Spinal Injections for the Diagnosis and Treatment of Chronic Pain
نویسنده
چکیده
Kenneth D. Candido, M.D. Chicago, Illinois Pain arising from the spine continues to be a challenging and vexing problem in terms of diagnostic assessment and implementation of therapeutic measures designed to modulate it. There are significant economic, social and health impacts of chronic spinal pain. There are multiple distinct potential and diverse pain generators that may be functioning individually or in tandem to produce a unique pain experience in any given individual. The present discussion will be limited due to space constraints to pain emanating from the cervical and lumbar spinal regions. Additionally, the interventions discussed will include the following: cervical interlaminar and transforaminal injections and medial branch blocks; lumbar interlaminar, caudal and transforaminal injections and medial branch blocks; and sacroiliac joint injections. Admittedly, this is merely a concise overview of an extremely complex topic. The interested reader is referred to the reference section for a somewhat more comprehensive bibliography.
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