Author Archives: Pain Managment Clinic

Degenerative Spine Disorders

CT and MRI provide complementary information about degenerative diseases of the spine. MRI is often the modality of choice in assessing degenerative changes within the spine due to its superior soft-tissue contrast. CT has superior spatial resolution and provides better conspicuity of osseous and calcified structures. The advent of MDCT technology allows for superb reconstruction […]

Olecranon Bursa Injection of the Elbow

Tiếng Việt >> Indications Olecranon bursa injection is a useful diagnostic and therapeutic procedure for olecranon bursitis. This condition is usually secondary to trauma or rheumatoid arthritis. Techniques After informed consent is obtained, the patient is placed in the sitting position with the hand on the lap. The olecranon process of the ulna is palpated […]

Medial Epicondyle Injection of the Elbow

Tiếng Việt >> Indications Medial epicondyle injection is a useful diagnostic and therapeutic procedure for medial epicondylitis (golfer’s elbow or tortilla elbow). Techniques After informed consent is obtained, the patient is placed in the sitting position, with the arm resting on the examination table, palm up, and the elbow flexed to 45 degrees. The elbow […]

Lateral Epicondyle Injection of the Elbow

Tiếng Việt >> Indications Lateral epicondyle injection is a useful diagnostic and therapeutic procedure for lateral epicondylitis of the elbow (tennis elbow). The condition is usually secondary to occupational or sports-related trauma or recurrent trauma. Techniques After informed consent is obtained, the patient is placed in the sitting position, with the arm resting on the […]

Ischemic Necrosis of the Hip

One of the common indications for MRI of the hip is to are the standard radiographs performed for the assessment determine the presence of ischemic necrosis. This is bone of hip joint abnormalities (26). The presence of osteoarthri death produced by a compromised blood supply. It also has tis, bone tumors, and soft-tissue calcifications can […]

Bicipital Tendon Injection

Tiếng Việt >> Indications Peritendinous injection of the bicipital tendon is a useful diagnostic and therapeutic procedure for bicipital tenosynovitis. Techniques After informed consent is obtained, the patient is placed in the seated position with the arm externally rotated and lateral to the medial edge of the humeral head. The bicipital groove is located and […]

Rotator Cuff Tendon and Subacromial Bursa Injection

Tiếng Việt >> Indications Corticosteroid injection procedures are used to diagnose and treat rotator cuff tendonitis or subacromial bursitis. These conditions are often due to nonspecific irritation of the subacromial bursa, lesions of the rotator cuff, calcific tendonitis, or rheumatoid arthritis. Techniques After informed consent is obtained, the patient is placed in a sitting position […]

Acromioclavicular Joint Injection

Tiếng Việt >> Indications Intraarticular injection of the acromioclavicular joint is used to treat an inflamed or painful joint, as well as pain secondary to acromioclavicular joint separation. Techniques After informed consent is obtained, the patient is placed in the sitting position. The acromioclavicular joint is palpated by placing the fingers at the tip of […]

Carpal Tunnel Syndrome

MRI can serve as an adjunct diagnostic tool for CTS when the clinical or neurophysiologic findings are equivocal. The carpal tunnel is a fibro-osseous space with little fat that contains the flexor tendons and the median nerve. The flexor retinaculum composes the volar aspect of the tunnel and normally shows slight palmar bowing. The median […]

Elbow Imaging

Plain film radiographic examination of the elbows should be the initialevaluation forpatients withchronicelbowpain. Radiographs can be useful for the assessment of calcium within the joint compartment or periarticular soft tissues. Standard frontal and lateral radiographs are used for the routine evaluation of the elbow joint. Radiographic examination of the elbow has a minimal RRL. MRI […]