Atlas of Pain Management Injection Techniques by Steven D. Waldman MD JD

By Steven D. Waldman MD JD

Master each crucial soreness administration injection method used today with Atlas of soreness administration Injection recommendations, third Edition. With professional counsel from best authority Steven D. Waldman, MD, JD and considerable step by step colour illustrations, you will see tips to assessment the reasons of ache, determine the main promising injection process, find the injection web site with precision, and carry the relaxation your sufferers crave. From the top and neck to the foot and ankle - and all over the place among - this best-selling discomfort administration reference equips you to perform an entire diversity of scientific injection strategies with larger confidence!

  • Perform each one approach like a professional and stay away from complications with scientific pearls in each one chapter.
  • Access the full contents online at www.expertconsult.com.

  • Perform each one approach like a professional and keep away from complications with scientific pearls in each one chapter.
  • Access the whole contents online at www.expertconsult.com.

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Additional resources for Atlas of Pain Management Injection Techniques

Example text

Dental pain is the result of irritation or inflammation of the nerves of the pulp and/or root of the tooth. Common causes of irritation or inflammation responsible for dental pain include infection, decay with resultant nerve exposure, gingival disease, plaque at or below the gum line, bruxism, injury, tumor, and tooth extraction. Less common causes include chemotherapyinduced odontalgia and barodontalgia. Pain involving the incisors or canine teeth may also be referred from other anatomic areas.

5 to 3 cm (see Figure 11-2). After contact has been made, the needle is withdrawn slightly out of the periosteum or substance of the calcified ligament. 5% preservative-free lidocaine combined with 80 mg of methylprednisolone is injected in incremental doses. Subsequent daily nerve blocks are carried out in a similar manner, substituting 110 mg of methylprednisolone for the initial 80-mg dose. Side Effects and Complications Figure 11-1╇ Bilateral hyoid bone fracture with disarticulation of the greater horns from the body, thyroid cartilage injury, mandibular symphyseal fracture, and left condyle fracture.

The vascularity of this region also increases the incidence of inadvertent intravascular injection. Even small amounts of local anesthetic injected into the carotid artery at this level will result in local anesthetic toxicity and seizures. Incremental administration while carefully monitoring the patient for signs of local anesthetic toxicity helps avoid this complication. Glossopharyngeal neuralgia can be distinguished from Eagle syndrome in that the pain of glossopharyngeal neuralgia is characterized by paroxysms of shocklike pain as in trigeminal neuralgia, rather than the sharp, shooting pain on movement that is associated with Eagle syndrome.

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