Pain Procedures in Clinical Practice

Expert Consult: Online and Print


  • Ted Lennard, MD, Clinical Assistant Professor of Physical Medicine and Rehabilitation, University of Arkansas for Medical Sciences, Little Rock, AR; Department of Physical Medicine and Rehabilitation, Springfield Neurological and Spine Institute, Springfield, MO
  • David Vivian, MM, BS, FAFMM, Medical Director, Clinical Intelligence, Metro Spinal Clinic, Metro Pain Clinics, Victoria, Australia
  • Stevan Walkowski
  • Aneesh Singla, MD, MPH, Instructor, Department of Anesthesia, Critical Care, and Pain Medicine, Harvard Medical School, Massachusetts General Hospital, Boston, Massachusetts

In the 3rd Edition of Pain Procedures in Clinical Practice, Dr. Ted Lennard helps you offer the most effective care to your patients by taking you through the various approaches to pain relief used in physiatry today. In this completely updated, procedure-focused volume, you’ll find nearly a decade worth of new developments and techniques supplemented by a comprehensive online video collection of how-to procedures at You’ll also find extensive coverage of injection options for every joint, plus discussions of non-injection-based pain relief options such as neuromuscular ultrasound, alternative medicines, and cryotherapy.
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Physiatrists, Anesthesiologists, Pain Specialists, Rheumatologists


Book information

  • Published: August 2011
  • Imprint: SAUNDERS
  • ISBN: 978-1-4160-3779-8

Table of Contents

Section I: Basic Principles of Procedures

1 Fundamentals of Procedural Care


2 Commonly Used Medications in Physiatric Procedures


3 Psychological Aspects of Pain


4 Conscious Sedation for Interventional Pain Procedures


5 Radiation Safety for the Physician


6 Complications of Common Selective Spinal Injections: Prevention and Management


7 Implementing a Successful Revenue Cycle in Your Pain Management Practice (Coding)


8 Medicolegal Issues


Section II: Soft Tissue & Joint Injections

9 Upper Extremity Joint Injections


10 Lower Extremity Joint Injections


11 Bursae Injections


12 Tendon Sheath and Insertion Injections


13 Trigger Point Injections


14 Botulinum Toxin Injections in Myofascial Pain Disorders


Section III: Complementary & Alternative Medical Procedures

15 Prolotherapy: A CAM Therapy for Chronic Musculskeletal Pain


16 Percutaneous Neuromoedulation Therapy (PNT)


17 Medical Acupuncture


18 Osteopathic Manipulative Medicine: A Functional Approach to Pain


19 The Treatment of Pain through Chinese Scalp Acupuncture


20 Herbal and Nutritional Supplements for Painful Conditions


21 Body Work and Movement Therapies


22 Mind Body Therapies and PTSD


Section IV: Peripheral Nerve Blocks

23 Basic Principles of Neural Blockade


24 Ultrasound Guided Nerve Blocks


25 Upper Extremity: Suprascapular Block


26 Sciatic Nerve Block


27 Lower Extremity: Saphenous Nerve Block


28 Lower Extremity: Lateral Femoral Cutaneous Nerve Block


29 Genitofemoral Neural Block


30 Ilioinguinal and Iliohypogastric Neural Blockade


31 Intercostal Nerve Block


32 Supraorbital Nerve Block for Supraorbital Neuralgia


33 Head & Facial: Trigeminal Neuralgia


34 Occipital Neuralgia


Section V: Spine

35 Epidural Steroid Injections: Cervical, Thoracic, and Lumbar: Transforaminal, Interlaminar, and Caudal

36 Zygapophysial Joint Pain: Procedures for Diagnosis and Treatment


37 Sacroiliac Joint Pain: Procedures for Diagnosis and Treatment


38 Discography:

Part A Theoretical Aspects

Part B Intervertebral Disc Access and Stimulation: Lumbar, Thoracic, and Cervical


39 Discogenic Pain, Internal Disc Disruption and Radicular Pain


40 Intradiscal and Peridiscal Therapies for Discogenic and Radicular Pain


41 Spinal Cord Stimulation and Implanted Intrathecal Drug Infusion


42 Sympathetic Neural Blockade


43 Imaging for Chronic Spinal Pain


Section VI: Phuysical Modalities for Pain Management

44 Thermal Applications


45 Cryotherapy


46 Electrical Stimulation


47 Traction


48 Manual Therapy


49 Therapeutic Exercises