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AREA OF PAIN APPROPRIATE NERVE BLOCK
FACE Trigeminal nerve blocks
Orbit and contents, sphenoid sinus, eyelids, anterior two thirds of scalp Ophthalmic nerve block
Forehead Supraorbital nerve block

Botox Injections

Upper jaw, maxillary antrum, distribution of infraorbital nerve Maxillary nerve block
Lower eyelid, upper lip, temple, lateral aspect of the nose Infraorbital nerve block
Lower jaw, teeth, anterior tongue, floor mouth Mandibular nerve block,
Mental nerve block
Nose, palate Sphenopalatine nerve block
Posterior third of tongue, soft palate, parotid gland Glossopharyngeal nerve block
SPINE  
Neck and back pain Cervical Epidural    Thoracic Epidural      Lumbar Epidural  Caudal Epidural   Facet Joint Injection  Spinal Endoscopy     Subarachnoid Block,    Lumbar Paravertebral Block
NECK
Scalp, back of neck  Greater occipital nerve block
Shoulder and upper neck Cervical plexus block
Cervical paravertebral block
Shoulder and Neck Cervical Epidural  Facet Block          Botox Injections    Trigger Points
Larynx, trachea Laryngeal nerve block, deep cervical plexus block
UPPER EXTREMITY
Entire extremity including shoulder Brachial plexus block, Interscaline, supracavicular, subclavian approaches
Shoulder and scapular region Brachial plexus, Suprascapular nerve block
Mid-upper arm to hand; Elbow, forearm Brachial plexus block all approaches, Intravenous Regional Anesthesia-Bier Block
Lower forearm, wrist, hand  Brachial plexus block, Elbow block, Intravenous regional block- Bier Block
Hand, metacarpus Brachial plexus block, Elbow block, Wrist block            Bier Block
Digits Wrist block, Hand and digital block 
THORAX
Chest, perietal and visceral plura Thoracic Epidural
Intercostal block
Thoracic paravertebral block
Intrapleural block
Integumentary structures, Cavity (chest wall and viscera of thorax) High thoracic epidural block
Intrapleural block
Field block (mammoplasty)
ABDOMEN
Abdominal wall and abdominal and pelvic viscera Subarachnoid block
Lumbar Epidural
Lumbar paravertebral block
Intrapleural block
Field block with Splanchnic nerve and celiac plexus block
Pelvic visceral pain Superior Hypogastric Plexus block
Ganglion Impar block
All structures on inguinal region Ilioinguinal and iliohypogastric nerve blocks
Field block of inguinal region
Subarachnoid block
Lumbar epidural block
Hip joint Subarachnoid block
Lumbar Epidural 
Lumbar paravertebral Block
Pelvis (pelvic viscera, renal tract hips perineal floor genital structures Subarachnoid block
Lumbar Epidural 
Caudal Epidural 
Perineum and urinary tract Pudendal nerve block
Paracervical nerve block
Penile block
Anal block
Subarachnoid block
Caudal epidural block
Trassacral nerve block
Sacrococcygeal plexus block
LOWER EXTREMITY
Entire extremity including hip Subarachnoid block
Lumbar Epidural 
Lumbosacral plexus block in combination with 3 in 1 femoral nerve block
Sciatic nerve block in combination with psoas compartment block
Hip, anterior thigh Femoral (3 in 1) block
Obturator nerve block
Lateral femoral cutaneous nerve block
Knee, lower leg and foot Sciatic, femoral and obturator nerve block (3 in 1)                       Bier Block
Lower leg, ankle and foot Common peroneal and tibial nerve block
Saphenous nerve block
Ankle block
Intravenous regional block -Bier Block
Distal one third of foot and toes  Metatarsal block
Intravenous regional anesthesia 
     ABOUT NERVE BLOCKS
What Is The Purpose of A Nerve Block?

The use of neural blockade for diagnostic, therapeutic, prognostic and treatment of chronic pain is a well-established practice.  Regional anesthesia blocks, used for specific surgical procedures, are now used in pain facilities to diagnose and treat pain problems.  

     Diagnostic -  to determine the source of pain  e.g. is pain central (within the spinal cord) or peripheral (outside the spinal cord).

     Therapeutic - to treat painful conditions that respond to nerve blocks.

     Prognostic - to predict outcome of permanent interventions such as infusion, neurolysis and rhizotomy.

     Preemptive - to prevent painful sequelae of procedures that may cause phantom limb, causalgia or reflex sympathetic dystrophy.

 

         

 

 
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The DEA's War on Prescription Painkillers

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