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NYSORA Nerve Blocks App 2026

The world's most detailed nerve blocks guide.
Trusted by over 15,000 anesthesiologists worldwide.

Ultrasound-Guided Interventional Pain Procedures Manual

A comprehensive, step-by-step guide covering pain procedures across all anatomical regions.
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NYSORA Boutique Hands-on Workshops 2026

Setting the Standard in Modern Anesthesia Education.

Pain Management

Ultrasound-Guided Blocks for Pelvic Pain

Chronic pelvic pain (CPP) is defined as noncyclic pain of at least 6 months duration, severe enough to cause disability or seeking of medical attention, and occurring in locations such as the pelvis, anterior abdominal wall at or below the umbilicus, lower back, or buttocks. The pathophysiology of CPP is complex. The source of pain may include the viscera (urologic, gynaecologic, and anorectal) and neuromuscular system (e.g. pudendal neuralgia, piriformis syndrome). Furthermore, the clinical presentation is often influenced by psychological factors. Therefore, a multidisciplinary approach to management is recommended. As part of this management plan, neural block and injection of muscles within the pelvis play both diagnostic and therapeutic roles. The methods of neural block in the past were either landmark-based (blind) or equipment-guided techniques. The latter are indirect methods providing surrogate markers (such as bony landmarks for the nerve in fluoroscopy) or electrophysiological changes (such as nerve stimulation or electromyography). Both of these have intrinsic limitations in precisely locating a soft tissue structure. In either method, the nerve or muscle of interest is not reliably visualized. The emergence of ultrasound guidance to assist in needle placement and injection has provided the pain clinician with many benefits over previous modalities. Among the advantages of ultrasound are improved visualization of the nerve and surrounding vascular, bony, muscular, and visceral structures, more precise deposit of medication in the vicinity of the nerve of interest, and real-time guidance for needle advancement, thereby improving targeting and reducing inadvertent damage to surrounding neurovascular structures, as well as making it possible to better identify intravascular and intraneuronal injection. Furthermore, the relatively easy access to ultrasonography and its portability and lack of radiation exposure make it an attractive imaging modality for the interventional pain physician. This chapter concentrates on anatomy, sonoanatomy, and ultrasound-assisted techniques for needle placement in three procedures associated with CPP: (1) ilioinguinal, iliohypogastric, and genitofemoral nerve block, (2) piriformis muscle injection, and (3) pudendal nerve block.

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The World's Most Detailed Nerve Blocks Guide

Everything you need to learn or teach nerve blocks.

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The First AI Assistant Built for Anesthesiologists

Trusted worldwide. Backed by experts. Designed for effective, real-time educational support.

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Your Interactive Companion for Intravenous Catheterization

Master routine and challenging IV Access with the ultimate and most practical Go-To App.

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The Essential App for Pain Interventions

Access a concise and practical guide on 50+ ultrasound-guided interventional pain procedures.

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A Clinically Oriented Approach to Point-of-Care Ultrasound

Master your emergency diagnostics skills on the go!

Expand your expertise through NYSORA’s CME-accredited events. Join anesthesiologists and pain specialists worldwide for live training, case discussions, and professional networking.

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NYSORA - Education

@nysoravideo


  • 261K subscribers
  • 315 videos

Discover the NYSORA YouTube channel for free educational content and insights in anesthesiology and pain medicine.

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NYSORA - Education

@nysoravideo


  • 261K subscribers
  • 315 videos

Discover the NYSORA YouTube channel for free educational content and insights in anesthesiology and pain medicine.

Subscribe

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From regional anesthesia to IV access, our books transform complex topics into practical learning. With global reach and top ratings, they guide students, residents, and practicing anesthesiologists alike.

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Built on NYSORA’s best-selling books, our modules combine illustrations, clinical videos, and practical insights for real-world use. Designed for fast learning and continuously updated.

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From Fundamentals to Advanced Joint Interventions with Live Demonstrations Join us at the Hong Kong Pain Conference in May 2026!

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