Review of Ultrasound-Guided Procedures in the Management of Chronic Pain

• Published in: Anesthesiology clinics Vol. 41; no. 2; pp. 395 - 470
• Main Authors: Aggarwal, Anuj K., Ottestad, Einar, Pfaff, Kayla E., Huai-Yu Li, Alice, Xu, Lei, Derby, Ryan, Hecht, Daniel, Hah, Jennifer, Pritzlaff, Scott, Prabhakar, Nitin, Krane, Elliot, D’Souza, Genevieve, Hoydonckx, Yasmine
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01-06-2023
• Subjects: Abdomen; Abdominal Muscles - diagnostic imaging; Abdominal Muscles - innervation; Chronic pain; Chronic Pain - therapy; Fascial plane; Humans; Nerve block; Pain, Postoperative - drug therapy; Peripheral nerve; Pulsed radiofrequency ablation; Ultrasonography; Ultrasonography, Interventional - methods; Ultrasound guidance; Peripheral nerve; Pulsed radiofrequency ablation; Nerve block; Ultrasound guidance; Chronic pain; Fascial plane
• ISSN: 1932-2275; 2210-3538
• DOI: 10.1016/j.anclin.2023.02.003

This article summarizes clinical expert recommendations and findings for the application of ultrasound-guided procedures in chronic pain management. Data on analgesic outcomes and adverse effects were collected and analyzed and are reported in this narrative review. Ultrasound guidance offers opportunities for the treatment of pain, with focus in this article on greater occipital nerve, trigeminal nerves, sphenopalatine ganglion, stellate ganglion, suprascapular nerve, median nerve, radial nerve, ulnar nerve, transverse abdominal plane block, quadratus lumborum, rectus sheath, anterior cutaneous abdominal nerves, pectoralis and serratus plane, erector spinae plane, illioinguinal/iliohypogastric/genitofemoral nerve, lateral femoral cutaneous nerve, genicular nerve, and foot and ankle nerves.