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Lower Extremity Nerve Blocks and Neurolysis

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Essentials of Interventional Techniques in Managing Chronic Pain

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Abstract

The lower extremities are innervated by the lumbar and sacral spinal nerves, both directly and via the lumbar and sacral nerve plexuses. There is no single peripheral nerve block that will anesthetize the entire lower extremity. It is necessary to be familiar with typical innervation patterns in order to recognize painful nerve conditions. The lower extremities are also prone to nerve entrapments and injuries due to the powerful muscles of locomotion and the repetitive strain of locomotion. This chapter considers some of the nerves and injections most relevant to pain practice. We will discuss genitofemoral neuralgia, lateral femoral cutaneous neuralgia (meralgia paresthetica), common peroneal neuralgia, tarsal tunnel syndrome, and Morton’s neuroma affecting the digital nerves.

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Author information

Authors and Affiliations

  1. Departments of Psychiatry, Anesthesia, and Pain Medicine, Harborview Medical Center, Seattle, WA, USA

    Daniel Krashin

  2. Department of Neurology, University of Washington, Seattle, WA, USA

    Natalia Murinova

  3. Department of Anesthesia, LSU Health Science Center, New Orleans, LA, USA

    Alan D. Kaye

Authors
  1. Daniel Krashin
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  2. Natalia Murinova
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  3. Alan D. Kaye
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Corresponding author

Correspondence to Daniel Krashin .

Editor information

Editors and Affiliations

  1. Pain Management Center of Paducah, Paducah, Kentucky

    Laxmaiah Manchikanti

  2. Department of Anesthesia, LSU Health Science Center, New Orleans, Louisiana, USA

    Alan D. Kaye

  3. Mid Atlantic Spine and Pain Physicians, Newark, Delaware

    Frank J.E. Falco

  4. Service Line Chief of Interventional Radiology, Director of Interventional Neuroradiology, Chief of NeuroInterventional Spine Service, Massachusetts General Hospital, Boston, Massachusetts, USA

    Joshua A. Hirsch

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Krashin, D., Murinova, N., Kaye, A.D. (2018). Lower Extremity Nerve Blocks and Neurolysis. In: Manchikanti, L., Kaye, A., Falco, F., Hirsch, J. (eds) Essentials of Interventional Techniques in Managing Chronic Pain. Springer, Cham. https://doi.org/10.1007/978-3-319-60361-2_32

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  • DOI: https://doi.org/10.1007/978-3-319-60361-2_32

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-60359-9

  • Online ISBN: 978-3-319-60361-2

  • eBook Packages: MedicineMedicine (R0)

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