Preface to the Second Edition

vi

Preface to the First Edition

vii

Acknowledgments

ix

SECTION I

BASIC TECHNIQUES, RADIATION SAFETY, AND PHARMACOLOGY

1

1

Basic Techniques for Image-guided Injection

2

2

Radiation Safety

8

3

Radiographic Contrast Agents

16

4

Pharmacology of Agents Used During Image-guided Injection

23

SECTION II

SPINAL INJECTION TECHNIQUES

33

5

Interlaminar Epidural Injection

34

6

Transforaminal and Selective Spinal Nerve Injection

64

7

Facet Injection: Intra-articular Injection, Medial Branch Block, and Radiofrequency Treatment

80

8

Sacroiliac Joint Injection

118

9

Lumbar Discography and Intradiscal Treatment Techniques

131

SECTION III

SYMPATHETIC AND PERIPHERAL NERVE BLOCKS

151

10

Stellate Ganglion Block

152

11

Celiac Plexus Block and Neurolysis

162

12

Lumbar Sympathetic Block and Neurolysis

176

13

Superior Hypogastric Block and Neurolysis

187

14

Intercostal Nerve Block and Neurolysis

196

SECTION IV

IMPLANTABLE DEVICES

205

15

Implantable Spinal Drug Delivery System Placement

206

16

Spinal Cord Stimulation System Placement

219

Appendix

235

Index

237