Office Procedures for Pain

Abstract

Office procedures for pain can be a good option to help patients with various musculoskeletal issues that cause pain and functional impairment. The indication for an in-office pain procedure is to relieve pain, reduce inflammation, and improve mobility. These procedures can be considered in an acute or chronic pain situation and can be applied to different areas, including the shoulder, elbow, hip, knee, and myofascia. Obtaining a good history, performing a thorough physical examination, and getting appropriate imaging are all important in the decision-making process for an in-office procedure. Just as important as knowing when to consider an in-office procedure, it is critical to understand when an office procedure is contraindicated. The most common medication used for these injections is corticosteroid; however, other injectable agents, including botulinum toxin, platelet-rich plasma, and hyperosmolar dextrose, are being considered as other possible options for injection therapy. If performed in the appropriate situation, an in-office procedure can be helpful in improving a patient’s mobility and quality of life.