This atlas is a practical guide for practitioners who perform interventional procedures with radiographic guidance to
alleviate acute or chronic pain. The author provides an overview of each technique, with detailed full-color
illustrations of the relevant anatomy, technical aspects of each treatment, and a description of potential
complications. For this revised and expanded Second Edition, the author also discusses indications for each technique,
as well as medical evidence on the technique's applicability. The new edition features original drawings by a noted
medical artist and for the first time includes three-dimensional CT images that correlate with the radiographic images
and illustrations for a fuller understanding of the relevant anatomy.
■NEW: 3D CT with reconstruction
■NEW: Dual lead placement, i.e. cervical and lumbar placement
■NEW: Intra-articular injections of the knee and hip
■NEW: Updated radiation safety guidelines
■Combination of anatomical diagrams with radiological images
■Detailed descriptions of patient positioning for each procedure
■Strong emphasis on the imaging
Table of Contents
Preface to the Second Edition vi
Preface to the First Edition vii
Acknowledgments ix
SECTION I Basic Techniques, Radiation Safety, and Pharmacology
1 Basic Techniques for Image-guided Injection
2 Radiation Safety
3 Radiographic Contrast Agents
4 Pharmacology of Agents Used During Image-guided Injection
SECTION II Spinal Injection Techniques
5 Interlaminar Epidural Injection
6 Transforaminal and Selective Spinal Nerve Injection
7 Facet Injection: Intra-articular Injection, Medial Branch Block, and Radiofrequency Treatment
8 Sacroiliac Joint Injection
9 Lumbar Discography and Intradiscal Treatment Techniques
SECTION III Sympathetic and Peripheral Nerve Blocks
10 Stellate Ganglion Block
11 Celiac Plexus Block and Neurolysis
12 Lumbar Sympathetic Block and Neurolysis
13 Superior Hypogastric Block and Neurolysis
14 Intercostal Nerve Block and Neurolysis
SECTION IV Implantable Devices
15 Implantable Spinal Drug Delivery System Placement
16 Spinal Cord Stimulation System Placement
Appendix
Index