Translated Titles

Ultrasound Guided Injection Techniques in the Treatment of Low Back Pain




陳柏旭(Carl P.C. Chen);何長軒(Chan-Shien Ho);陳靖倫(Jean-Lon Chen);裴育晟(Yu-Cheng Pei)

Key Words

下背痛 ; 肌肉骨骼軟組織超音波導引注射技術 ; 骶裂孔注射 ; low back pain ; ultrasound-guided intervention ; caudal epidural injection



Volume or Term/Year and Month of Publication

23卷3期(2019 / 05 / 25)

Page #

330 - 334

Content Language


Chinese Abstract


English Abstract

In the past, expensive imaging tools such as the computed tomography (CT) and magnetic resonance imaging (MRI) were needed to diagnose musculoskeletal disorders. Presently, musculoskeletal ultrasound is frequently used to diagnose these problems with high accuracy and is radiation free. Musculoskeletal ultrasound can be applied as a needle guiding tool in performing interventional injection treatments for pain disorders. Needles can be accurately guided into the designated area for aspiration and injection procedures. Ultrasound can be applied in performing precise procedures such as caudal epidural, piriformis, lumbosacral facet and medial branch blocks, lumbar transforaminal, and sacroiliac joint injections for the treatment of low back pain. Under ultrasound guidance, the advancing motion of the needle can be observed as continuous and real-time images. In order to perform these injections successfully, the physician performing these procedures must be familiar with the sono-anatomy of the spine. In the lower back, anatomical structures of facet joints, transverse process, medial branches, piriformis muscles, sacroiliac joints, quadratus lumborum muscles, and sacral hiatus are crucial and need to be identified correctly under ultrasound in order to perform successful injection procedures for the treatment of low back pain.

Topic Category 醫藥衛生 > 醫藥衛生綜合
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