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August 10, 2023

Case study: Trigger finger – Injection

A 57-year-old woman presents with a history of chronic pain over the base of the right middle finger for four months. The patient does not have any significant comorbidities or medical conditions, including no history of rheumatoid arthritis or diabe...
August 8, 2023

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...
August 7, 2023

Assessing Cerebral Vasospasm with Transcranial Doppler: A Step-by-Step Guide

Cerebral vasospasm is usually caused by subarachnoid hemorrhage (SAH) due to the exposure of the vessels to extravascular blood. For SAH patients, daily transcranial Doppler assessments are recommended starting from day 3 to 5. However, the highest i...
August 2, 2023

Tips for an Obturator Nerve Block: Distal Approach

The obturator nerve block is a regional anesthesia technique used for indications such as supplemental analgesia in hip and knee surgeries, prevention of thigh adduction response during transurethral bladder surgery, and relief of painful or permanen...
July 27, 2023

Case study: Carpal Tunnel Release

Case presentation​​ A 45-year-old female patient with a confirmed diagnosis of carpal tunnel syndrome in the right hand was scheduled for elective carpal tunnel release surgery. The patient experienced significant pain, numbness, and tingling in the ...
July 25, 2023

Case Study: Adhesive Capsulitis – Injection

A 56-year-old male with diabetes presented with a six-month history of chronic right shoulder pain. The patient complained of night pain, increasing severity of pain, limited painful abduction up to 45 degrees, and increased stiffness. Due to the res...
July 21, 2023

Identifying Pericardial Effusion or Tamponade: A Guide to Ultrasound Assessment in the Subcostal 4-chamber view (S4C)

The pericardium, a protective sac surrounding the heart, can accumulate fluid between its two layers (i.e., inner visceral and outer parietal pericardium) in various medical or surgical conditions. When this fluid buildup compresses the heart, leadin...
July 19, 2023

Tips for a Paravertebral Block: Transverse Oblique Technique

A paravertebral block is indicated for analgesia after breast surgery, thoracotomy, rib fractures, and procedures involving the thoracic and upper abdominal wall. Here are our 3 go-to tips to perform a paravertebral block with the transducer placed i...
July 13, 2023

Case study: Pes anserinus bursitis – Injection

A 35-year-old man, an IT professional, presented with medial right knee pain for three months. The pain was aggravated by driving his car. The patient reported no history of trauma or prior instances of knee pain. Physical examination Medial knee pai...
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