Spinal Injection Techniques

Prof. J. Krämer ist Direktor der Orthopädischen Universitätsklinik Bochum und Herausgeber der Zeitschrift für Orthopädie.

Written by a multidisciplinary team of experts, Spinal Injection Techniques presents all common methods for the injection of local anesthetics to address pain from the cervical spine to the sacrum. The authors describe techniques that are viable alternatives to spine surgery and that do not rely on diagnostic imaging. The first section of the book covers a general overview of the basic principles, diagnostics, and causal as well as symptomatic pain therapy for the spine. Designed in atlas format, the second section includes chapters on spinal anatomy and pain signaling, techniques for injection therapy of the cervical, thoracic and lumbar spine, management of potential complications and side effects, and multimodal spine therapy. Illustrated by real-life photographs from the author's practice, each technique-related chapter guides the reader step-by-step and with great precision through the injection procedures. Highlights:
Provides detailed coverage of injection therapy without the use of image guidance

Features inpatient and outpatient minimally invasive spine therapy, and concomitant pharmaceutical treatments

Includes essential information on contraindications and patient consent

More than 400 color illustrations and photographs demonstrate the relevant anatomy, patient positioning, and accurate needle placement

Designed as a practical guide and useful compendium, Spinal Injection Techniques is invaluable for orthopedists and practitioners in physical medicine and rehabilitation. It is also a handy reference for anesthesiologists, neurologists, and rheumatologists with a specific interest in pain therapy for the spine.

Spinal injection treatment techniques - presented step by step Anatomical principles and neuroanatomical landmarks Diagnostics and differential diagnoses Treatment of pain from the orthopedist s point of view Useful compendium of practical information Many color drawings and color photographs illustrating the various spinal injection techniques

1 Basic Principles 1.1 Orthopedic pain therapy 1.2 Nociception and Chronification 2 Diagnostics 2.1 Medical History 2.2 Clinical Examination Findings 2.3 Neurological-Orthopedic Examination 2.4 Laboratory Tests 2.5 Imaging Techniques 2.6 Trial Measures Used for the Diagnosis of Pain 3 Causal Orthopedic Pain Therapy 3.1 Positioning, Traction 3.2 Orthopedic Aids 3.3 Manual Therapy 3.4 Physical Therapy (Physiotherapy) 3.5 Postural and Behavioral Training: e.g., Back Classes 3.6 Back Classes and Orthopedic Pain Therapy 4 Symptomatic Pain Therapy 4.1 Introduction 4.2 Thermotherapy 4.3 Massage 4.4 Electrotherapy 4.5 Acupuncture 4.6 Therapeutic Local Injection Treatment (TLIT) 4.7 Interleukin 1 Receptor Antagonist Protein (IRAP) 4.8 Concepts for a Multimodal Medication Concomitant Therapy 5 The Spine: Anatomy, Nociception, and the Distribution of Pain Signals 5.1 Terminology 5.2 Nociception and the Distribution of Pain Signals in the Spine 6 Special Orthopedic Injection Therapy: Contraindications Information 6.1 Contraindications 6.2 Information 7 Cervical Injection Therapy 7.1 Specialized Cervical Neuroanatomy 7.2 Basic Therapy for Cervical Pain 7.3 Special Therapy for Cervical Pain 7.4 Cervical Injection Treatment 8 Thoracic Injection Therapy 8.1 Specialized Thoracic Neuroanatomy 8.2 Clinical Picture 8.3 Thoracic Injection Treatment 9 Lumbar Injection Therapy 9.1 Specialized Lumbar Neuroanatomy 9.2 Basic Therapy for Lumbar Pain 9.3 Special Therapy for Lumbar Pain 9.4 Lumbar Injection Therapy 10 General and Specific Complications and Treatment Measures 10.1 Vasovagal Syncope 10.2 Intravasal Administration of Local Anesthetics and Glucocorticoids 10.3 Intrathecal Administration of Local Anesthetics and Glucocorticoids 10.4 Anaphylactoid Reaction Anaphylactic Shock 10.5 Postdural Puncture Syndrome 10.6 Bacterial Infection 10.7 Bleeding 10.8 Special Complications and Side Effects of Cervical Spinal Nerve Analgesia (CSPA) 10.9 Side Effects and Complications of Cervical Epidural Injections 10.10 Side Effects and Complications of Thoracic Injection Techniques 10.11 Side Effects and Complications of Lumbar Spinal Nerve Analgesia (LSPA) 10.12 Side Effects and Complications of Lumbar Epidural Injections 11 Multimodal Spinal Therapy 11.1 Outpatient Minimal Invasive Spinal Therapy (OMIST) 11.2 Inpatient Minimal Invasive Spinal Therapy (IMIST) 11.3 Multimodal Program 11.4 Results 12 Summary 12.1 Cervical Spine 12.2 Thoracic Spine 12.3 Lumbar Spine/Sacrum 12.4 Conclusion Literature Index