Cervical Discography/Disc Access

Jan 27, 2019 by in RHEUMATOLOGY Comments Off on Cervical Discography/Disc Access

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…

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Cervical Zygapophysial Joint Nerve (Medial Branch) Injection—Anterolateral Approach: Ultrasound Guidance

Jan 27, 2019 by in RHEUMATOLOGY Comments Off on Cervical Zygapophysial Joint Nerve (Medial Branch) Injection—Anterolateral Approach: Ultrasound Guidance

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…

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Cervical Transforaminal Epidural Steroid Injection

Jan 27, 2019 by in RHEUMATOLOGY Comments Off on Cervical Transforaminal Epidural Steroid Injection

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…

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Stellate Ganglion Block: Fluoroscopic Guidance

Jan 27, 2019 by in RHEUMATOLOGY Comments Off on Stellate Ganglion Block: Fluoroscopic Guidance

Abstract Contrast injected at the C6 level has consistently reached the C7-T1 interspace, which is the commonly accepted location of the stellate ganglion. Ideal injectate spread should extend inferiorly to…

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Cervical Spinal Cord Stimulation

Jan 27, 2019 by in RHEUMATOLOGY Comments Off on Cervical Spinal Cord Stimulation

Abstract Spinal cord stimulation was previously used as a “last resort” for patients who no longer had any other treatment options; however, it should be considered sooner in the treatment…

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