Dr. Athma Thottungal describes ultrasound, diagnosis, and procedures of the peripheral nerves of the upper extremity. She concentrates on the cervical sympathetic trunk as an example. Cervicothoracic ganglion blocks, also known as the stellate ganglion, can be difficult to treat. Knowing your target is important, she says, and this will also influence the tools you use for diagnosing, as well as the procedure performed.
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Published on November 15, 2021
Dr. Athma Thottungal describes ultrasound, diagnosis, and procedures of the peripheral nerves of the upper extremity. She concentrates on the cervical sympathetic trunk as an example. Cervicothoracic ganglion blocks, also known as the stellate ganglion, can be difficult to treat. Knowing your target is important, she says, and this will also influence the tools you use for diagnosing, as well as the procedure performed.
Dr. Athma Thottungal describes ultrasound, diagnosis, and procedures of the peripheral nerves of the upper extremity. She concentrates on the cervical sympathetic trunk as an example. Cervicothoracic ganglion blocks, also known as the stellate ganglion, can be difficult to treat. Knowing your target is important, she says, and this will also influence the tools you use for diagnosing, as well as the procedure performed.
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Dr. Vikram Patel discusses ways to optimize radiation protection. Protecting patients, doctors, and staff from radiation is incredibly important. There are many hazards of radiation to the human body. However, there is a need for radiation in pain work, so how can radiation be minimized? Positioning and protection are key. Reducing time of exposure or reducing output can help. It is also to check exposure levels over time, as radiation accumulates. These ideas and more are described.
Dr. Fabricio Dias Assis presents on transforaminal epidural steroid injections (lumbar and sacral). First, he discusses lumbosacral radicular syndrome. This is also known as nerve root pain and is the most common form of recurring pain. This has many risk factors, including female gender, obesity, smoking, heavy manual labor, and more. He differentiates between radicular pain from radiculopathy. Transforaminal injections do not necessarily need steroid injections. He describes research on this topic and more.
Dr. Kenneth B. Chapman discusses vertebral augmentation. He gives a history of this procedure, starting with its conception 1984. Research since then has been sparse at times, but also promising. Osteoporosis is the primary condition associated with vertebral augmentation. Dr. Chapman discusses several different research studies. Cancer patients may also benefit from this procedure. With the appropriately selected patient, vertebral augmentation is a safe and effective procedure.
Dr. Miles Day discusses stellate ganglion and T2-T3 sympathetic blocks and radiofrequency. He reviews the anatomy for each block, as well as the indications. Anatomy is important for correct needle placement. There are many diseases that have sympathetically maintained pain, which makes sympathetic blocks a potentially powerful tool. He also discusses the fluoroscopic techniques for each block. Finally, he reviews potential complications.
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