What radiation safety training should be given to practitioners of therapeutic injections for pain management?

Updated: Jun 19, 2018
  • Author: Anthony H Wheeler, MD; Chief Editor: Meda Raghavendra (Raghu), MD  more...
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Answer

Answer

Although fluoroscopy has revolutionized the precise and accurate practice of interventional pain management, radiation safety training is required for any practitioner who uses fluoroscopy in his practice. Furthermore, injectable radiocontrast media and active therapeutic agents require additional knowledge. Practice in this area of subspecialty requires additional training through recognized medical certification agencies or societies. [14]

Although, fluoroscopy has revolutionized pain management by increasing the precision, safety, comfort, and outcomes of interventional techniques, the number of procedures and providers has increased.

All practitioner interventionalists must be adequately trained and experienced to prevent adverse events from harming patients and coworkers. Radiation safety training is required for any practitioner who uses fluoroscopy. Furthermore, injectable radiocontrast media and active therapeutic agents require additional knowledge. Practice in this area of subspecialty can be readily attained through additional training sponsored by reputable medical certification agencies or societies.

All somatic and spinal injection practices carry finite plausible risks that include medication allergies or side effects, unwanted violation of body structures with neural or vascular content, and the ultimate possibility of death as a treatment outcome. Complications that are common or unique to each procedure are discussed below. However, this article is intended only to provide information and not the skill, knowledge, mentoring, and experience necessary to perform the interventional methods outlined below.

University and other American Board of Medical Specialties (ABMS)-accredited fellowship programs are now commonly offered. Pain societies and certification agencies such as the American Board of Anesthesia and the American Society of Interventional Pain Physicians provide learned guidelines, assistance through teaching and coursework, and board certification examinations for physician interventionalists. Expertise in performing the outlined procedures is a matter of forethought, not afterthought.


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