Medical Specialty: Pain Management

Pain management (also called pain medicine; algiatry) is that branch of medicine employing an interdisciplinary approach to easing the suffering and improving the quality of life of those living with pain.

Pain Management
Acromioclavicular Joint Injection
Acromioclavicular joint injection
Bilateral Carpal Tunnels Injection
Injection of bilateral carpal tunnels
Bilateral sacroiliac joint injections
Bilateral sacroiliac joint injections
Botox Injection - Trigger Point
Trigger point injections with Botox.
Bursal Injection
Greater trochanteric bursal injection.
Caudal Epidural Steroid Injection
Caudal epidural steroid injection
Celiac Plexus Block
Standard celiac plexus block procedure note.
Cervical Epidural Steroid Injection
Cervical epidural steroid injection without fluoroscopy. An 18-gauge Tuohy needle was placed into the epidural space using loss of resistance technique.
Cervical Epidural Steroid Injection - 1
Cervical epidural steroid injection C7-T1. An 18-gauge Tuohy needle was then placed in the epidural space with loss of resistance technique and a saline-filled syringe utilizing a midline intralaminar approach.
Cervical Epidural Steroid Injection - 2
Cervical epidural steroid injection, C5-6. The C-arm was brought into the operative field and an AP view of the lumbar spine was obtained with particular attention to the C5-6 level.
Cervical Facet Joint Injection
Cervical facet joint injection with contrast
Cervical Medial Branch Blocks
Cervical spondylosis. Cervical medial branch blocks under fluoroscopic control.
Cervical Selective Nerve Root Block
Cervical Selective Nerve Root Block
Coccygeal injection
Coccygeal injection
Costochondral Cartilage Injection
Costochondral Cartilage Injection
Depo-Medrol Injection
Right L5-S1 intralaminar epidural steroid injection with 120 mg of Depo-Medrol under fluoroscopic guidance. The patient is a 51-year-old female with back pain referring into the right leg.
Dorsal Ramus & Branch Block
Bilateral L5 dorsal ramus block and bilateral S1, S2, and S3 lateral branch block for sacroiliac joint pain. Fluoroscopic pillar view was used to identify the bony landmarks of the sacrum and sacroiliac joint and the planned needle approach. The skin, subcutaneous tissue, and muscle within the planned approach were anesthetized with 1% Lidocaine.
Epidural Blood Patch
Epidural Blood Patch. An 18-gauge Tuohy needle was then placed in the epidural space on the first pass utilizing loss of resistance technique with a saline filled syringe.
Epidural Steroid Block
Transforaminal epidural steroid block with fluoroscopy.
Epidural Steroid Injection
Epidural steroid injection, epidurogram, fluroscopy - Low back pain, herniated disc, lumbosacral Facet, arthropathy.
Epidural Steroid Injection - 1
L3-L5 epidural steroid injection with epidural catheter under fluoroscopy.
Epidural Steroid Injection - 2
Caudal epidural steroid injection without fluoroscopy.
Epidural Steroid Injection - 3
Epidural steroid injection. A total of 5 mL containing 4 mL of 0.25% bupivacaine and 80 mg of methylprednisolone acetate were infiltrated.
Epidurogram
Right L4, attempted L5, and S1 transforaminal epidurogram for neural mapping.
Facet Arthrogram & Injection
Bilateral facet Arthrogram and injections at L34, L45, L5S1. Interpretation of radiograph. Low Back Syndrome - Low Back Pain.
Hip Injection
Hip injection. Fluoroscopy was used to identify the boney landmarks of the hip and the planned needle approach. The femoral artery was located by palpation of the pulse. The skin, subcutaneous tissue, and muscle within the planned needle approach were anesthetized with 1% Lidocaine.
Hypogastric Plexus Block
Standard hypogastric plexus block procedure note.
Intercostal Block
Intercostal block, left. Severe post thoracotomy pain.
Intercostal block - 1
Intercostal block from fourth to tenth intercostal spaces, left. Chest pain secondary to fractured ribs, unmanageable with narcotics.
Kenalog Injection
Left L5 transforaminal epidural steroid injection with 40 mg of Kenalog under fluoroscopic guidance. The patient is a 78-year-old female with back pain referring into the left side.
Knee Injection
Knee injection
Knee Injection - 1
Osteoarthritis of the right knee. Right knee joint steroid injection.
Knee Injection - 2
She is a 14-year-old Hispanic female with history of pauciarticular arthritis in particular arthritis of her left knee, although she has complaints of arthralgias in multiple joints. Under general anesthesia, 20 mg of Aristospan were injected on the left knee.
Lower Extremity Pain
Evaluation for right L4 selective nerve root block.
Lumbar Discogram
Lumbar discogram L2-3, L3-4, L4-5, and L5-S1. Low back pain.
Lumbar Epidural Steroid Injection
Lumbar epidural steroid injection without fluoroscopy. A 18-gauge Tuohy needle was placed into the epidural space, using loss of resistance technique, with no cerebrospinal fluid or blood noted.
Lumbar Epidural Steroid Injection - 1
Lumbar epidural steroid injection, intralaminar approach, seated position. An 18-gauge Tuohy needle was then placed in the epidural space utilizing a midline intralaminar approach with loss of resistance technique and a saline-filled syringe.
Lumbar Epidural Steroid Injection - 2
Lumbar epidural steroid injection, L5-S1. Low back pain.
Lumbar Epidural Steroid Injection - 3
Lumbar epidural steroid injection for lumbar radiculopathy.
Lumbar Facet Injections
Lumbar facet injections done under fluoroscopic control. Lumbar spondylosis.
Lumbar Sympathetic Block
Bilateral lumbar sympathetic block. The patient was in the prone position and the back prepped with Betadine. The patient was given sedation and monitored.
Medial Branch Rhizotomy
Medial branch rhizotomy, lumbosacral. Fluoroscopy was used to identify the boney landmarks of the spine and the planned needle approach. The skin, subcutaneous tissue, and muscle within the planned approach were anesthetized with 1% Lidocaine.
Mortons Neuroma Injection
Injection of Morton's neuroma.
Neuroplasty
Left L4-L5 transforaminal neuroplasty with nerve root decompression and lysis of adhesions followed by epidural steroid injection.
Pain Management Progress Note
Pain management sample progress note.
Plantar Fascia Injection
Plantar Fascia Injection
Radiofrequency Ablation
Bilateral L5, S1, S2, and S3 radiofrequency ablation for sacroiliac joint pain. Fluoroscopy was used to identify the bony landmarks of the sacrum and the sacroiliac joints and the planned needle approach. The skin, subcutaneous tissue, and muscle within the planned approach were anesthetized with 1% Lidocaine.
Radiofrequency Thermocoagulation
Right sacral alar notch and sacroiliac joint/posterior rami radiofrequency thermocoagulation.
Radiofrequency Thermocoagulation - 1
Radiofrequency thermocoagulation of bilateral lumbar sympathetic chain.
Radiofrequency Thermocoagulation - 2
Complex Regional Pain Syndrome Type I. Stellate ganglion RFTC (radiofrequency thermocoagulation) left side and interpretation of Radiograph.
Radiofrequency Thermocoagulation - 3
Cervical spondylosis. Radiofrequency thermocoagulation (RFTC), medial branch posterior sensory rami.
Sacral Alar Notch Injection
Right sacral alar notch and sacroiliac joint/posterior rami injections with/without fluoroscopy.
Shoulder Pain Consult
Consultation for right shoulder pain.
Stellate Ganglion Block
Complex regional pain syndrome, right upper extremity. Stellate ganglion block.
Superior Gluteal Nerve Block
Superior Gluteal Nerve Block, Left - Superior Gluteal Neuralgia/Neurapraxia-impingement Syndrome.
SynchroMed Pump Placement
Placement of SynchroMed infusion pump and tunneling of SynchroMed infusion pump catheter. Anchoring of the intrathecal catheter and connecting of the right lower quadrant SynchroMed pump catheter to the intrathecal catheter.
Tenosynovectomy & Cortisone Injection
Left carpal tunnel release with flexor tenosynovectomy; cortisone injection of trigger fingers, left third and fourth fingers; injection of Dupuytren's nodule, left palm.
Thoracic epidural steroid injection
Thoracic epidural steroid injection without fluoroscopy. An 18-gauge Tuohy needle was then placed into the epidural space using loss of resistance technique.
Transforaminal Epidural Steroid Injection
Left L3-L4 transforaminal epidural steroid injection (L3 nerve root) and Left L4-L5 transforaminal epidural steroid injection (L4 nerve root) under fluoroscopic guidance.
Transforaminal Epidural Steroid Injection - 1
Transforaminal Epidural, lumbar - Template. Fluoroscopy was used to identify the boney landmarks of the facet joints and the planned needle approach. The skin, subcutaneous tissue, and muscle within the planned approach were anesthetized with 1 % lidocaine.
Trigger Point Injection
Trigger Point Injection. The area over the myofascial spasm was prepped with alcohol utilizing sterile technique.
Tun-L Catheter Placement
Nerve root decompression at L45 on the left side. Tun-L catheter placement with injection of steroid solution and Marcaine at L45 nerve roots left. Interpretation of radiograph.