For the pain physician, Urine Drug Testing (UDT) is not a tool for "catching" patients; it is a...
Explore More
Adjuvant Medications—Alpha-2 Agonists and Steroids
In the pharmacological management of pain, "adjuvant" medications are those primarily indicated...
Topical Analgesics—Lidocaine, Capsaicin, and Compounded Creams
In the modern landscape of pain management, topical analgesics have transitioned from "ancillary"...
💉PROCEDURES
Regional Anesthesia and Procedural Sedation in Children: Safety, Anatomy, and Technique
The use of regional anesthesia in pediatrics has expanded significantly, shifting from strictly "surgical" use to a vital component of chronic and subacute pain management. Whether performing a block for post-operative recovery or providing sedation for a painful...
Comprehensive Guide to Epidural Steroid Injections
Epidural steroid injections (ESIs) are among the most frequently performed interventional procedures for the treatment of radicular pain secondary to disc herniation, spinal stenosis, or spondylosis. While the primary goal is the delivery of anti-inflammatory...
Targeted Neuroanatomy of the Knee for Chronic Pain Management
Chronic knee pain, whether from advanced osteoarthritis (OA) or post-total knee arthroplasty (TKA), remains one of the most common presentations in a pain management clinic. For the interventionalist, success in procedures like genicular nerve radiofrequency ablation...
Spinal Cord Stimulation: Mechanism, Indications, and Modern Waveforms
Spinal Cord Stimulation (SCS) is a well-established form of neuromodulation used to treat chronic, intractable pain, particularly neuropathic pain of the trunk and limbs. It involves the delivery of low-voltage electrical impulses to the dorsal columns of the spinal...
Epidural Steroid Injections: A Comprehensive Review of Indications, Techniques, and Safety Considerations
Epidural steroid injections (ESIs) are one of the most commonly performed interventional procedures for the management of radicular pain originating from the spine. The primary goal of an ESI is to deliver a potent anti-inflammatory corticosteroid directly to the site...
Interventional Management of Upper Abdominal Visceral Pain: The Celiac Plexus Block
Severe, intractable pain arising from upper abdominal malignancies, most notably pancreatic cancer, represents a significant clinical challenge. This type of visceral pain is often poorly responsive to systemic opioids and can be a source of profound suffering,...
Radiofrequency Ablation (RFA): Principles, Techniques, and Applications
Radiofrequency Ablation (RFA), also known as radiofrequency neurotomy, is a minimally invasive procedure widely used in pain medicine to provide long-lasting relief for various chronic pain conditions. It works by using thermal energy to create a controlled lesion on...
Acromial Clavicular Joint Injection
Hip Injection
Knee Joint Injection
Subacromial Bursa Injection
Glenohumeral Joint Injection
Understanding Sacroiliac Joint Pain and Injections: A Comprehensive Guide
The sacroiliac joint, or SI joint, plays a crucial role in connecting the sacrum and the ilium in the pelvis. This intricate joint is surrounded by a network of ligaments and muscles, providing stability and support to the lower back and the entire body. However, when...
Lumbar Transforaminal Epidural
Radiofrequency Ablation of the Medial Branch for Facet Joint Pain
Radiofrequency ablation (RFA) of the medial branch nerve is a procedure commonly used to manage chronic pain arising from the facet joints of the spine. The facet joints are paired structures located along the posterior aspect of the spine, responsible for providing...
Lumbar Epidurals
Thoracic Epidural
Procedure Steps: Patient Preparation: The patient is typically positioned lying face down on an X-ray table, with appropriate cushioning to ensure comfort and optimal spinal alignment. Sterilization: The skin overlying the injection site in the thoracic region is...
Cervical MBB/RFA
Cervical Epidurals
Procedure Steps: Patient Preparation: The patient is typically positioned lying face down or sitting upright on an X-ray table, with appropriate cushioning to ensure comfort and optimal spinal alignment. Sterilization: The skin overlying the injection site in the...
Explore More
Toxicology and Urine Drug Testing (UDT)
For the pain physician, Urine Drug Testing (UDT) is not a tool for "catching" patients; it is a...
Adjuvant Medications—Alpha-2 Agonists and Steroids
In the pharmacological management of pain, "adjuvant" medications are those primarily indicated...
Topical Analgesics—Lidocaine, Capsaicin, and Compounded Creams
In the modern landscape of pain management, topical analgesics have transitioned from "ancillary"...

