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February 27, 2024

Tips for an Obturator Nerve Block: Distal Approach

The obturator nerve originates from the ventral rami of the L2 to L4 lumbar nerves. An obturator nerve block serves various purposes: providing supplemental analgesia for hip and knee surgeries, preventing thigh adduction response during transurethra...
February 22, 2024

Case study: Cervical hernia with radicular pain

A 41-year-old woman presented with cervical pain radiating to the left upper limb. Her medical history reveals no prior comorbidities, but she engages in frequent and vigorous exercise, notably CrossFit. The pain she experiences is persistent, exacer...
February 20, 2024

Case study: Ultrasound-guided intercostal nerve block for post-herpetic neuralgia

Case presentation A 48-year-old male patient presented with severe pain localized to the left thoracic region, consistent with post-herpetic neuralgia following a recent episode of shingles involving the left T6 dermatome. The patient had no other si...
February 15, 2024

Tips for subclavian vein cannulation

Subclavian vein cannulation is an essential medical procedure used to access central veins for various clinical purposes. The incorporation of point-of-care ultrasound (POCUS) has significantly enhanced the precision and safety of this technique. POC...
February 13, 2024

Tips for a Lateral Femoral Cutaneous Nerve Block

The lateral femoral cutaneous nerve (LFCN) block is indicated for analgesia for surgery on the anterolateral thigh (e.g., skin grafting), muscle biopsy, and meralgia paresthetica. The complex branching of the LFCN makes accurate landmark-based blocks...
February 8, 2024

Case study: Cancer-related lower abdominal and pelvic pain

A 55-year-old woman, recently diagnosed with cervical uterine malignancy, presented with chronic lower abdominal and pelvic pain. The patient has no comorbidities and was diagnosed with moderately differentiated non-keratinizing squamous cell carcino...
February 7, 2024

Case study: Peripheral nerve blocks for pain management in a diabetic patient with foot gangrene

Case presentation A 69-year-old patient, 156 cm tall, weighing 90 kg, with a long history of diabetes mellitus, presented with foot gangrene and was scheduled for wound debridement and potential amputation. The patient’s hemodynamic status was stable...
February 1, 2024

Case study: Acromioclavicular joint arthritis – Injection

A 65-year-old female manual laborer presents with a 4-month history of left shoulder pain. She complains of anteromedial shoulder pain exacerbated during external rotation and superior shoulder pain, particularly at night. Physical examination Painfu...
January 30, 2024

Tips for an Intercostal Nerve Block

An intercostal nerve block provides analgesia for rib fractures, postsurgical analgesia for chest and upper abdominal surgery (e.g., thoracotomy, thoracostomy, mastectomy, gastrostomy, and cholecystectomy), herpes zoster, or post-herpetic neuralgia. ...
1. Third Occipital Nerve and Cervical Medial Branch Nerve Block
2. Cervical Zygapophyseal (Facet) Intra-Articular Injection
3. Cervical Nerve Root Block
4. Thoracic Paravertebral Block
5. Lumbar Facet Nerve Block and Intra-articular injection
6. Lumbar Nerve Root (Periradicular) Injections
7. Central Neuraxial Blocks
8. Caudal Epidural Injections
9. Sacroiliac Joint Injection
10. Transversus Abdominis Plane (TAP) Block
11. Celiac Plexus Block and Neurolysis
12. Ilioinguinal, Iliohypogastric, and Genitofemoral Nerve block
13. Piriformis Muscle Injection
14. Pudendal Nerve block
15. Ganglion Impar Injection
16. Superficial Trigeminal Nerve Blocks
17. Greater Occipital Nerve Block
18. Cervical Sympathetic Block
19. Lateral Femoral Cutaneous Nerve Block
20. Suprascapular Nerve Block
21. Intercostal Nerve Block
22. Subacromial/Subdeltoid Bursa Injections
23. Biceps Tendon Sheath (Biceps – Long Head) Injections
24. Acromioclavicular Joint Injections
25. Glenohumeral Joint Injections
26. Subscapularis Tendon/Subscapularis Bursa Injections
27. Sternoclavicular Joint Injections
28. Carpal Tunnel Injections
29. Trigger Finger Injections
30. Wrist Injections
31. Injections for Tendon Dysfunction
32. Elbow Injections
33. Intra-articular Hip Injections
34. Knee Injections
36. Atlanto-Axial and Atlanto-Occipital Joint Injections
37. Peripheral Nerve Stimulation
38. Occipital Stimulation
39. Groin Stimulation
40. Cervical Diskography and Intradiskal Procedures