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Kim HJ, Park SH. Median nerve injuries caused by carpal tunnel injections. Korean J Pain. 2014;27(2):112-7doi: 10.3344/kjp.2014.27.2.112.
Kim, H. J., & Park, S. H. (2014). Median nerve injuries caused by carpal tunnel injections. The Korean journal of pain, 27(2), 112-7. https://doi.org/10.3344/kjp.2014.27.2.112
Kim, Hyun Jung, and Park, Sang Hyun. "Median nerve injuries caused by carpal tunnel injections." The Korean journal of pain vol. 27,2 (2014): 112-7. doi: https://doi.org/10.3344/kjp.2014.27.2.112
Kim HJ, Park SH. Median nerve injuries caused by carpal tunnel injections. Korean J Pain. 2014 Apr;27(2):112-7. doi: 10.3344/kjp.2014.27.2.112. Epub 2014 Mar 28. PMID: 24748938; PMCID: PMC3990818.
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Korean J Pain. 2014 Apr;27(2):112-7. doi: 10.3344/kjp.2014.27.2.112. Epub 2014 Mar 28.

Median nerve injuries caused by carpal tunnel injections.

The Korean journal of pain

Hyun Jung Kim, Sang Hyun Park

Affiliations

  1. Department of Anesthesiology and Pain Medicine, Jeju National University School of Medicine, Jeju, Korea.

PMID: 24748938 PMCID: PMC3990818 DOI: 10.3344/kjp.2014.27.2.112

Abstract

Local steroid injections are widely used for diagnostic and therapeutic purposes in the management of carpal tunnel syndrome. The median nerve injury is the most serious complication in association with carpal tunnel injections although the incidence is low. A median nerve injury will be presented with shooting pain at the injection time along with other sensory distortion, motor weakness and muscle atrophy. The management includes a conservative treatment and a surgical exploration. Carpal tunnel injections should be used at a minimum only. If such steroid injection is required, an appropriate needle positioning is vital for the nerve injury prevention. The patient should not be heavily sedated and should be encouraged to inform experiences of numbness/paresthesia during the procedure immediately.

Keywords: carpal tunnel syndrome; median nerve; steroid

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