Interventional Pain Management

Doses Used in Fluoroscopic Lumbar Epidural Injections Overestimated

Doses Used in Fluoroscopic Lumbar Epidural Injections Overestimated

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Fluoroscope-reported values may overestimate total patient entrance dose-area product used in lumbar epidural injections.

Factors Associated With Suboptimal Interscalene Brachial Plexus Block for Arthroscopy

Factors Associated With Suboptimal Interscalene Brachial Plexus Block for Arthroscopy

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Factors including male gender and high body mass index were found to be independent risk factors for suboptimal interscalene brachial plexus block in patients undergoing arthroscopic elective shoulder arthroscopy.

Dexmedetomidine May Prolong Analgesia Duration in Nerve Blocks

Dexmedetomidine May Prolong Analgesia Duration in Nerve Blocks

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When used in combination with local anesthetics, dexmedetomidine may increase nerve block-associated analgesia for approximately 5 hours, but use of dexmedetomidine may be associated with a higher risk for intraoperative hypotension and bradycardia.

FDA Approves Minimally-Invasive, Non-Drug Therapy for Pain Management

FDA Approves Minimally-Invasive, Non-Drug Therapy for Pain Management

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Several clinical trials have demonstrated the SPRINT PNS System to be effective in reducing pain and improving quality of life.

Buffered Lidocaine May Be Superior to Nonbuffered Lidocaine for Inferior Alveolar Nerve Block

Buffered Lidocaine May Be Superior to Nonbuffered Lidocaine for Inferior Alveolar Nerve Block

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Sodium bicarbonate-buffered lidocaine may be superior to nonbuffered lidocaine in reducing onset time and injection pain during inferior alveolar nerve block.

Radiofrequency Denervation Efficacious in Treating Thoracic Zygapophyseal Joint Pain

Radiofrequency Denervation Efficacious in Treating Thoracic Zygapophyseal Joint Pain

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Radiofrequency denervation, typically used to treat lumbar and cervical zygapophyseal joint pain, has shown efficacy in treating thoracic zygapophyseal joint pain.

Greater Occipital Nerve Block Effective for Acute Relief of Refractory Migraine

Greater Occipital Nerve Block Effective for Acute Relief of Refractory Migraine

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The treatment may be beneficial in patients whose acute migraine does not respond to standard treatment with intravenous metoclopramide.

Transnasal Sphenopalatine Ganglion Block May Be Safe, Effective for Acute Migraine Treatment

Transnasal Sphenopalatine Ganglion Block May Be Safe, Effective for Acute Migraine Treatment

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The use of transnasal sphenopalatine ganglion block is safe and effective for providing short-term relief from acute migraine headaches.

Ultrasound-Guided Pulsed Radiofrequency May Be Effective for Thoracic Post-Herpetic Neuralgia Pain

Ultrasound-Guided Pulsed Radiofrequency May Be Effective for Thoracic Post-Herpetic Neuralgia Pain

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Ultrasound-guided pulsed radiofrequency applied to intercostal nerves may be safe and effective for managing thoracic postherpetic neuralgia-associated pain.

Trigger Point Manual Treatments May Be Effective in Tension-Type Headache

Trigger Point Manual Treatments May Be Effective in Tension-Type Headache

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Manual trigger point treatments of head and neck muscles may be associated with reductions in the duration, frequency, and intensity of tension-type headache and migraine headache attacks.

Education Plus Exercise, Single Corticosteroid Injection Effective in Long Term for Gluteal Tendinopathy

Education Plus Exercise, Single Corticosteroid Injection Effective in Long Term for Gluteal Tendinopathy

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Education combined with exercise as well as a single corticosteroid injection may be more effective than a wait-and-see approach for alleviating gluteal tendinopathy-associated pain.

Diagnostic Genicular Nerve Block May Predict Treatment Outcomes of Cooled RFA in Chronic Knee Pain

Diagnostic Genicular Nerve Block May Predict Treatment Outcomes of Cooled RFA in Chronic Knee Pain

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Genicular nerve cooled radiofrequency ablation may effectively relieve chronic knee pain associated with osteoarthritis and improve function for up to 6 months.

Less Pain Post TKA With Addition of Peripheral Nerve Blocks

Less Pain Post TKA With Addition of Peripheral Nerve Blocks

Addition of an interspace between the popliteal artery and capsule of the posterior knee block and adductor canal block to periarticular injection is associated with less pain after total knee arthroplasty.

Femoral Nerve Block Alone or in Combination With Sciatic Nerve Block for TKA: A Meta-Analysis

Femoral Nerve Block Alone or in Combination With Sciatic Nerve Block for TKA: A Meta-Analysis

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Sciatic nerve block may represent an effective complement to femoral nerve block for total knee arthroplasty.

Femoral Nerve Block Alone or in Combination With Sciatic Nerve Block for TKA: A Meta-Analysis

Femoral Nerve Block Alone or in Combination With Sciatic Nerve Block for TKA: A Meta-Analysis

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Sciatic nerve block may represent an effective complement to femoral nerve block for total knee arthroplasty.

Lumbar Disc Herniation With Radiculopathy Treatment Using Targeted Indwelling ESI

Lumbar Disc Herniation With Radiculopathy Treatment Using Targeted Indwelling ESI

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Targeted indwelling caudal epidural steroid injection in combination with a four-step manipulative therapy may be a safe and effective method for reducing pain intensity and functional disability in patients with symptomatic lumbar disc hernia.

Examining the Additive Benefits of Stellate Ganglion Block for Shoulder Arthroscopy

Examining the Additive Benefits of Stellate Ganglion Block for Shoulder Arthroscopy

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Addition of a stellate ganglion block to a cervical paravertebral block during arthroscopic shoulder surgery may not result in improved analgesia.

Examining the Additive Benefits of Stellate Ganglion Block for Shoulder Arthroscopy

Examining the Additive Benefits of Stellate Ganglion Block for Shoulder Arthroscopy

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Addition of a stellate ganglion block to a cervical paravertebral block during arthroscopic shoulder surgery may not result in improved analgesia.

Ilioinguinal-Transversus Abdominis Plane Block When Standard Analgesia Fails After Cesarean Delivery

Ilioinguinal-Transversus Abdominis Plane Block When Standard Analgesia Fails After Cesarean Delivery

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Ilioinguinal-transversus abdominis plane block was shown to provide superior pain relief compared with a multimodal analgesic regimen in patients undergoing an elective cesarean delivery.

Guidelines on the Perioperative Pain Management of Patients on Buprenorphine Therapy

Guidelines on the Perioperative Pain Management of Patients on Buprenorphine Therapy

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Clinical best practice recommendations for the use of buprenorphine in the perioperative management of patients undergoing interventional pain procedures and other surgeries were recently published.

Updated Guidelines for Interventional Pain Procedures in Patients on Antiplatelet, Anticoagulant Treatment

Updated Guidelines for Interventional Pain Procedures in Patients on Antiplatelet, Anticoagulant Treatment

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New recommendations regarding practices for patients receiving antiplatelet and anticoagulant therapy before and after interventional spine and pain procedures were formulated by the American Society of Regional Anesthesia and Pain Medicine.

FDA Approves GammaCore Treatment for Migraine Pain

FDA Approves GammaCore Treatment for Migraine Pain

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The FDA has granted GammaCore expanded clearance by the FDA to treat pain associated with migraine.

Conventional Radiofrequency Ablation More Effective Than Pulsed Radiofrequency for Perineal Pain

Conventional Radiofrequency Ablation More Effective Than Pulsed Radiofrequency for Perineal Pain

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In patients with chronic non-oncological perineal pain, ganglion impar block with conventional radiofrequency may result in improved pain relief compared with pulsed radiofrequency ablation.

Episodic Cluster Headache: Noninvasive Vagus Nerve Stimulation Leads to Pain Relief

Episodic Cluster Headache: Noninvasive Vagus Nerve Stimulation Leads to Pain Relief

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In episodic cluster headaches, acute noninvasive vagus nerve stimulation led to significantly higher rates of participants without pain.

Predictive Value of Genicular Nerve Blocks for Outcomes of Cooled Radiofrequency Ablation

Predictive Value of Genicular Nerve Blocks for Outcomes of Cooled Radiofrequency Ablation

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Pain relief of at least 50% following a prognostic genicular nerve block may not predict pain relief following genicular nerve cooled radiofrequency ablation in patients with chronic knee pain due to osteoarthritis.

Nerve Blockade Combination Effective in Bilateral Total Knee Arthroplasty-Related Pain

Nerve Blockade Combination Effective in Bilateral Total Knee Arthroplasty-Related Pain

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The use of staged bilateral continuous femoral nerve blockade and single-injection sciatic nerve blockade with single-injection subarachnoid block may effectively control pain following bilateral total knee arthroplasty.

Nerve Blockade Combination Effective in Bilateral Total Knee Arthroplasty-Related Pain

Nerve Blockade Combination Effective in Bilateral Total Knee Arthroplasty-Related Pain

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The use of staged bilateral continuous femoral nerve blockade and single-injection sciatic nerve blockade with single-injection subarachnoid block may effectively control pain following bilateral total knee arthroplasty.

Nerve Blockade Combination Effective in Bilateral Total Knee Arthroplasty-Related Pain

Nerve Blockade Combination Effective in Bilateral Total Knee Arthroplasty-Related Pain

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The use of staged bilateral continuous femoral nerve blockade and single-injection sciatic nerve blockade with single-injection subarachnoid block may effectively control pain following bilateral total knee arthroplasty.

Cooled Radiofrequency Ablation Relieves Osteoarthritis-Related Knee Pain

Cooled Radiofrequency Ablation Relieves Osteoarthritis-Related Knee Pain

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Cooled radiofrequency ablation may provide greater pain relief compared with intraarticular steroid injection in patients with osteoarthritis-related chronic knee pain.

Fluoroscopically Guided Sacroiliac Interventions: Appropriate Use Criteria

Fluoroscopically Guided Sacroiliac Interventions: Appropriate Use Criteria

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The Spine Intervention Society reported an overview of appropriate use criteria for fluoroscopically guided injections and radiofrequency procedures for the diagnosis and treatment of sacroiliac joint and posterior sacroiliac complex pain.

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