Ultrasound practice for chronic pain procedures: A comprehensive review

Alan David Kaye; Mark W Motejunas; Lauren A Bonneval; Ken P Ehrhardt; Dustin R Latimer; Andrea Trescot; Kyle E Wilson; Ibraham N Ibrahim; Elyse M Cornett; Richard D Urman; Kenneth D Candido

doi:10.1016/j.bpa.2019.07.001

Ultrasound practice for chronic pain procedures: A comprehensive review

Best Pract Res Clin Anaesthesiol. 2019 Dec;33(4):465-486. doi: 10.1016/j.bpa.2019.07.001. Epub 2019 Jul 18.

Authors

Affiliations

¹ Department of Anesthesiology, LSU Health Sciences Center, Room 656, 1542 Tulane Ave., New Orleans, LA, 70112, USA. Electronic address: akaye@lsuhsc.edu.
² Department of Anesthesiology, LSU Health Sciences Center, Room 656, 1542 Tulane Ave., New Orleans, LA, 70112, USA. Electronic address: mmotej@lsuhsc.edu.
³ Department of Anesthesiology, LSU Health Sciences Center, Room 656, 1542 Tulane Ave., New Orleans, LA, 70112, USA. Electronic address: lbonn4@lsuhsc.edu.
⁴ Department of Anesthesiology, LSU Health Sciences Center, Room 656, 1542 Tulane Ave., New Orleans, LA, 70112, USA. Electronic address: kehrh2@lsuhsc.edu.
⁵ Department of Anesthesiology, LSU Health Shreveport, 1501 Kings Highway, Shreveport, LA, 71103, USA. Electronic address: dlatim@lsuhsc.edu.
⁶ Pain and Headache Center, Eagle River, AK, USA. Electronic address: drtrescot@gmail.com.
⁷ Department of Anesthesiology, LSU Health Sciences Center, Room 656, 1542 Tulane Ave., New Orleans, LA, 70112, USA. Electronic address: kwil50@lsuhsc.edu.
⁸ Department of Anesthesiology, LSU Health Shreveport, 1501 Kings Highway, Shreveport, LA, 71103, USA. Electronic address: iibra1@lsuhsc.edu.
⁹ Department of Anesthesiology, LSU Health Shreveport, 1501 Kings Highway, Shreveport, LA, 71103, USA. Electronic address: ecorne@lsuhsc.edu.
¹⁰ Department of Anesthesiology, Perioperative and Pain Medicine, Harvard Medical School, Brigham and Women's Hospital, 75 Francis St, Boston, MA, 02115, USA. Electronic address: rurman@bwh.harvard.edu.
¹¹ Department of Anesthesiology, Advocate Illinois Masonic Medical Center, Chicago, IL, USA. Electronic address: kdcandido@yahoo.com.

PMID: 31791564
DOI: 10.1016/j.bpa.2019.07.001

Abstract

Chronic pain management techniques have evolved in recent years. With regard to this, ultrasound (US) technology has become a standard for most acute pain procedures and essential for postsurgical pain relief and enhanced recovery after surgery protocols. This manuscript summarizes clinical studies evaluating US use for chronic pain management and compares efficacy with standard techniques including fluoroscopy (FL). US possesses several unique benefits when compared with FL, including elimination of radiation exposure while providing similar clinical outcomes. In summary, US use for chronic pain procedures is emerging as a viable, safe, and effective modality. Additional studies are needed to best appreciate US and its role in chronic pain management.

Keywords: chronic pain; fluoroscopy; injections; pain procedures; radiation; ultrasound.

Published by Elsevier Ltd.

Publication types

Review

MeSH terms

Anesthetics, Local / administration & dosage
Chronic Pain / diagnostic imaging*
Chronic Pain / therapy*
Humans
Nerve Block / instrumentation
Nerve Block / methods*
Pain Management / instrumentation
Pain Management / methods*
Pain Measurement / instrumentation
Pain Measurement / methods
Ultrasonography, Interventional / instrumentation
Ultrasonography, Interventional / methods*

Substances

Anesthetics, Local