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Punto di Riferimento
per Medici e Operatori Sanitari
per Medici e Operatori Sanitari
LIBRERIA STUDIUM
Atlas of Injection Therapy in Pain Management
Fischer
Editore
Thieme
Anno
2012
Pagine
182
ISBN
9783131543011
80,00 €
A highly effective, low-risk pain management therapy to include in your patient services, Injection Therapy in Pain Management provides a practical, step-by-step approach that will allow physicians, including those without extensive prior experience, to manage pain through the injection of local anesthetics. Its clear, symptom-oriented format and detailed directions show how to recognize clinically recurring pain patterns, administer the correct treatment, and manage pain syndromes successfully.
Special Features:
- Precise instructions for implementing injection techniques safely and efficiently - even for more complex pain such as headache and in the shoulder
- Nearly 100 clear anatomic illustrations that use a simple color key to demonstrate injection points and areas of pain distribution - an ideal visual learning aid
- Concise descriptions of indications; differential diagnoses; materials and techniques; insertion points, direction and depth; possible risks and side effects; and concomitant therapies for pain treatment
- A straightforward double-page format with text on one side and anatomic drawings on the facing page for easy mastery of techniques
For all busy clinicians whose aim is to relieve pain quickly and effectively, and add a valuable, cost-effective service to their practice, this atlas-style teaching reference is essential. Orthopedists, sports medicine physicians, physical therapists, and practitioners of manual medicine will find a wealth of information and a roadmap of techniques that can be seamlessly integrated into everyday practice.
Contents
1 Introduction 2
Physiology of PainDevelopment . . . . . . . . 2
Therapeutic Possibilities . . . . . . . . . . . . . . 3
Methods for Application of Local
Anesthetics . . . . . . . . . . . . . . . . . . . . . . . . . 3
Effects of Local Anesthetics . . . . . . . . . . . . 6
Injection Techniques . . . . . . . . . . . . . . . . . 6
Side Effects and Contraindications
of Treatments with Local Anesthetics . . . . 9
2 Head 12
Complex Pain . . . . . . . . . . . . . . . . . . . . . . 12
Temporal/Parietal Headache . . . . . . . . 12
Occipitoparietal Headache . . . . . . . . . 14
Parietal Lock . . . . . . . . . . . . . . . . . . . . 16
Occipital Headache . . . . . . . . . . . . . . . 18
Pain in the Region of the Ear . . . . . . . . 20
Treatment through Muscles, Tendons,
and Ligaments . . . . . . . . . . . . . . . . . . . . . 22
Temporalis . . . . . . . . . . . . . . . . . . . . . . 22
Masseter and Mandibular Joint . . . . . . 24
Treatment through Nerves . . . . . . . . . . . . 26
Supraorbital Nerve . . . . . . . . . . . . . . . 26
Infraorbital Nerve . . . . . . . . . . . . . . . . 28
Treatment through the Skin . . . . . . . . . . . 30
“Crown of Thorns” . . . . . . . . . . . . . . . . 30
3 Cervical Spine 32
Complex Pain . . . . . . . . . . . . . . . . . . . . . . 32
Nonspecific Neck Pain . . . . . . . . . . . . . 32
Interspinous Neoarthrosis / Irritation
of the Interspinales . . . . . . . . . . . . . . . 34
Treatment through Muscles, Tendons,
and Ligaments . . . . . . . . . . . . . . . . . . . . . 36
Levator Scapulae . . . . . . . . . . . . . . . . . 36
Sternocleidomastoid . . . . . . . . . . . . . . 38
Trapezius . . . . . . . . . . . . . . . . . . . . . . . 40
Rectus Capitis Posterior Major
andMinor . . . . . . . . . . . . . . . . . . . . . . 42
Treatment through Nerves . . . . . . . . . . . . 44
Greater and Lesser Occipital Nerve . . . 44
Treatment through Joints . . . . . . . . . . . . . 46
Cervical Vertebral Joints of the C4–C6
Segments . . . . . . . . . . . . . . . . . . . . . . . 46
4 Upper Extremities 48
Complex Pain . . . . . . . . . . . . . . . . . . . . . . 48
Anterior Shoulder and Subacromial
Pain . . . . . . . . . . . . . . . . . . . . . . . . . . . 48
Pain in the Area of the Coracoid Process 50
Lateral Epicondylitis (Tennis Elbow) . . 52
Medial Epicondylitis (Golfer’s Elbow) . 54
Therapy through Muscles, Tendons,
and Ligaments . . . . . . . . . . . . . . . . . . . . . 56
Deltoid . . . . . . . . . . . . . . . . . . . . . . . . . 56
Rhomboid . . . . . . . . . . . . . . . . . . . . . . 58
Supraspinatus . . . . . . . . . . . . . . . . . . . 60
Infraspinatus . . . . . . . . . . . . . . . . . . . . 62
Biceps Brachii . . . . . . . . . . . . . . . . . . . 64
Triceps Brachii . . . . . . . . . . . . . . . . . . . 66
Supinator . . . . . . . . . . . . . . . . . . . . . . . 68
Trigger Finger . . . . . . . . . . . . . . . . . . . . 70
Pain in the Area of the Radial Styloid
Process . . . . . . . . . . . . . . . . . . . . . . . . . 72
Pain in the Area of the Ulnar Styloid
Process . . . . . . . . . . . . . . . . . . . . . . . . . 74
VII
Tenosynovitis Stenosans . . . . . . . . . . . 76
Therapy through Nerves . . . . . . . . . . . . . 78
Suprascapular Nerve . . . . . . . . . . . . . . 78
MedianNerve . . . . . . . . . . . . . . . . . . . 80
Intra-articular Therapy . . . . . . . . . . . . . . . 82
Shoulder Joint (Glenohumeral Joint) . . 82
Elbow Joint (Humeroradial/
Humeroulnar Joint) . . . . . . . . . . . . . . . 84
Wrist (Radiocarpal Joint) . . . . . . . . . . . 86
Rhizarthrosis and Pain Syndromes
of the Thumb Saddle Joint . . . . . . . . . . 88
5 Thorax and Abdomen 90
Complex Pain . . . . . . . . . . . . . . . . . . . . . . 90
Xiphoid–Sternum–Clavicle Triangle . . 90
Interscapular Pain . . . . . . . . . . . . . . . . 92
Therapy through Muscles, Tendons,
and Ligaments . . . . . . . . . . . . . . . . . . . . . 94
Pectoralis Major . . . . . . . . . . . . . . . . . . 94
Sternocostalis . . . . . . . . . . . . . . . . . . . 96
Rectus Abdominis . . . . . . . . . . . . . . . . 98
Transversus Abdominis . . . . . . . . . . . 100
Therapy through the Skin . . . . . . . . . . . 102
Disorders of the Stomach
and the Duodenum . . . . . . . . . . . . . . 102
Pancreatic Pain Syndrome . . . . . . . . . 104
Kidneys and Urinary Tract . . . . . . . . . 106
Ovaries and FallopianTubes . . . . . . . 108
Dysmenorrhea . . . . . . . . . . . . . . . . . . 110
Liver and Gallbladder Pain . . . . . . . . . 112
6 Lumbar Spine and Pelvis 114
Complex Pain . . . . . . . . . . . . . . . . . . . . . 114
Lumbago . . . . . . . . . . . . . . . . . . . . . . 114
Piriformis Syndrome . . . . . . . . . . . . . 116
Periarthritis Coxae . . . . . . . . . . . . . . . 118
Therapy through Muscles, Tendons,
and Ligaments . . . . . . . . . . . . . . . . . . . . 120
Adductors . . . . . . . . . . . . . . . . . . . . . 120
Painful Long Back Extensors
(Longissimus, Iliocostalis) . . . . . . . . . 122
Therapy through Nerves . . . . . . . . . . . . 124
Obturator Nerve . . . . . . . . . . . . . . . . 124
Lateral Femoral Cutaneous Nerve . . . 126
Therapy through Joints . . . . . . . . . . . . . . 128
Lumbar Vertebral Joints . . . . . . . . . . . 128
7 Lower Extremities 130
Complex Pain . . . . . . . . . . . . . . . . . . . . . 130
Patellofemoral Pain Syndrome
(Runner’s Knee) . . . . . . . . . . . . . . . . . 130
Gracilis and Pes Anserinus Pain
Syndromes . . . . . . . . . . . . . . . . . . . . . 132
Therapy through Muscles, Tendons,
and Ligaments . . . . . . . . . . . . . . . . . . . . 134
Biceps Femoris . . . . . . . . . . . . . . . . . . 134
Quadriceps Femoris . . . . . . . . . . . . . . 136
Triceps Surae . . . . . . . . . . . . . . . . . . . 138
Peronei . . . . . . . . . . . . . . . . . . . . . . . . 140
Medial Collateral Ligament . . . . . . . . 142
Lateral Collateral Ligament . . . . . . . . 144
Therapy through Nerves . . . . . . . . . . . . 146
Infrapatellar Nerve . . . . . . . . . . . . . . 146
Tarsal Tunnel and Tibialis Posterior
Compartment . . . . . . . . . . . . . . . . . . 148
Interdigital Nerve (Morton Neuroma) 150
Calcaneus Pain . . . . . . . . . . . . . . . . . . 152
Therapy through the Skin . . . . . . . . . . . 154
Knee Circle . . . . . . . . . . . . . . . . . . . . . 154
Medial Meniscus Pain . . . . . . . . . . . . 156
Lateral Meniscus Pain . . . . . . . . . . . . 158
Pain along the Tibia . . . . . . . . . . . . . . 160
Therapy and Joint Injection . . . . . . . . . . 162
Hip Joint . . . . . . . . . . . . . . . . . . . . . . . 162
Knee Joint . . . . . . . . . . . . . . . . . . . . . 164
VIII Contents
Upper Ankle Joint (Talocrural
Articulation) . . . . . . . . . . . . . . . . . . . 166
Metatarsal Phalangeal Joint . . . . . . . . 168
8 Myofascial Pain Syndromes 170
Frontoparietal Dysfunction Syndromes . 170 Occipitofrontal Dysfunction Syndromes 172
Further Reading 174
Index 176
Contents IX
