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Essentials of Interventional Techniques in Managing Chronic Pain pp 125–139Cite as

Needle Manipulation Techniques

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Abstract

Accurate placement of the needle safely and manipulation of these needles in interventional pain management into the body require advanced tactile skills, comprehensive knowledge of anatomy, and expertise with fluoroscopy. Interventional pain management includes a multitude of specialties including not only anesthesiology but also physical medicine and rehabilitation, neurology, radiology, and surgical specialties. Practitioners with an anesthesiology background often begin interventional pain practice with excellent tactile skills honed from years of performing “blind injections” for regional anesthesia but may lack expertise in the use of fluoroscopic imaging. Those with radiology background may be expert in the use of fluoroscopy but may not have developed the learned tactile techniques of regional anesthesia. The aspiring interventional pain specialist physician from any specialty must develop expertise in regional anesthesia, radiological imaging, and anatomy in order to become an effective and safe practitioner.

Keywords

  • Interventional pain management
  • Needles
  • Needle manipulation
  • Anatomy
  • Fluoroscopy

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Acknowledgments

This book chapter is modified and updated from a previous book chapter, “Needle Manipulation Techniques” by David M. Schultz, MD, in Interventional Techniques in Chronic Spinal Pain published by ASIPP Publishing. Permission has been obtained from ASIPP Publishing.

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Authors and Affiliations

  1. Medical Advanced Pain Specialists Medical Pain Clinics, Shorewood, MN, USA

    David M. Schultz

Authors
  1. David M. Schultz
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Correspondence to David M. Schultz .

Editor information

Editors and Affiliations

  1. Pain Management Center of Paducah, Paducah, Kentucky

    MD Laxmaiah Manchikanti

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

    MD Alan D. Kaye

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

    MD 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

    MD Joshua A. Hirsch

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Schultz, D.M. (2018). Needle Manipulation Techniques. 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_10

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  • DOI: https://doi.org/10.1007/978-3-319-60361-2_10

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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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