.; 15. Chronic pelvic pain in women Derek L. West; Part II. Systemic Pain Control: 16. Sedation and analgesia medications George Behrens, Hector Ferral and Nilesh H. Patel; 17. Guidelines for sedation administered by non-anesthesiologists Iftikhar Ahmad; 18. Pediatric sedation for radiological imaging studies Keira P. Mason; 19. Nontraditional pain management in interventional radiology Salomao Faintuch, Gloria Maria Martinez Salazar, Felipe B. Collares and Elvira V. Lang; 20. Post-procedural pain control Stan Zipser.
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