The phases of transition from fluoroscopy to ultrasound-guided pain medicine interventions

Abstract

Ultrasonography (USG)-guided interventions have transformed pain medicine by enhancing precision, efficacy, and safety through real-time anatomical visualization. Despite these advantages, mastering USG techniques presents a steep learning curve, especially for practitioners transitioning from fluoroscopy-guided methods. Adapting the Transtheoretical Model of Behavior Change, this commentary outlines a five-phase framework for transitioning to USG-guided pain medicine interventions: overcoming initial reluctance, addressing sonoanatomy challenges, improving probe stabilization, needle visualization, and achieving expertise. Each stage reflects progressive skill acquisition, highlighting structured training and mentorship as critical facilitators. This phased approach may accelerate learning and fosters proficiency, improving clinical outcomes in pain medicine interventionsinterventions.