title: Ultrasound-guided interventional procedures for chronic pain management.
abstract: Ultrasonography has multiple advantages over traditional radiologic imaging modalities when used for interventional procedures. It allows improved visualization of the anatomy while avoiding ionizing radiation and risks associated with contrast use. It has proved superiority at accuracy of delivery and procedural effectiveness over blind procedures when used in association with interventional pain procedures. Although limited in its ability to see through bony structures, ultrasound has utility in visualizing soft tissues and vascular structures in anatomic regions of interest resulting in increased use for posterior neuraxial, periaxial, peripheral nerve and joint-related structures. Current evidence for use in these settings is presented here. In some cases, optimal utility may be improved by combining ultrasonography with other imaging modalities.
authors.affiliation: Department of Anesthesiology & Perioperative Medicine, University of Alabama at Birmingham, Birmingham, AL 35249, USA.
authors.forename: Samuel
authors.initials: S
authors.lastname: Korbe
authors.affiliation: Department of Radiology, University of Chicago, Chicago, IL 60637, USA.
authors.forename: Esther N
authors.initials: EN
authors.lastname: Udoji
authors.affiliation: Department of Anesthesiology & Perioperative Medicine, University of Alabama at Birmingham, Birmingham, AL 35249, USA.
authors.forename: Timothy J
authors.initials: TJ
authors.lastname: Ness
authors.affiliation: Department of Anesthesiology & Perioperative Medicine, University of Alabama at Birmingham, Birmingham, AL 35249, USA.
authors.forename: Mercy A
authors.initials: MA
authors.lastname: Udoji
mesh_terms: D059350:Chronic Pain / Q000000981:diagnostic imaging* / Q000628:therapy*; D006801:Humans; D007270:Injections, Intra-Articular / Q000379:methods; D007278:Injections, Spinal / Q000379:methods; D009407:Nerve Block / Q000379:methods; D018084:Ultrasonography, Interventional / Q000379:methods*
keywords: chronic pain management; interventional pain management; joint injections; knee injection; neuraxial injections; shoulder injections; ultrasound-guided interventional pain; ultrasound-guided neuraxial injections