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Upper Extremity Joint Injections

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Essentials of Interventional Techniques in Managing Chronic Pain

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Abstract

Pain in the upper extremity accounts for a considerable number of patients presenting in the pain clinic. Oftentimes, this may be a result of acute trauma or degenerative changes such as wear and tear as seen in osteoarthritis. Performing upper extremity joint injections may be beneficial in reducing both the swelling and pain. This chapter describes the basic pathophysiology, diagnostic principles, relevant anatomy, and evidence-based interventional techniques related to injections in the upper extremity. In the advent of the growing interest in the application of different approaches in injection, we would present different techniques utilizing landmark, fluoroscopy, and ultrasound-guided injections. A recent body of evidence suggests real-time needle guidance that increases the success rate of intra-articular injections as well as avoidance of iatrogenic damage to surrounding anatomic structures. This chapter also covers the utility of different medications used for joint injections presenting substantial evidence for their use. Likewise, the complications associated with the performance of the specific injections will be addressed.

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Author information

Authors and Affiliations

  1. Department of Anesthesiology and Pain Medicine, University of Oklahoma Health Sciences Center, 825 NE 10th St., Suite 2B, Oklahamo City, OK, 73104, USA

    Alexander F. Bautista

  2. Ventura County Medical Center, Ventura, CA, USA

    George C. Chang Chien

  3. Department of Anesthesiology, Advocate Illinois Masonic Medical Center, Chicago, IL, USA

    Kenneth D. Candido

Authors
  1. Alexander F. Bautista
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  2. George C. Chang Chien
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  3. Kenneth D. Candido
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Corresponding author

Correspondence to Alexander F. Bautista .

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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Bautista, A.F., Chang Chien, G.C., Candido, K.D. (2018). Upper Extremity Joint Injections. 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_42

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  • DOI: https://doi.org/10.1007/978-3-319-60361-2_42

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-60359-9

  • Online ISBN: 978-3-319-60361-2

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