Ultrasound-guided blocks for the treatment of chronic pain

Curatolo, Michele; Eichenberger, Urs (2007). Ultrasound-guided blocks for the treatment of chronic pain. Techniques in Regional Anesthesia and Pain Management, 11(2), pp. 95-102. Elsevier 10.1053/j.trap.2007.02.012

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Ultrasound (US) is an emerging imaging technique in interventional pain management. The main advantages are the identification of soft tissues, vessels, and nerves, without exposing patients and personnel to radiation, the possibility to perform continuous imaging, and the visualization of the fluid injected in a real-time fashion. Possible applications are nerve blocks of the cervical and lumbar zygapophysial joints, stellate ganglion block, intercostal nerve blocks, occipital nerve blocks, blocks of the inguinal nerves, peripheral nerve blocks of the extremities, blocks of painful stump neuromas, caudal epidural injections, and injections of tender points. US may also be used for destructive procedures, such as cryoanalgesia, radiofrequency lesions, or chemical neurolysis. The increasing published data available suggest that US has a potential usefulness in interventional pain management, but also limitations. There is still a need for clinical trials investigating efficacy and safety of US-guided pain procedures. Until these studies are made, fluoroscopy or computed tomography remain the gold standard for most interventional pain procedures.

Item Type:

Journal Article (Further Contribution)

Division/Institute:

04 Faculty of Medicine > Department of Intensive Care, Emergency Medicine and Anaesthesiology (DINA) > Clinic and Policlinic for Anaesthesiology and Pain Therapy

UniBE Contributor:

Curatolo, Michele and Eichenberger, Urs

Subjects:

600 Technology > 610 Medicine & health

ISSN:

1084-208X

Publisher:

Elsevier

Language:

English

Submitter:

Jeannie Wurz

Date Deposited:

04 Oct 2013 14:58

Last Modified:

23 Jan 2018 12:17

Publisher DOI:

10.1053/j.trap.2007.02.012

URI:

https://boris.unibe.ch/id/eprint/25123 (FactScience: 55658)

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