Procedures

The ganglion impar is a  sacrococcygeal ganglion, also called ganglion of Wather. It is a retroperitoneal structure located at the level of the sacrococcygeal junction. It is the final terminus of sympathetic chains formed by the fusion of both the chains. Therefore, the ganglion impar block is used in patients with the pain in pelvic […]

Digital nerve blocks are used for numbing digits [fingers, toes] for a procedure on the digits. Injury and infection are the two most common reasons for surgical procedures of digits. The digital block is generally effective for procedures distal to metatarsal or metacarpal heads. Relevant anatomy Each digit is innervated by 4 digital nerves – […]

Trigger point injections are used as a treatment modality for inactivating trigger points to provide prompt relief. Trigger points are palpable painful nodules in the taut band of muscle fibers. Trigger points are also called myofascial trigger points as they are seen in myofascial pain syndrome, a painful muscle disorder. [Read more on myofascial pain […]

Methylene blue injection is an easy and safe way to rule out or confirm breakage of the joint capsule when there is an injury near or around the joint,  thus establishing or ruling out the presence of open joint injury. Open joint injuries consist of are skin and soft-tissue injuries which communicate with the joint. It […]

A radial Gutter splint is a splint that is applied on the radial aspect of forearm and sandwiches  2nd  [index]and 3rd [middle] fingers to provide both volar and dorsal support. Splints, as we know from our previous discussions are used to immobilize the injuries either temporarily or as definite treatment. Most common use of splints […]

Aspiration of olecranon bursa is performed to obtain fluid for analysis. A bursa can become inflamed due to infection or for noninfective reasons like trauma, overuse, crystal deposition diseases etc. Non-infective or aseptic causes account for approximately two-thirds of all bursitis diagnoses. Infective or septic bursitis most commonly occurs due to seeding of bacteriae or […]

Laminectomy is a surgical procedure for decompressing the cord or nerve roots by removal of lamina part of the vertebra which forms the vertebral or neural arch. The vertebral arch is the ring of bone that joins the vertebral body to surround the spinal cord. [see anatomy] Each vertebra contains two laminae and the procedure […]

Internal fixation of scaphoid can be done either percutaneously or using open reduction. In modern orthopedic practice, percutaneous fixation of the scaphoid is preferred where feasible because it is minimally invasive and there is no need for wide dissection and tissue injury caused by surgical dissection. Preoperative Planning The fracture pattern should be clear. Conventional […]