Abstract This chapter describes the lateral approach to fluoroscopically guided cervical medial branch injection. The cervical Z-joints are a well-documented source of acute and chronic neck pain. Symptomatic cervical Z-joints…
Note: Please see pages ii , iii for a list of anatomic terms/abbreviations used throughout this book. Fig. 30H.1 Illustration of an idealized cervical spine showing the variable course of…
Abstract Cervical zygapophysial joints (Z-joints) can be safely, effectively, and efficiently accessed with ultrasound (US) guidance by an experienced interventionalist. The structures involved are relatively superficial and, thus, lend themselves…
Abstract In this chapter, the lateral approach to performing a cervical zygapophysial joint (Z-joint) intraarticular injection is described. Some may argue that the lateral approach is technically less demanding than…
Abstract Cervical discography was first described in the literature by Ralph Cloward and George Smith in the late 1950s. Cervical provocation discography potentially provides a method to obtain pain-generation data…
Abstract Cervical facet joint nerves (medial branches) can be safely, effectively, and efficiently accessed with ultrasound (US) guidance by an experienced interventionalist.The structures involved are relatively superficial and, thus, lend…
Abstract In this chapter, the posterior approach for injecting the zygapophysial joints (Z-joints) is described. Compared with the lateral approach, the posterior approach allows for access to multiple joint levels…
Abstract For ultrasound (US), a transverse in plane with long-axis confirmation technique at the level of the Chassaignac’s tubercle of C6 is described. By utilizing a hybrid fluoroscopic approach, US…
Abstract Cervical transforaminal epidural steroid injections are indicated to relieve radicular symptoms with or without axial neck pain from cervical nerve root irritation. The traditional approach to the epidural space…
Abstract Cervical interlaminar epidural steroid injections are indicated for radicular pain with or without axial neck pain. The interlaminar approach is well suited for delivering medication to bilateral and/or multilevel…
