{"id":15086,"date":"2026-05-06T09:58:30","date_gmt":"2026-05-06T07:58:30","guid":{"rendered":"https:\/\/ssipm.ch\/for-those-affected\/common-procedures\/"},"modified":"2026-08-27T08:39:16","modified_gmt":"2026-08-27T06:39:16","slug":"common-procedures","status":"publish","type":"page","link":"https:\/\/ssipm.ch\/en\/for-those-affected\/common-procedures\/","title":{"rendered":"Common procedures"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"15086\" class=\"elementor elementor-15086 elementor-37\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-5964155d e-con e-atomic-element e-div-block-base e-5964155d-17a400b background-norm section-padding \" data-id=\"5964155d\" data-element_type=\"e-div-block\" data-e-type=\"e-div-block\" data-interaction-id=\"5964155d\" data-e-type=\"e-div-block\" data-id=\"5964155d\">\n    <div class=\"elementor-element elementor-element-356f15cb e-flex e-con-boxed e-con e-parent\" data-id=\"356f15cb\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-35170c96 e-con-full e-flex e-con e-child\" data-id=\"35170c96\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-473058ec elementor-widget elementor-widget-heading\" data-id=\"473058ec\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<span class=\"elementor-heading-title elementor-size-default\">Overview of the most common pain treatments<\/span>\t\t\t\t<\/div>\n\t\t\t\t\t<h1 data-interaction-id=\"4c7c1d15\" class=\"heading-jakarta-60-700 e-4c7c1d15-f94024d margin-bottom-24 e-heading-base\" data-e-type=\"widget\" data-id=\"4c7c1d15\"><\/h1>\n\t\t\t\t\t<p class=\"paragraph-inter-18-400 e-4c682299-dc64c5f e-paragraph-base\" data-interaction-id=\"4c682299\" data-e-type=\"widget\" data-id=\"4c682299\">An overview of the most common interventional\npain treatments with detailed information\nfor patients.<\/p>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-7fa8798f e-con-full e-flex e-con e-child\" data-id=\"7fa8798f\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-15d303bc elementor-widget elementor-widget-image\" data-id=\"15d303bc\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" src=\"https:\/\/ssipm.ch\/wp-content\/uploads\/elementor\/thumbs\/uebersicht_eingriffe_schmerzmedizin-rsfv27ylhbdi0da26hnhgn72c1bahz74n1ysxf03wo.webp\" title=\"overview-procedures-pain-medicine\" alt=\"Overview of the most common procedures in pain medicine\" loading=\"lazy\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\n<\/div>\n<div class=\"elementor-element elementor-element-806c7f2 e-con e-atomic-element e-div-block-base e-806c7f2-6498dd7 background-norm section-padding \" data-id=\"806c7f2\" data-element_type=\"e-div-block\" data-e-type=\"e-div-block\" data-interaction-id=\"806c7f2\" data-e-type=\"e-div-block\" data-id=\"806c7f2\">\n    <div class=\"elementor-element elementor-element-9770d49 e-con e-atomic-element e-div-block-base content-896 content-center padding-0 \" data-id=\"9770d49\" data-element_type=\"e-div-block\" data-e-type=\"e-div-block\" data-interaction-id=\"9770d49\" data-e-type=\"e-div-block\" data-id=\"9770d49\">\n    <div class=\"elementor-element elementor-element-cf10234 e-con e-atomic-element e-div-block-base padding-0 \" data-id=\"cf10234\" data-element_type=\"e-div-block\" data-e-type=\"e-div-block\" data-interaction-id=\"cf10234\" data-e-type=\"e-div-block\" data-id=\"cf10234\">\n    \t\t\t<h2 data-interaction-id=\"d57df60\" class=\"e-d57df60-b9b8815 e-heading-base\" data-e-type=\"widget\" data-id=\"d57df60\">Overview of Procedures<\/h2>\n\t\t\t\t\t<p class=\"e-b8f3769-5d2458a paragraph-inter-16px margin-bottom-24 e-paragraph-base\" data-interaction-id=\"b8f3769\" data-e-type=\"widget\" data-id=\"b8f3769\">We have compiled a list of common procedures including details for you. Each procedure is performed by SSIPM-certified pain specialists.  <\/p>\n\t\t\n<\/div>\n<div class=\"elementor-element elementor-element-934d33f e-con e-atomic-element e-div-block-base padding-0 \" data-id=\"934d33f\" data-element_type=\"e-div-block\" data-e-type=\"e-div-block\" data-interaction-id=\"934d33f\" data-e-type=\"e-div-block\" data-id=\"934d33f\">\n    <div class=\"elementor-element elementor-element-631873b e-con e-atomic-element e-div-block-base padding-0 \" data-id=\"631873b\" data-element_type=\"e-div-block\" data-e-type=\"e-div-block\" data-interaction-id=\"631873b\" data-e-type=\"e-div-block\" data-id=\"631873b\">\n    \t\t<div class=\"elementor-element elementor-element-25265c2 elementor-widget elementor-widget-n-accordion\" data-id=\"25265c2\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;default_state&quot;:&quot;expanded&quot;,&quot;max_items_expended&quot;:&quot;one&quot;,&quot;n_accordion_animation_duration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:400,&quot;sizes&quot;:[]}}\" data-widget_type=\"nested-accordion.default\">\n\t\t\t\t\t\t\t<div class=\"e-n-accordion\" aria-label=\"Accordion. Open links with Enter or Space, close with Escape, and navigate with Arrow Keys\">\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-3890\" class=\"e-n-accordion-item\" open>\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"1\" tabindex=\"0\" aria-expanded=\"true\" aria-controls=\"e-n-accordion-item-3890\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Disc Nerve Blockade <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"36\" height=\"36\" viewBox=\"0 0 36 36\" fill=\"none\"><mask id=\"path-1-inside-1_6663_21208\" fill=\"white\"><path d=\"M0 18C0 8.05888 8.05888 0 18 0C27.9411 0 36 8.05888 36 18C36 27.9411 27.9411 36 18 36C8.05888 36 0 27.9411 0 18Z\"><\/path><\/mask><path d=\"M0 18M36 18M36 18M0 18M18 0M36 18M18 36M0 18M18 36V35C8.61116 35 1 27.3888 1 18H0H-1C-1 28.4934 7.50659 37 18 37V36ZM36 18H35C35 27.3888 27.3888 35 18 35V36V37C28.4934 37 37 28.4934 37 18H36ZM18 0V1C27.3888 1 35 8.61116 35 18H36H37C37 7.50659 28.4934 -1 18 -1V0ZM18 0V-1C7.50659 -1 -1 7.50659 -1 18H0H1C1 8.61116 8.61116 1 18 1V0Z\" fill=\"#122A49\" fill-opacity=\"0.3\" mask=\"url(#path-1-inside-1_6663_21208)\"><\/path><path d=\"M15.75 22.5L20.25 18L15.75 13.5\" stroke=\"#122A49\" stroke-width=\"1.5\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-3890\" class=\"elementor-element elementor-element-7a9b4aa e-con-full e-flex e-con e-child\" data-id=\"7a9b4aa\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<p class=\"margin-bottom-24 heading-inter-16-600 padding-0-24 e-5b8d98d-3f2153a margin-top-12 e-paragraph-base\" data-interaction-id=\"5b8d98d\" data-e-type=\"widget\" data-id=\"5b8d98d\">An extremely interesting alternative to provocative discography is the disc nerve block (blockade of the sinuvertebral nerve), which innervates the dorsal (mostly pain-relevant) region of the intervertebral disc. Although the concept is promising, there are hardly any validation studies for this very new procedure, so its significance should not be overestimated. <\/p>\n\t\t\t\t\t<p class=\"paragraph-jakarta-16-400 padding-0-24 margin-bottom-12 e-paragraph-base\" data-interaction-id=\"0dca210\" data-e-type=\"widget\" data-id=\"0dca210\"><em>Literature:<br\/>Schliessbach J, Siegenthaler A, Heini P, Bogduk N, Curatolo M: Blockade of the sinuvertebral nerve for the diagnosis of lumbar diskogenic pain: an exploratory study. Anesth Analg 2010. <\/em><\/p>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-3891\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"2\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-3891\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Fluoroscopy-guided cervical epidural infiltration <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"36\" height=\"36\" viewBox=\"0 0 36 36\" fill=\"none\"><mask id=\"path-1-inside-1_6663_21208\" fill=\"white\"><path d=\"M0 18C0 8.05888 8.05888 0 18 0C27.9411 0 36 8.05888 36 18C36 27.9411 27.9411 36 18 36C8.05888 36 0 27.9411 0 18Z\"><\/path><\/mask><path d=\"M0 18M36 18M36 18M0 18M18 0M36 18M18 36M0 18M18 36V35C8.61116 35 1 27.3888 1 18H0H-1C-1 28.4934 7.50659 37 18 37V36ZM36 18H35C35 27.3888 27.3888 35 18 35V36V37C28.4934 37 37 28.4934 37 18H36ZM18 0V1C27.3888 1 35 8.61116 35 18H36H37C37 7.50659 28.4934 -1 18 -1V0ZM18 0V-1C7.50659 -1 -1 7.50659 -1 18H0H1C1 8.61116 8.61116 1 18 1V0Z\" fill=\"#122A49\" fill-opacity=\"0.3\" mask=\"url(#path-1-inside-1_6663_21208)\"><\/path><path d=\"M15.75 22.5L20.25 18L15.75 13.5\" stroke=\"#122A49\" stroke-width=\"1.5\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-3891\" class=\"elementor-element elementor-element-394030c e-con-full e-flex e-con e-child\" data-id=\"394030c\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<p class=\"margin-bottom-24 heading-inter-16-600 padding-0-24 margin-top-12 e-8283cb3-a36be3a e-paragraph-base\" data-interaction-id=\"8283cb3\" data-e-type=\"widget\" data-id=\"8283cb3\">Fluoroscopy-guided cervical epidural infiltration in a patient with cervical disc herniation using a so-called \"contralateral oblique\" approach, which allows optimal assessment of needle penetration depth.<\/p>\n\t\t\t\t\t<p class=\"paragraph-jakarta-16-400 padding-0-24 margin-bottom-12 e-paragraph-base\" data-interaction-id=\"479d18e\" data-e-type=\"widget\" data-id=\"479d18e\"><em>Literature:<br\/>Landers MH, Dreyfuss P, Bogduk N .On the geometry of fluoroscopy views for cervical epidural injections. Pain Med 2012<br\/>Gill JS, Aner M, Jyotsna N, Keel JC, Simopoulos TT: Contralateral oblique view is superior to lateral view for interlaminar cervical or cervicothoracic acces. Pain Med 2014 <\/em><\/p>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-3892\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"3\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-3892\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Fluoroscopy-guided C1-2 intra-articular infiltration <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"36\" height=\"36\" viewBox=\"0 0 36 36\" fill=\"none\"><mask id=\"path-1-inside-1_6663_21208\" fill=\"white\"><path d=\"M0 18C0 8.05888 8.05888 0 18 0C27.9411 0 36 8.05888 36 18C36 27.9411 27.9411 36 18 36C8.05888 36 0 27.9411 0 18Z\"><\/path><\/mask><path d=\"M0 18M36 18M36 18M0 18M18 0M36 18M18 36M0 18M18 36V35C8.61116 35 1 27.3888 1 18H0H-1C-1 28.4934 7.50659 37 18 37V36ZM36 18H35C35 27.3888 27.3888 35 18 35V36V37C28.4934 37 37 28.4934 37 18H36ZM18 0V1C27.3888 1 35 8.61116 35 18H36H37C37 7.50659 28.4934 -1 18 -1V0ZM18 0V-1C7.50659 -1 -1 7.50659 -1 18H0H1C1 8.61116 8.61116 1 18 1V0Z\" fill=\"#122A49\" fill-opacity=\"0.3\" mask=\"url(#path-1-inside-1_6663_21208)\"><\/path><path d=\"M15.75 22.5L20.25 18L15.75 13.5\" stroke=\"#122A49\" stroke-width=\"1.5\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-3892\" class=\"elementor-element elementor-element-e1a18da e-con-full e-flex e-con e-child\" data-id=\"e1a18da\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<p class=\"margin-bottom-24 heading-inter-16-600 padding-0-24 margin-top-12 e-fb4efbc-da62c6f e-paragraph-base\" data-interaction-id=\"fb4efbc\" data-e-type=\"widget\" data-id=\"fb4efbc\">The lateral atlantoaxial joint (C1-2) is a possible cause of cervicogenic headaches. The needle tip is located in the joint, and the contrast medium spread extends to the atlanto-dental joint, with which it often communicates. The puncture carries a slightly increased risk and should only be performed according to the strict guidelines of the \"International Spinal Intervention Society.\"  <\/p>\n\t\t\t\t\t<p class=\"paragraph-jakarta-16-400 padding-0-24 margin-bottom-12 e-paragraph-base\" data-interaction-id=\"2b314ba\" data-e-type=\"widget\" data-id=\"2b314ba\"><em>Literature:<br\/>Practice Guidelines for Spinal Diagnostic and Treatment Procedures. 2nd Edition, edited by Nikolai Bogduk 2014<br\/>The longitudinal effectiveness of lateral atlantoaxial intraarticular steroid injection in the treatment of cervicogenic headache. Narouze et al. Pain Med 2007   <\/em><\/p>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-3893\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"4\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-3893\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> BV-guided infiltration of the ganglion impar <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"36\" height=\"36\" viewBox=\"0 0 36 36\" fill=\"none\"><mask id=\"path-1-inside-1_6663_21208\" fill=\"white\"><path d=\"M0 18C0 8.05888 8.05888 0 18 0C27.9411 0 36 8.05888 36 18C36 27.9411 27.9411 36 18 36C8.05888 36 0 27.9411 0 18Z\"><\/path><\/mask><path d=\"M0 18M36 18M36 18M0 18M18 0M36 18M18 36M0 18M18 36V35C8.61116 35 1 27.3888 1 18H0H-1C-1 28.4934 7.50659 37 18 37V36ZM36 18H35C35 27.3888 27.3888 35 18 35V36V37C28.4934 37 37 28.4934 37 18H36ZM18 0V1C27.3888 1 35 8.61116 35 18H36H37C37 7.50659 28.4934 -1 18 -1V0ZM18 0V-1C7.50659 -1 -1 7.50659 -1 18H0H1C1 8.61116 8.61116 1 18 1V0Z\" fill=\"#122A49\" fill-opacity=\"0.3\" mask=\"url(#path-1-inside-1_6663_21208)\"><\/path><path d=\"M15.75 22.5L20.25 18L15.75 13.5\" stroke=\"#122A49\" stroke-width=\"1.5\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-3893\" class=\"elementor-element elementor-element-e2d21c2 e-flex e-con-boxed e-con e-child\" data-id=\"e2d21c2\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t\t<p class=\"margin-bottom-24 heading-inter-16-600 padding-0-24 margin-top-12 e-2140c5c-4112763 e-paragraph-base\" data-interaction-id=\"2140c5c\" data-e-type=\"widget\" data-id=\"2140c5c\">The ganglion impar is the most caudal sympathetic ganglion and can be responsible for pain transmission of non-oncological or oncological pain in the pelvic and perineal region (visceral pain component). It is located with great anatomical variability approximately anterior to the sacrococcygeal joint. Neurolysis with phenol can eliminate it for several months, especially in tumor pain. Steroid infiltrations or radiofrequency ablations are effective in certain patients with persistent coccydynia.   <\/p>\n\t\t\t\t\t<p class=\"padding-0-24 margin-bottom-12 paragraph-jakarta-16-400 e-paragraph-base\" data-interaction-id=\"1c86102\" data-e-type=\"widget\" data-id=\"1c86102\"><em>Literature:<br\/>Coccygodynia: Patjin et al. Pain Practice 2010<br\/>Siegenthaler A, Eychm\u00fcller S, Pfander G, Streitberger K: Sinn und Unsinn der WHO-Stufen bei der Behandlung von Tumorschmerzen. Schweiz Med Forum 2014.  <\/em><\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-3894\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"5\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-3894\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Lumbar Facet Nerve Blockade, fluoroscopy-guided <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"36\" height=\"36\" viewBox=\"0 0 36 36\" fill=\"none\"><mask id=\"path-1-inside-1_6663_21208\" fill=\"white\"><path d=\"M0 18C0 8.05888 8.05888 0 18 0C27.9411 0 36 8.05888 36 18C36 27.9411 27.9411 36 18 36C8.05888 36 0 27.9411 0 18Z\"><\/path><\/mask><path d=\"M0 18M36 18M36 18M0 18M18 0M36 18M18 36M0 18M18 36V35C8.61116 35 1 27.3888 1 18H0H-1C-1 28.4934 7.50659 37 18 37V36ZM36 18H35C35 27.3888 27.3888 35 18 35V36V37C28.4934 37 37 28.4934 37 18H36ZM18 0V1C27.3888 1 35 8.61116 35 18H36H37C37 7.50659 28.4934 -1 18 -1V0ZM18 0V-1C7.50659 -1 -1 7.50659 -1 18H0H1C1 8.61116 8.61116 1 18 1V0Z\" fill=\"#122A49\" fill-opacity=\"0.3\" mask=\"url(#path-1-inside-1_6663_21208)\"><\/path><path d=\"M15.75 22.5L20.25 18L15.75 13.5\" stroke=\"#122A49\" stroke-width=\"1.5\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-3894\" class=\"elementor-element elementor-element-d043ac1 e-flex e-con-boxed e-con e-child\" data-id=\"d043ac1\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t\t<p class=\"margin-bottom-24 heading-inter-16-600 padding-0-24 margin-top-12 e-d9257c6-8ddf83d e-paragraph-base\" data-interaction-id=\"d9257c6\" data-e-type=\"widget\" data-id=\"d9257c6\">The illustration shows a fluoroscopy-guided anesthesia of the sensory facet joint nerve (Medial Branch). This temporarily numbs the facet joint. If the back pain subsequently disappears completely, the corresponding facet joint can be held responsible for the pain.  <br><br>Therapy: Thermocoagulation<br\/>This facet nerve block can also be performed under ultrasound guidance (i.e., without any radiation exposure).<\/p>\n\t\t\t\t\t<p class=\"paragraph-jakarta-16-400 padding-0-24 margin-bottom-12 e-paragraph-base\" data-interaction-id=\"edab80a\" data-e-type=\"widget\" data-id=\"edab80a\"><em>Literature:<br\/>Siegenthaler A. Interventional pain management, indications and results. Ther Umsch 2011<br\/>Practice Guidelines for Spinal Diagnostic and Treatment Procedures. 2nd Edition, edited by Nikolai Bogduk 2014  <\/em><\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-3895\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"6\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-3895\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Lumbar transforaminal epidural infiltration <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"36\" height=\"36\" viewBox=\"0 0 36 36\" fill=\"none\"><mask id=\"path-1-inside-1_6663_21208\" fill=\"white\"><path d=\"M0 18C0 8.05888 8.05888 0 18 0C27.9411 0 36 8.05888 36 18C36 27.9411 27.9411 36 18 36C8.05888 36 0 27.9411 0 18Z\"><\/path><\/mask><path d=\"M0 18M36 18M36 18M0 18M18 0M36 18M18 36M0 18M18 36V35C8.61116 35 1 27.3888 1 18H0H-1C-1 28.4934 7.50659 37 18 37V36ZM36 18H35C35 27.3888 27.3888 35 18 35V36V37C28.4934 37 37 28.4934 37 18H36ZM18 0V1C27.3888 1 35 8.61116 35 18H36H37C37 7.50659 28.4934 -1 18 -1V0ZM18 0V-1C7.50659 -1 -1 7.50659 -1 18H0H1C1 8.61116 8.61116 1 18 1V0Z\" fill=\"#122A49\" fill-opacity=\"0.3\" mask=\"url(#path-1-inside-1_6663_21208)\"><\/path><path d=\"M15.75 22.5L20.25 18L15.75 13.5\" stroke=\"#122A49\" stroke-width=\"1.5\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-3895\" class=\"elementor-element elementor-element-1f4a6e0 e-flex e-con-boxed e-con e-child\" data-id=\"1f4a6e0\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t\t<p class=\"margin-bottom-24 heading-inter-16-600 padding-0-24 margin-top-12 e-8185096-3c572ed e-paragraph-base\" data-interaction-id=\"8185096\" data-e-type=\"widget\" data-id=\"8185096\">For subacute lumbar radicular pain due to disc herniations, transforaminal epidural nerve root infiltration is an effective therapy. To avoid the feared complications associated with accidental intravascular needle placement, digital subtraction angiography (DSA) represents the ideal imaging method. <\/p>\n\t\t\t\t\t<p class=\"paragraph-jakarta-16-400 padding-0-24 margin-bottom-12 e-paragraph-base\" data-interaction-id=\"aef453a\" data-e-type=\"widget\" data-id=\"aef453a\"><em>Literature:<br\/>MacVicar et al. The Effectiveness of Lumbar Transforaminal Injection of Steroids: A Comprehensive Review with Systematic Analysis of the Published Data. Pain Med 2013  <\/em><\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-3896\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"7\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-3896\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Lumbar Facet Joint <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"36\" height=\"36\" viewBox=\"0 0 36 36\" fill=\"none\"><mask id=\"path-1-inside-1_6663_21208\" fill=\"white\"><path d=\"M0 18C0 8.05888 8.05888 0 18 0C27.9411 0 36 8.05888 36 18C36 27.9411 27.9411 36 18 36C8.05888 36 0 27.9411 0 18Z\"><\/path><\/mask><path d=\"M0 18M36 18M36 18M0 18M18 0M36 18M18 36M0 18M18 36V35C8.61116 35 1 27.3888 1 18H0H-1C-1 28.4934 7.50659 37 18 37V36ZM36 18H35C35 27.3888 27.3888 35 18 35V36V37C28.4934 37 37 28.4934 37 18H36ZM18 0V1C27.3888 1 35 8.61116 35 18H36H37C37 7.50659 28.4934 -1 18 -1V0ZM18 0V-1C7.50659 -1 -1 7.50659 -1 18H0H1C1 8.61116 8.61116 1 18 1V0Z\" fill=\"#122A49\" fill-opacity=\"0.3\" mask=\"url(#path-1-inside-1_6663_21208)\"><\/path><path d=\"M15.75 22.5L20.25 18L15.75 13.5\" stroke=\"#122A49\" stroke-width=\"1.5\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-3896\" class=\"elementor-element elementor-element-3718ec4 e-flex e-con-boxed e-con e-child\" data-id=\"3718ec4\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t\t<p class=\"margin-bottom-24 heading-inter-16-600 padding-0-24 margin-top-12 e-e3eb29c-1f58e2a e-paragraph-base\" data-interaction-id=\"e3eb29c\" data-e-type=\"widget\" data-id=\"e3eb29c\">Both periarticular facet joint infiltrations and facet nerve blocks (Medial Branch, target point corresponds to the arrowhead) can be performed easily under ultrasound guidance, without any radiation exposure, in patients who are not excessively obese.<\/p>\n\t\t\t\t\t<p class=\"paragraph-jakarta-16-400 margin-bottom-12 padding-0-24 e-paragraph-base\" data-interaction-id=\"a8067ce\" data-e-type=\"widget\" data-id=\"a8067ce\"><em>Literature:<br\/>Siegenthaler A: Ultrasound in Chronic Pain Therapy. Trends in Anesthesia and Critical Care 2011<br\/>Greher M et al: Ultrasound-guided lumbar facet nerve block: accuracy of a new technique confirmed by computed tomography. Anesthesiology 2004  <\/em><\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-3897\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"8\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-3897\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Piriformis Muscle <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"36\" height=\"36\" viewBox=\"0 0 36 36\" fill=\"none\"><mask id=\"path-1-inside-1_6663_21208\" fill=\"white\"><path d=\"M0 18C0 8.05888 8.05888 0 18 0C27.9411 0 36 8.05888 36 18C36 27.9411 27.9411 36 18 36C8.05888 36 0 27.9411 0 18Z\"><\/path><\/mask><path d=\"M0 18M36 18M36 18M0 18M18 0M36 18M18 36M0 18M18 36V35C8.61116 35 1 27.3888 1 18H0H-1C-1 28.4934 7.50659 37 18 37V36ZM36 18H35C35 27.3888 27.3888 35 18 35V36V37C28.4934 37 37 28.4934 37 18H36ZM18 0V1C27.3888 1 35 8.61116 35 18H36H37C37 7.50659 28.4934 -1 18 -1V0ZM18 0V-1C7.50659 -1 -1 7.50659 -1 18H0H1C1 8.61116 8.61116 1 18 1V0Z\" fill=\"#122A49\" fill-opacity=\"0.3\" mask=\"url(#path-1-inside-1_6663_21208)\"><\/path><path d=\"M15.75 22.5L20.25 18L15.75 13.5\" stroke=\"#122A49\" stroke-width=\"1.5\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-3897\" class=\"elementor-element elementor-element-95ffd58 e-flex e-con-boxed e-con e-child\" data-id=\"95ffd58\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t\t<p class=\"margin-bottom-24 heading-inter-16-600 padding-0-24 margin-top-12 e-97b2d0c-a6b1fed e-paragraph-base\" data-interaction-id=\"97b2d0c\" data-e-type=\"widget\" data-id=\"97b2d0c\">Directly below the SIJ, one encounters the piriformis muscle, which typically shows a slightly hypoechoic structure. In cases of piriformis syndrome, ideally combined with specific physiotherapy, this can be infiltrated under ultrasound guidance. <\/p>\n\t\t\t\t\t<p class=\"paragraph-jakarta-16-400 margin-bottom-12 padding-0-24 e-paragraph-base\" data-interaction-id=\"184ca9f\" data-e-type=\"widget\" data-id=\"184ca9f\"><em>Literature:<br\/>Peng et al. Ultrasound-guided interventional procedures for patients with chronic pelvic pain - a description of techniques and review of literature. Pain Physician 2008  <\/em><\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-3898\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"9\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-3898\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Suprascapular Nerve <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"36\" height=\"36\" viewBox=\"0 0 36 36\" fill=\"none\"><mask id=\"path-1-inside-1_6663_21208\" fill=\"white\"><path d=\"M0 18C0 8.05888 8.05888 0 18 0C27.9411 0 36 8.05888 36 18C36 27.9411 27.9411 36 18 36C8.05888 36 0 27.9411 0 18Z\"><\/path><\/mask><path d=\"M0 18M36 18M36 18M0 18M18 0M36 18M18 36M0 18M18 36V35C8.61116 35 1 27.3888 1 18H0H-1C-1 28.4934 7.50659 37 18 37V36ZM36 18H35C35 27.3888 27.3888 35 18 35V36V37C28.4934 37 37 28.4934 37 18H36ZM18 0V1C27.3888 1 35 8.61116 35 18H36H37C37 7.50659 28.4934 -1 18 -1V0ZM18 0V-1C7.50659 -1 -1 7.50659 -1 18H0H1C1 8.61116 8.61116 1 18 1V0Z\" fill=\"#122A49\" fill-opacity=\"0.3\" mask=\"url(#path-1-inside-1_6663_21208)\"><\/path><path d=\"M15.75 22.5L20.25 18L15.75 13.5\" stroke=\"#122A49\" stroke-width=\"1.5\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-3898\" class=\"elementor-element elementor-element-ab97bcd e-flex e-con-boxed e-con e-child\" data-id=\"ab97bcd\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t\t<p class=\"margin-bottom-24 heading-inter-16-600 padding-0-24 margin-top-12 e-88ce071-ff1e061 e-paragraph-base\" data-interaction-id=\"88ce071\" data-e-type=\"widget\" data-id=\"88ce071\">Repetitive blocks of the suprascapular nerve are an effective therapy for frozen shoulder or other shoulder pains originating from the joint or joint capsule. It is either blocked at the classic location in the suprascapular fossa under the fascia of the supraspinatus muscle (where it is not well visible on ultrasound), or in the supraclavicular region, where it runs very superficially and is well visible on ultrasound directly under the omohyoid muscle (arrowhead at the nerve). <\/p>\n\t\t\t\t\t<p class=\"paragraph-jakarta-16-400 padding-0-24 margin-bottom-12 e-paragraph-base\" data-interaction-id=\"221aa29\" data-e-type=\"widget\" data-id=\"221aa29\"><em>Literature:<br\/>Favejee et al. Frozen shoulder: the effectiveness of conservative and surgical interventions--systematic review. Br J Sports Med. 2011<br\/>Siegenthaler A, Moriggl B, Mlekusch S, Schliessbach J, Haug M, Curatolo M, Eichenberger U. Ultrasound-guided suprascapular nerve block, description of a novel supraclavicular approach. RAPM 2012   <\/em><\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-3899\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"10\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-3899\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Provocative Discography <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"36\" height=\"36\" viewBox=\"0 0 36 36\" fill=\"none\"><mask id=\"path-1-inside-1_6663_21208\" fill=\"white\"><path d=\"M0 18C0 8.05888 8.05888 0 18 0C27.9411 0 36 8.05888 36 18C36 27.9411 27.9411 36 18 36C8.05888 36 0 27.9411 0 18Z\"><\/path><\/mask><path d=\"M0 18M36 18M36 18M0 18M18 0M36 18M18 36M0 18M18 36V35C8.61116 35 1 27.3888 1 18H0H-1C-1 28.4934 7.50659 37 18 37V36ZM36 18H35C35 27.3888 27.3888 35 18 35V36V37C28.4934 37 37 28.4934 37 18H36ZM18 0V1C27.3888 1 35 8.61116 35 18H36H37C37 7.50659 28.4934 -1 18 -1V0ZM18 0V-1C7.50659 -1 -1 7.50659 -1 18H0H1C1 8.61116 8.61116 1 18 1V0Z\" fill=\"#122A49\" fill-opacity=\"0.3\" mask=\"url(#path-1-inside-1_6663_21208)\"><\/path><path d=\"M15.75 22.5L20.25 18L15.75 13.5\" stroke=\"#122A49\" stroke-width=\"1.5\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-3899\" class=\"elementor-element elementor-element-2c785ae e-flex e-con-boxed e-con e-child\" data-id=\"2c785ae\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t\t<p class=\"margin-bottom-24 heading-inter-16-600 padding-0-24 margin-top-12 e-ed584e1-bce2155 e-paragraph-base\" data-interaction-id=\"ed584e1\" data-e-type=\"widget\" data-id=\"ed584e1\">In patients younger than approximately 50 years, intervertebral discs are the most common cause of isolated back pain. The diagnostic gold standard is provocative discography, in which the discs are irritated by injecting contrast medium under applied pressure, and it is observed whether the patient's target pain can be provoked. <\/p>\n\t\t\t\t\t<p class=\"paragraph-jakarta-16-400 margin-bottom-12 padding-0-24 e-paragraph-base\" data-interaction-id=\"5e59787\" data-e-type=\"widget\" data-id=\"5e59787\"><em>Literature:<br\/>Does discography cause accelerated progression of degeneration changes in the lumbar disc: a ten-year matched cohort study. Carragee et al. Spine (Phila Pa 1976) 2009  <\/em><\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-38910\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"11\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-38910\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Sacral Block <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"36\" height=\"36\" viewBox=\"0 0 36 36\" fill=\"none\"><mask id=\"path-1-inside-1_6663_21208\" fill=\"white\"><path d=\"M0 18C0 8.05888 8.05888 0 18 0C27.9411 0 36 8.05888 36 18C36 27.9411 27.9411 36 18 36C8.05888 36 0 27.9411 0 18Z\"><\/path><\/mask><path d=\"M0 18M36 18M36 18M0 18M18 0M36 18M18 36M0 18M18 36V35C8.61116 35 1 27.3888 1 18H0H-1C-1 28.4934 7.50659 37 18 37V36ZM36 18H35C35 27.3888 27.3888 35 18 35V36V37C28.4934 37 37 28.4934 37 18H36ZM18 0V1C27.3888 1 35 8.61116 35 18H36H37C37 7.50659 28.4934 -1 18 -1V0ZM18 0V-1C7.50659 -1 -1 7.50659 -1 18H0H1C1 8.61116 8.61116 1 18 1V0Z\" fill=\"#122A49\" fill-opacity=\"0.3\" mask=\"url(#path-1-inside-1_6663_21208)\"><\/path><path d=\"M15.75 22.5L20.25 18L15.75 13.5\" stroke=\"#122A49\" stroke-width=\"1.5\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-38910\" class=\"elementor-element elementor-element-e52bec1 e-flex e-con-boxed e-con e-child\" data-id=\"e52bec1\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t\t<p class=\"margin-bottom-24 heading-inter-16-600 padding-0-24 margin-top-12 margin-bottom-12 e-82f4a58-f36b97a e-paragraph-base\" data-interaction-id=\"82f4a58\" data-e-type=\"widget\" data-id=\"82f4a58\">At the sacral hiatus, the epidural space can be safely and easily accessed by penetrating the sacrococcygeal membrane (arrow) and flooded with steroids. The sacral hiatus is also a useful landmark in ultrasound, from which other pain-relevant structures (e.g., SIJ, piriformis) can be located. <\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-38911\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"12\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-38911\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Stellate Ganglion Block, ultrasound-guided <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"36\" height=\"36\" viewBox=\"0 0 36 36\" fill=\"none\"><mask id=\"path-1-inside-1_6663_21208\" fill=\"white\"><path d=\"M0 18C0 8.05888 8.05888 0 18 0C27.9411 0 36 8.05888 36 18C36 27.9411 27.9411 36 18 36C8.05888 36 0 27.9411 0 18Z\"><\/path><\/mask><path d=\"M0 18M36 18M36 18M0 18M18 0M36 18M18 36M0 18M18 36V35C8.61116 35 1 27.3888 1 18H0H-1C-1 28.4934 7.50659 37 18 37V36ZM36 18H35C35 27.3888 27.3888 35 18 35V36V37C28.4934 37 37 28.4934 37 18H36ZM18 0V1C27.3888 1 35 8.61116 35 18H36H37C37 7.50659 28.4934 -1 18 -1V0ZM18 0V-1C7.50659 -1 -1 7.50659 -1 18H0H1C1 8.61116 8.61116 1 18 1V0Z\" fill=\"#122A49\" fill-opacity=\"0.3\" mask=\"url(#path-1-inside-1_6663_21208)\"><\/path><path d=\"M15.75 22.5L20.25 18L15.75 13.5\" stroke=\"#122A49\" stroke-width=\"1.5\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-38911\" class=\"elementor-element elementor-element-e37f90e e-flex e-con-boxed e-con e-child\" data-id=\"e37f90e\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t\t<p class=\"margin-bottom-24 heading-inter-16-600 padding-0-24 margin-top-12 e-f474e0c-8812b77 e-paragraph-base\" data-interaction-id=\"f474e0c\" data-e-type=\"widget\" data-id=\"f474e0c\">The stellate ganglion block is classically performed either blindly or under fluoroscopic guidance, with this procedure being used, for example, in certain forms of CRPS of the hand. In recent years, it has also been successfully used for bothersome postmenopausal hot flashes. Thanks to ultrasound imaging, the feared complications (accidental puncture of an extraforaminal vertebral artery or esophagus) can be avoided as much as possible.  <\/p>\n\t\t\t\t\t<p class=\"paragraph-jakarta-16-400 margin-bottom-12 padding-0-24 e-paragraph-base\" data-interaction-id=\"001ac18\" data-e-type=\"widget\" data-id=\"001ac18\"><em>Literature:Siegenthaler A, Mlekusch S, Schliessbach J, Curatolo M, Eichenberger U. Ultrasound imaging to estimate risk of esophageal and vascular puncture after conventional stellate ganglion block. RAPM 2012Siegenthaler A, Mlekusch S, Schliessbach J, Curatolo M, Eichenberger U. Ultrasound imaging to estimate risk of esophageal and vascular puncture after conventional stellate ganglion block. RAPM 2012  <\/em><\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-38912\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"13\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-38912\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Partial Denervation of the Hip Joint <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"36\" height=\"36\" viewBox=\"0 0 36 36\" fill=\"none\"><mask id=\"path-1-inside-1_6663_21208\" fill=\"white\"><path d=\"M0 18C0 8.05888 8.05888 0 18 0C27.9411 0 36 8.05888 36 18C36 27.9411 27.9411 36 18 36C8.05888 36 0 27.9411 0 18Z\"><\/path><\/mask><path d=\"M0 18M36 18M36 18M0 18M18 0M36 18M18 36M0 18M18 36V35C8.61116 35 1 27.3888 1 18H0H-1C-1 28.4934 7.50659 37 18 37V36ZM36 18H35C35 27.3888 27.3888 35 18 35V36V37C28.4934 37 37 28.4934 37 18H36ZM18 0V1C27.3888 1 35 8.61116 35 18H36H37C37 7.50659 28.4934 -1 18 -1V0ZM18 0V-1C7.50659 -1 -1 7.50659 -1 18H0H1C1 8.61116 8.61116 1 18 1V0Z\" fill=\"#122A49\" fill-opacity=\"0.3\" mask=\"url(#path-1-inside-1_6663_21208)\"><\/path><path d=\"M15.75 22.5L20.25 18L15.75 13.5\" stroke=\"#122A49\" stroke-width=\"1.5\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-38912\" class=\"elementor-element elementor-element-326b4a6 e-flex e-con-boxed e-con e-child\" data-id=\"326b4a6\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t\t<p class=\"margin-bottom-24 heading-inter-16-600 padding-0-24 margin-top-12 e-5c935da-aaf8ad3 e-paragraph-base\" data-interaction-id=\"5c935da\" data-e-type=\"widget\" data-id=\"5c935da\">Fluoroscopy-guided thermocoagulation of the sensory nerve branch of the obturator nerve supplying the hip joint. This nerve innervates approximately 50% of the hip joint. This procedure is suitable for patients with hip pain who are too young for a prosthesis or for severely polymorbid patients for whom surgery poses too great a risk.  <\/p>\n\t\t\t\t\t<p class=\"paragraph-jakarta-16-400 margin-bottom-12 padding-0-24 e-paragraph-base\" data-interaction-id=\"f2ad4d4\" data-e-type=\"widget\" data-id=\"f2ad4d4\"><em>Literature:<br\/>Locher S, Burmeister H, B\u00f6hlen T, Eichenberger U, Stoupis C, Moriggl B, Siebenrock K, Curatolo M. Radiological anatomy of the obturator nerve and its articular branches: basis to develop a method of radiofrequency denervation for hip joint pain. Pain Med 2008<br\/>Rivera F1, Mariconda C, Annaratone G. Percutaneous radiofrequency denervation in patients with contraindications for total hip arthroplasty. Orthopedics.   2012<\/em><\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-38913\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"14\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-38913\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Thermocoagulation of ISG-supplying nerves <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"36\" height=\"36\" viewBox=\"0 0 36 36\" fill=\"none\"><mask id=\"path-1-inside-1_6663_21208\" fill=\"white\"><path d=\"M0 18C0 8.05888 8.05888 0 18 0C27.9411 0 36 8.05888 36 18C36 27.9411 27.9411 36 18 36C8.05888 36 0 27.9411 0 18Z\"><\/path><\/mask><path d=\"M0 18M36 18M36 18M0 18M18 0M36 18M18 36M0 18M18 36V35C8.61116 35 1 27.3888 1 18H0H-1C-1 28.4934 7.50659 37 18 37V36ZM36 18H35C35 27.3888 27.3888 35 18 35V36V37C28.4934 37 37 28.4934 37 18H36ZM18 0V1C27.3888 1 35 8.61116 35 18H36H37C37 7.50659 28.4934 -1 18 -1V0ZM18 0V-1C7.50659 -1 -1 7.50659 -1 18H0H1C1 8.61116 8.61116 1 18 1V0Z\" fill=\"#122A49\" fill-opacity=\"0.3\" mask=\"url(#path-1-inside-1_6663_21208)\"><\/path><path d=\"M15.75 22.5L20.25 18L15.75 13.5\" stroke=\"#122A49\" stroke-width=\"1.5\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-38913\" class=\"elementor-element elementor-element-af7e6ef e-flex e-con-boxed e-con e-child\" data-id=\"af7e6ef\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t\t<p class=\"margin-bottom-24 heading-inter-16-600 padding-0-24 margin-top-12 e-245d475-0031b5e e-paragraph-base\" data-interaction-id=\"245d475\" data-e-type=\"widget\" data-id=\"245d475\">Often, intra-articular SIJ infiltrations with steroids only lead to short-term pain reduction. Following the same concept as with facet joints, the sensory nerves of the SIJ can first be anesthetized and, with a correspondingly positive block result, permanently disabled by thermocoagulation. The sensory nerves involved are the dorsal ramus of L5 and the lateral rami of S1-3. The procedure is extremely complex, as a total of about 20 thermolesions are necessary to reach the enormous multitude of sensory nerve fibers. Although the procedure is still new, there are already 2 positive randomized placebo-controlled studies available.   <\/p>\n\t\t\t\t\t<p class=\"paragraph-jakarta-16-400 padding-0-24 margin-bottom-12 e-paragraph-base\" data-interaction-id=\"5321ce8\" data-e-type=\"widget\" data-id=\"5321ce8\"><em>Literature:<br\/>Patel et al: A randomized, placebo-controlled study to assess the efficacy of lateral branch neurotomy for chronic sacroiliac joint pain. Pain Med 2012<br\/>Cohen et al: Randomized placebo-controlled study evaluating lateral branch radiofrequency denervation for sacroiliac joint pain. Anesthesiology 2008  <\/em><\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-38914\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"15\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-38914\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Thermocoagulation of a lumbar facet joint nerve <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"36\" height=\"36\" viewBox=\"0 0 36 36\" fill=\"none\"><mask id=\"path-1-inside-1_6663_21208\" fill=\"white\"><path d=\"M0 18C0 8.05888 8.05888 0 18 0C27.9411 0 36 8.05888 36 18C36 27.9411 27.9411 36 18 36C8.05888 36 0 27.9411 0 18Z\"><\/path><\/mask><path d=\"M0 18M36 18M36 18M0 18M18 0M36 18M18 36M0 18M18 36V35C8.61116 35 1 27.3888 1 18H0H-1C-1 28.4934 7.50659 37 18 37V36ZM36 18H35C35 27.3888 27.3888 35 18 35V36V37C28.4934 37 37 28.4934 37 18H36ZM18 0V1C27.3888 1 35 8.61116 35 18H36H37C37 7.50659 28.4934 -1 18 -1V0ZM18 0V-1C7.50659 -1 -1 7.50659 -1 18H0H1C1 8.61116 8.61116 1 18 1V0Z\" fill=\"#122A49\" fill-opacity=\"0.3\" mask=\"url(#path-1-inside-1_6663_21208)\"><\/path><path d=\"M15.75 22.5L20.25 18L15.75 13.5\" stroke=\"#122A49\" stroke-width=\"1.5\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-38914\" class=\"elementor-element elementor-element-b83c05a e-flex e-con-boxed e-con e-child\" data-id=\"b83c05a\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t\t<p class=\"margin-bottom-24 heading-inter-16-600 padding-0-24 margin-top-12 e-0f4cba4-256d4d1 e-paragraph-base\" data-interaction-id=\"0f4cba4\" data-e-type=\"widget\" data-id=\"0f4cba4\">Following a previous positive facet nerve block, the nerve can be coagulated by thermocoagulation (heating the electrode tip to 85\u00b0C). This makes the joint insensitive. The nerve regenerates after about 1 year, and the procedure can be repeated without problems and with the same probability of success. Critical is the correct execution of the intervention with several lesions (approx. 6 per nerve) and a strictly tangential insertion direction to the nerve to ablate it over the longest possible distance. Only in this way can a long pain-free interval be achieved.<br\/>If the patient behaves optimally during the pain-free year (i.e., engages in rehabilitative physiotherapy for core stabilization), the pain often does not return despite nerve regeneration.    <\/p>\n\t\t\t\t\t<p class=\"paragraph-jakarta-16-400 margin-bottom-12 padding-0-24 e-paragraph-base\" data-interaction-id=\"0ff0caf\" data-e-type=\"widget\" data-id=\"0ff0caf\"><em>Literature:<br\/>Bogduk et al. A Narrative Review of Lumbar Medial Branch Neurotomy for the Treatment of Back Pain. Pain Med 2009  <\/em><\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-38915\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"16\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-38915\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Thermocoagulation of a cervical facet joint nerve <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"36\" height=\"36\" viewBox=\"0 0 36 36\" fill=\"none\"><mask id=\"path-1-inside-1_6663_21208\" fill=\"white\"><path d=\"M0 18C0 8.05888 8.05888 0 18 0C27.9411 0 36 8.05888 36 18C36 27.9411 27.9411 36 18 36C8.05888 36 0 27.9411 0 18Z\"><\/path><\/mask><path d=\"M0 18M36 18M36 18M0 18M18 0M36 18M18 36M0 18M18 36V35C8.61116 35 1 27.3888 1 18H0H-1C-1 28.4934 7.50659 37 18 37V36ZM36 18H35C35 27.3888 27.3888 35 18 35V36V37C28.4934 37 37 28.4934 37 18H36ZM18 0V1C27.3888 1 35 8.61116 35 18H36H37C37 7.50659 28.4934 -1 18 -1V0ZM18 0V-1C7.50659 -1 -1 7.50659 -1 18H0H1C1 8.61116 8.61116 1 18 1V0Z\" fill=\"#122A49\" fill-opacity=\"0.3\" mask=\"url(#path-1-inside-1_6663_21208)\"><\/path><path d=\"M15.75 22.5L20.25 18L15.75 13.5\" stroke=\"#122A49\" stroke-width=\"1.5\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-38915\" class=\"elementor-element elementor-element-715cf9f e-flex e-con-boxed e-con e-child\" data-id=\"715cf9f\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t\t<p class=\"margin-bottom-24 heading-inter-16-600 padding-0-24 margin-top-12 e-d9e7a3b-2d7447b e-paragraph-base\" data-interaction-id=\"d9e7a3b\" data-e-type=\"widget\" data-id=\"d9e7a3b\">Following a previous positive facet nerve block, the nerve can be ablated by thermocoagulation (heating the electrode tip to 85\u00b0C). This makes the joint insensitive. The nerve regenerates after about 1 year, and the procedure can be repeated without problems and with the same probability of success. Critical is the correct execution of the intervention with several lesions (approx. 6 per nerve) and a strictly tangential insertion direction to the nerve to ablate it over the longest possible distance. Only in this way can a long pain-free interval be achieved. Since the nerves are visible on ultrasound, the number of necessary thermolesions can be reduced by exact localization of the nerve, thus shortening the intervention.     <\/p>\n\t\t\t\t\t<p class=\"paragraph-jakarta-16-400 margin-bottom-12 padding-0-24 e-paragraph-base\" data-interaction-id=\"678db18\" data-e-type=\"widget\" data-id=\"678db18\"><em>Literature:<br\/>Siegenthaler A, Eichenberger U, Curatolo M. A shortened radiofrequency denervation method for cervical zygapophysial joint pain based on ultrasound localization of the nerves. Pain Med 2011<br\/>Lord et al. Percutaneous radio-frequency neurotomy for chronic cervical zygapophyseal-joint pain. NEJM 1996   <\/em><\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-38916\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"17\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-38916\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Ultrasound-guided foraminal infiltration of a cervical nerve root <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"36\" height=\"36\" viewBox=\"0 0 36 36\" fill=\"none\"><mask id=\"path-1-inside-1_6663_21208\" fill=\"white\"><path d=\"M0 18C0 8.05888 8.05888 0 18 0C27.9411 0 36 8.05888 36 18C36 27.9411 27.9411 36 18 36C8.05888 36 0 27.9411 0 18Z\"><\/path><\/mask><path d=\"M0 18M36 18M36 18M0 18M18 0M36 18M18 36M0 18M18 36V35C8.61116 35 1 27.3888 1 18H0H-1C-1 28.4934 7.50659 37 18 37V36ZM36 18H35C35 27.3888 27.3888 35 18 35V36V37C28.4934 37 37 28.4934 37 18H36ZM18 0V1C27.3888 1 35 8.61116 35 18H36H37C37 7.50659 28.4934 -1 18 -1V0ZM18 0V-1C7.50659 -1 -1 7.50659 -1 18H0H1C1 8.61116 8.61116 1 18 1V0Z\" fill=\"#122A49\" fill-opacity=\"0.3\" mask=\"url(#path-1-inside-1_6663_21208)\"><\/path><path d=\"M15.75 22.5L20.25 18L15.75 13.5\" stroke=\"#122A49\" stroke-width=\"1.5\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-38916\" class=\"elementor-element elementor-element-a06a18b e-flex e-con-boxed e-con e-child\" data-id=\"a06a18b\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t\t<p class=\"margin-bottom-24 heading-inter-16-600 padding-0-24 margin-top-12 e-d3d8d53-d128162 e-paragraph-base\" data-interaction-id=\"d3d8d53\" data-e-type=\"widget\" data-id=\"d3d8d53\">For radicular pain in cervical disc herniation, the nerve roots can also be infiltrated extraforaminally under ultrasound guidance, thus without any radiation exposure. With appropriate practice, transforaminal epidural medication spread can be achieved despite extraforaminal puncture, thereby reducing the risk of the rare but serious complications of this intervention. <\/p>\n\t\t\t\t\t<p class=\"paragraph-jakarta-16-400 padding-0-24 margin-bottom-12 e-paragraph-base\" data-interaction-id=\"1f680bc\" data-e-type=\"widget\" data-id=\"1f680bc\"><em>Literature:<br\/>Yamauchi et al: Ultrasound-Guided Cervical Nerve Root Block: Spread of Solution and Clinical Effect. Pain Med 2011<br\/>Siegenthaler A: Ultrasound in Chronic Pain Therapy. Trends in Anesthesia and Critical Care 2011<br\/>Narouze SN: Ultrasound-guided cervical spine injections: ultrasound \"prevents\" whereas contrast fluoroscopy \"detects\" intravascular injections. RAPM 2012   <\/em><\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-38917\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"18\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-38917\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Ultrasound-guided SIJ infiltration <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"36\" height=\"36\" viewBox=\"0 0 36 36\" fill=\"none\"><mask id=\"path-1-inside-1_6663_21208\" fill=\"white\"><path d=\"M0 18C0 8.05888 8.05888 0 18 0C27.9411 0 36 8.05888 36 18C36 27.9411 27.9411 36 18 36C8.05888 36 0 27.9411 0 18Z\"><\/path><\/mask><path d=\"M0 18M36 18M36 18M0 18M18 0M36 18M18 36M0 18M18 36V35C8.61116 35 1 27.3888 1 18H0H-1C-1 28.4934 7.50659 37 18 37V36ZM36 18H35C35 27.3888 27.3888 35 18 35V36V37C28.4934 37 37 28.4934 37 18H36ZM18 0V1C27.3888 1 35 8.61116 35 18H36H37C37 7.50659 28.4934 -1 18 -1V0ZM18 0V-1C7.50659 -1 -1 7.50659 -1 18H0H1C1 8.61116 8.61116 1 18 1V0Z\" fill=\"#122A49\" fill-opacity=\"0.3\" mask=\"url(#path-1-inside-1_6663_21208)\"><\/path><path d=\"M15.75 22.5L20.25 18L15.75 13.5\" stroke=\"#122A49\" stroke-width=\"1.5\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-38917\" class=\"elementor-element elementor-element-3d699ad e-flex e-con-boxed e-con e-child\" data-id=\"3d699ad\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t\t<p class=\"margin-bottom-24 heading-inter-16-600 padding-0-24 margin-top-12 e-dd04dfb-5ef87c6 e-paragraph-base\" data-interaction-id=\"dd04dfb\" data-e-type=\"widget\" data-id=\"dd04dfb\">The SIJ can be safely and effectively infiltrated under ultrasound guidance without any radiation exposure.<\/p>\n\t\t\t\t\t<p class=\"paragraph-jakarta-16-400 padding-0-24 margin-bottom-12 e-paragraph-base\" data-interaction-id=\"070bd1b\" data-e-type=\"widget\" data-id=\"070bd1b\"><em>Literature:<br\/>Harmon et al. Ultrasound-guided sacroiliac joint injection technique. Pain Physician 2008  <\/em><\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-38918\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"19\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-38918\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Ultrasound-guided cervical facet joint infiltration <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"36\" height=\"36\" viewBox=\"0 0 36 36\" fill=\"none\"><mask id=\"path-1-inside-1_6663_21208\" fill=\"white\"><path d=\"M0 18C0 8.05888 8.05888 0 18 0C27.9411 0 36 8.05888 36 18C36 27.9411 27.9411 36 18 36C8.05888 36 0 27.9411 0 18Z\"><\/path><\/mask><path d=\"M0 18M36 18M36 18M0 18M18 0M36 18M18 36M0 18M18 36V35C8.61116 35 1 27.3888 1 18H0H-1C-1 28.4934 7.50659 37 18 37V36ZM36 18H35C35 27.3888 27.3888 35 18 35V36V37C28.4934 37 37 28.4934 37 18H36ZM18 0V1C27.3888 1 35 8.61116 35 18H36H37C37 7.50659 28.4934 -1 18 -1V0ZM18 0V-1C7.50659 -1 -1 7.50659 -1 18H0H1C1 8.61116 8.61116 1 18 1V0Z\" fill=\"#122A49\" fill-opacity=\"0.3\" mask=\"url(#path-1-inside-1_6663_21208)\"><\/path><path d=\"M15.75 22.5L20.25 18L15.75 13.5\" stroke=\"#122A49\" stroke-width=\"1.5\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-38918\" class=\"elementor-element elementor-element-c04a395 e-flex e-con-boxed e-con e-child\" data-id=\"c04a395\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t\t<p class=\"margin-bottom-24 heading-inter-16-600 padding-0-24 margin-top-12 e-28360a6-b7e3b98 e-paragraph-base\" data-interaction-id=\"28360a6\" data-e-type=\"widget\" data-id=\"28360a6\">Both periarticular facet joint infiltrations and facet nerve blocks (Medial Branch, target point corresponds to the arrowhead) can be performed easily under ultrasound guidance, without any radiation exposure.<\/p>\n\t\t\t\t\t<p class=\"paragraph-jakarta-16-400 padding-0-24 margin-bottom-12 e-paragraph-base\" data-interaction-id=\"9bd284b\" data-e-type=\"widget\" data-id=\"9bd284b\"><em>Literature:<br\/>Siegenthaler A: Ultrasound in Chronic Pain Therapy. Trends in Anaesthsia and Critical Care 2011<br\/>Siegenthaler A, Schliessbach J, Curatolo M, Eichenberger U: Ultrasound anatomy of the nerves supplying the cervical zygapophyseal joints: an exploratory study. RAPM 2011<br\/>Siegenthaler A, Mlekusch S, Trelle S, Schliessbach J, Curatolo M, Eichenberger U: Accuracy of ultrasound-guided nerve blocks of the cervical zygapophysial joints. Anesthesiology 2012   <\/em><\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-38919\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"20\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-38919\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Cervical Facet Nerve Blockade, fluoroscopy-guided <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"36\" height=\"36\" viewBox=\"0 0 36 36\" fill=\"none\"><mask id=\"path-1-inside-1_6663_21208\" fill=\"white\"><path d=\"M0 18C0 8.05888 8.05888 0 18 0C27.9411 0 36 8.05888 36 18C36 27.9411 27.9411 36 18 36C8.05888 36 0 27.9411 0 18Z\"><\/path><\/mask><path d=\"M0 18M36 18M36 18M0 18M18 0M36 18M18 36M0 18M18 36V35C8.61116 35 1 27.3888 1 18H0H-1C-1 28.4934 7.50659 37 18 37V36ZM36 18H35C35 27.3888 27.3888 35 18 35V36V37C28.4934 37 37 28.4934 37 18H36ZM18 0V1C27.3888 1 35 8.61116 35 18H36H37C37 7.50659 28.4934 -1 18 -1V0ZM18 0V-1C7.50659 -1 -1 7.50659 -1 18H0H1C1 8.61116 8.61116 1 18 1V0Z\" fill=\"#122A49\" fill-opacity=\"0.3\" mask=\"url(#path-1-inside-1_6663_21208)\"><\/path><path d=\"M15.75 22.5L20.25 18L15.75 13.5\" stroke=\"#122A49\" stroke-width=\"1.5\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-38919\" class=\"elementor-element elementor-element-0ed7e41 e-flex e-con-boxed e-con e-child\" data-id=\"0ed7e41\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t\t<p class=\"margin-bottom-24 heading-inter-16-600 padding-0-24 margin-top-12 e-07c9558-1bd0eac e-paragraph-base\" data-interaction-id=\"07c9558\" data-e-type=\"widget\" data-id=\"07c9558\">The illustration shows a fluoroscopy-guided anesthesia of the sensory facet joint nerve (Medial Branch). This temporarily numbs the facet joint. If the neck pain subsequently disappears completely, the corresponding facet joint can be held responsible for the pain. Therapy: Thermocoagulation (see Thermocoagulation of a cervical facet joint nerve) This facet nerve block can also be performed under ultrasound guidance (see Ultrasound-guided cervical facet joint infiltration) (i.e., without any radiation exposure).<\/p>\n\t\t\t\t\t<p class=\"paragraph-jakarta-16-400 padding-0-24 margin-bottom-12 e-paragraph-base\" data-interaction-id=\"5cea99b\" data-e-type=\"widget\" data-id=\"5cea99b\"><em>Literature:<br\/>Siegenthaler A. Interventional pain management, indications and results. Ther Umsch 2011<br\/>Practice Guidelines for Spinal Diagnostic and Treatment Procedures. 2nd Edition, edited by Nikolai Bogduk 2014  <\/em><\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\n<\/div>\n\n<\/div>\n\n<\/div>\n\n<\/div>\n<div class=\"elementor-element elementor-element-2bdbcc64 e-con e-atomic-element e-div-block-base background-norm e-2bdbcc64-0eb5b0f section-padding \" data-id=\"2bdbcc64\" data-element_type=\"e-div-block\" data-e-type=\"e-div-block\" data-interaction-id=\"2bdbcc64\" data-e-type=\"e-div-block\" data-id=\"2bdbcc64\">\n    <div class=\"elementor-element elementor-element-1de66030 e-con e-atomic-element e-div-block-base padding-0 content-848 content-center e-1de66030-6023a22 \" data-id=\"1de66030\" data-element_type=\"e-div-block\" data-e-type=\"e-div-block\" data-interaction-id=\"1de66030\" data-e-type=\"e-div-block\" data-id=\"1de66030\">\n    <div class=\"elementor-element elementor-element-2898f03e e-con e-atomic-element e-div-block-base border-blue-1-16 e-2898f03e-6d8278a background-light-blue padding-32 \" data-id=\"2898f03e\" data-element_type=\"e-div-block\" data-e-type=\"e-div-block\" data-interaction-id=\"2898f03e\" data-e-type=\"e-div-block\" data-id=\"2898f03e\">\n    <div class=\"elementor-element elementor-element-53e500bd e-con e-atomic-element e-div-block-base padding-0 \" data-id=\"53e500bd\" data-element_type=\"e-div-block\" data-e-type=\"e-div-block\" data-interaction-id=\"53e500bd\" data-e-type=\"e-div-block\" data-id=\"53e500bd\">\n    \t\t\t<h2 data-interaction-id=\"54c4d623\" class=\"heading-jakarta-20-700 e-54c4d623-bb635f6 margin-bottom-8 e-heading-base\" data-e-type=\"widget\" data-id=\"54c4d623\">Find a doctor<\/h2>\n\t\t\t\t\t<p class=\"paragraph-inter-14-400 e-44e69d5b-48008d8 e-paragraph-base\" data-interaction-id=\"44e69d5b\" data-e-type=\"widget\" data-id=\"44e69d5b\">Discuss all treatment options with your SSIPM-certified pain specialist.<\/p>\n\t\t\n<\/div>\n\t\t\t<a class=\"elementor-element elementor-element-1k5szfh e-con e-atomic-element e-div-block-base padding-0 flex-row-8 content-fit flex-start-center \" data-id=\"1k5szfh\" data-element_type=\"e-div-block\" data-e-type=\"e-div-block\" data-interaction-id=\"58dc8dc\" href=\"https:\/\/ssipm.ch\/fuer-betroffene\/aerztesuche\/\" target=\"_self\" data-e-type=\"e-div-block\" data-id=\"1k5szfh\">\n    \t\t\t<p class=\"link-14-600 e-paragraph-base\" data-interaction-id=\"3e68f6a\" data-e-type=\"widget\" data-id=\"0q39oh7\">To the doctor search<\/p>\n\t\t\t\t\t<div class=\"icon-no-background icon-16 e-svg-base\" data-interaction-id=\"4c65f59\" data-e-type=\"widget\" data-id=\"06oge70\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" style=\"width: 100%; height: 100%; overflow: unset;\" width=\"16\" height=\"16\" viewBox=\"0 0 16 16\" fill=\"currentColor\"><path d=\"M3.33337 8H12.6667\" stroke=\"#1D395E\" stroke-width=\"1.33333\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path><path d=\"M8 3.33331L12.6667 7.99998L8 12.6666\" stroke=\"#1D395E\" stroke-width=\"1.33333\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path><\/svg><\/div>\t\t\n<\/a>\n\n\t\t\n<\/div>\n<div class=\"elementor-element elementor-element-386e2e92 e-con e-atomic-element e-div-block-base border-blue-1-16 e-386e2e92-7c4f5ee background-light-blue padding-32 \" data-id=\"386e2e92\" data-element_type=\"e-div-block\" data-e-type=\"e-div-block\" data-interaction-id=\"386e2e92\" data-e-type=\"e-div-block\" data-id=\"386e2e92\">\n    <div class=\"elementor-element elementor-element-7d9e97d5 e-con e-atomic-element e-div-block-base padding-0 \" data-id=\"7d9e97d5\" data-element_type=\"e-div-block\" data-e-type=\"e-div-block\" data-interaction-id=\"7d9e97d5\" data-e-type=\"e-div-block\" data-id=\"7d9e97d5\">\n    \t\t\t<h2 data-interaction-id=\"4e6cc6b7\" class=\"heading-jakarta-20-700 e-4e6cc6b7-f254f24 margin-bottom-8 e-heading-base\" data-e-type=\"widget\" data-id=\"4e6cc6b7\"><strong>Duty to inform<\/strong><\/h2>\n\t\t\t\t\t<p class=\"paragraph-inter-14-400 e-195ec8a9-1678376 e-paragraph-base\" data-interaction-id=\"195ec8a9\" data-e-type=\"widget\" data-id=\"195ec8a9\">Your rights as a patient \u2013 find out what information you are entitled to before an interventional pain treatment.<\/p>\n\t\t\n<\/div>\n\t\t\t<a class=\"elementor-element elementor-element-0m7laka e-con e-atomic-element e-div-block-base padding-0 flex-row-8 content-fit flex-start-center \" data-id=\"0m7laka\" data-element_type=\"e-div-block\" data-e-type=\"e-div-block\" data-interaction-id=\"58dc8dc\" href=\"https:\/\/ssipm.ch\/fuer-betroffene\/aufklaerungspflicht\/\" target=\"_self\" data-e-type=\"e-div-block\" data-id=\"0m7laka\">\n    \t\t\t<p class=\"link-14-600 e-paragraph-base\" data-interaction-id=\"3e68f6a\" data-e-type=\"widget\" data-id=\"1yiruz0\">To the duty to inform<\/p>\n\t\t\t\t\t<div class=\"icon-no-background icon-16 e-svg-base\" data-interaction-id=\"4c65f59\" data-e-type=\"widget\" data-id=\"04rtjsr\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" style=\"width: 100%; height: 100%; overflow: unset;\" width=\"16\" height=\"16\" viewBox=\"0 0 16 16\" fill=\"currentColor\"><path d=\"M3.33337 8H12.6667\" stroke=\"#1D395E\" stroke-width=\"1.33333\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path><path d=\"M8 3.33331L12.6667 7.99998L8 12.6666\" stroke=\"#1D395E\" stroke-width=\"1.33333\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path><\/svg><\/div>\t\t\n<\/a>\n\n\t\t\n<\/div>\n\n<\/div>\n\n<\/div>\n\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>An overview of the most common interventional<br \/>\npain treatments with detailed information<br \/>\nfor patients.<\/p>\n","protected":false},"author":3,"featured_media":15087,"parent":14916,"menu_order":21,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-15086","page","type-page","status-publish","has-post-thumbnail","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Common Procedures | SSIPM Switzerland<\/title>\n<meta name=\"description\" content=\"\u2695\ufe0f Common Interventional Pain Medicine Procedures: understandable information on procedures, benefits, and risks for those affected.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/ssipm.ch\/en\/for-those-affected\/common-procedures\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta 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