Multimodality Imaging Guidance in Interventional Pain Management

Samer N. Narouze MD, PhD is a Clinical Professor of Anesthesiology and Pain Management at Ohio University, a Clinical Professor of Neurological Surgery at Ohio State University, and Chairman of the Center for Pain Medicine at Western Reserve Hospital in Cuyahoga Falls, Ohio

Part I: Introduction to Multimodality Imaging Guidance
1. Basics of Fluoroscopy
2. Basics of Ultrasound
3. Basics of CT-guided Injections

Part II: Spine Anatomy and Injections

Section A. Cervical Spine
4. Cervical Transforaminal/Nerve Root Injections: Fluoroscopy
5. Cervical Nerve Root Block: Ultrasound
6. Cervical Nerve Root Injections: CT
7. Cervical Facet Nerve Block and Radio Frequency Application (RFA): Fluoroscopy
8. Cervical Facet Nerve Blocks: Ultrasound
9. Cervical Intra-Articular Facet Block: CT
10. Cervical Interlaminar Epidural Injections: Fluoroscopy
11. Atlanto-axial joint (AAJ) Injection: Ultrasound-guided
12. Atlanto-axial Joint (AAJ) Injection: CT and Flouroscopy/Digital Subtraction

Section B. Thoracic Spine
13. Thoracic Epidural and Nerve Root Injections: Fluoroscopy
14. Thoracic Nerve Root and Facet Injections: CT-Guided
15. Thoracic Facet Nerve Joints: Fluoroscopy

Section C. Lumbar Spine
16. Lumbar Transforaminal and Nerve Root Injections: Fluoroscopy
17. Lumbar Transforaminal Injections: Ultrasound
18. Lumbar Transforaminal and Nerve Root Injection: CT
19. Facet Joint Interventions: Fluoroscopy
20. Lumbar Medial Branch Blocks: Ultrasound
21. Lumbar Epidural Injections: Fluoroscopy
22. Central Neuraxial Blockade: Ultrasound
23. Lumbar Disc Procedures: Fluoroscopy

Section D. Sacrum
24. Caudal Epidural Steroid Injection: Fluoroscopy
25. Caudal Epidural Steroid Injection: Ultrasound
26. Vertebral Augmentation: Fluoroscopy and CT

Part III: Non-spinal Injections

Section A. Sympathetic and Visceral Blocks
27. Cervical Sympathetic Block: Fluoroscopy
28. Stellate Ganglion Block: Ultrasound Guided
29. Stellate Ganglion Block and Neurolysis: CT
30. Lumbar Sympathetic Block: Fluoroscopy
31. Lumbar Sympathetic Block and Neurolysis: CT
32. Celiac Plexus Blockade and Neurolysis: Fluoroscopy
33. Celiac Plexus Blockade and Neurolysis: Ultrasound
34. Celiac Plexus Blockade and Neurolysis: CT
35. Superior Hypogastric Block and Neurolysis: CT, Fluoroscopy, Ultrasound
36. Ganglion Impar Block: Fluoroscopy and US

Section B. Peripheral Nerve Blocks
37. Peripheral Nerve Blocks in Chronic Pain

Part IV: Musculoskeletal Applications

Section A. Joint Injections
38. Sacroiliac Joint Injection: Fluoroscopy
39. Sacroiliac Joint Injections: CT
40. Hip Joint Injections: US
41. Knee Joint Injections: Ultrasound
42. Ankle and Foot Injections: US
43. Shoulder Interventional Procedure Under Ultrasound Guidance
44. Elbow Injections: US
45. Hand and Wrist Injections: US

Section B. Soft Tissue Injections
46. Pyriformis Muscle Injections: Fluoroscopy
47. Piriformis Muscle, Psoas Muscle and Quadaratus lumborum Muscle Injections: Ultrasound
48. Psoas and Quadratus Lumborum Muscle Injections: Flouroscopy