Advanced Pain Management in Interventional Radiology: Case-Based Approach

A practical, case-based guide on how to perform minimally invasive, image-guided procedures for pain management

Minimally-invasive techniques with fewer complications are continually being developed to provide relief to patients with debilitating, unrelenting pain. Although significant advancements have been made and development continues at a rapid pace, it is essential that progress continues and clinicians unfamiliar with these techniques learn and incorporate them into practice. Advanced Interventional Pain Management: A Case Based Approach edited by renowned interventional radiologists J. David Prologo and Charles E. Ray Jr. is the first textbook to use case examples to detail the latest image-guided interventional approaches to treat conditions, diseases, and syndromes associated with unremitting, incapacitating pain.

Fifty chapters by top experts in the field provide reviews of clinical conditions and technical guidance on how to perform procedures for a wide range of challenging pain conditions. The book starts with an insightful chapter on opioids, with discussion of history, the devastating opioid crisis, an overview of interventional pain procedures, and the important role interventional radiologists play in decreasing opioid use in select populations. Subsequently, each of the case-based chapters is consistently formatted with the case presentation, clinical evaluation, review of pertinent imaging, development of a treatment plan (including non‐IR treatment options), technical details, potential complications, and a literature review of the featured technique.

Key Features

• A periprocedural, multidisciplinary team approach emphasizes the importance of clinical evaluation of patients for making differential diagnoses and developing treatment plans
• Pearls on techniques, as well as pre- and post-procedural patient management
• Illustrated, step by step guidance on how to perform image-guided interventional techniques in complex pain patients, including 10 high-quality video clips
• Chapter discussion blocks with pertinent companion cases describe the challenges and nuances of each of the primary techniques

1. The Opioid Crisis: A Brief History2. Practice Building Techniques3. The Freestanding Outpatient Clinic4. Lytic Vertebral Body Metastasis with Fracture5. Lytic Lesions Involving the Vertebral Body without Associated Fracture6. Sclerotic Lesions Involving the Vertebral Body7. Multiple Myeloma in the Spine8. Painful Osseous Metastatic Disease II (Lytic, Non-Weight Bearing)9. Painful Osseous Metastatic Disease III (Sclerotic)10. Painful Neoplastic Disease of the Head and Neck11. Painful Soft Tissue Metastases12. Cryoneurolysis I13. Cryoneurolysis II—No Direct Nerve Involvement14. Celiac Plexus Neurolysis15. Intrathecal Pain Pumps16. Osteoporotic Fracture I (Minimal Height Loss Vertebroplasty)17. Osteoporotic Fracture—Kyphoplasty18. Osteoporotic Fracture III: Vertebral Augmentation Devices19. Osteoporotic Fracture IV: Curved Balloon Kyphoplasty20. Sacroplasty21. Benign Lesions of the Spine I—Aneurysmal Bone Cysts22. Benign Lesions of the Spine II: Hemangiomas23. Benign Lesions of the Spine III: Osteoblastoma24. Axia Pain Related to Disk Disease (Epidurals vs. Biologics vs. Other)25. Axial Back Pain Related to Sacroiliac Disease26. Radicular Pain Related to Disk Disease I (Transforaminal Injections)27. Radicular Pain Related to Synovial Cysts28. Percutaneous Spinal Decompression29. Neurostimulators30. Basivertebral Nerve Ablation31. CT-Guided Peripheral Nerve Blocks32. Peripheral Nerve Blocks (Ultrasound)33. Peripheral Nerve Blocks (MRI)34. Nerve Ablations I (Genicular RF)35. Nerve Ablations II—Intercostal Neuralgia36. Geniculate Artery Embolization37. Osteoid Osteoma I38. Osteoid Osteoma II: Pediatric Hip Pain39. Joint Injections40. Image-Guided (Fluoroscopic and Ultrasound) Joint, Tendon, and Bursal Injections41. Appendicular Fracture Stabilizations (Cement and/or Screw Fixation)42. Pudendal Interventions43. Pelvic Congestion Syndrome44. Caudal Block45. Superior Hypogastric Nerve Block I46. Hypogastric Nerve Block II47. Coccydynia48. Regenerative Medicine—Mesenchymal Stromal Cells49. Biologics II: Platelet-Rich Plasma50. Nerve Ablations IV (Peripheral Neuropathy)

This book provides interventional radiologists, anesthesiologists, neurologists, and other clinicians with in-depth understanding of the clinical indications and methodologies for treating complex pain patients with advanced interventional pain management procedures.

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