Modified Infiltration Technique for Cutaneous Nerve Entrapment Syndrome
Journal Title: Journal of Advances in Medicine and Medical Research - Year 2015, Vol 7, Issue 8
Abstract
Lateral thoracic or abdominal cutaneous nerve entrapment syndrome (C.N.E.S.) refers to the pain originating from thoracic or abdominal wall. It is a common ailment which is often misdiagnosed as arising from a source inside the abdominal cavity mistakenly leading to inappropriate diagnostic investigations, unsatisfactory treatment, and considerable costs. The thoracoabdominal nerves terminate as the cutaneous nerves at a point from which accessory branches are given off in the rectus channel ending in the skin. Peripheral nerve entrapment occurs at anatomic sites where the nerve changes direction to enter a fibrous or osseofibrous tunnel because mechanically induced irritation is most likely to occur at these locations. Controlled investigations demonstrate that satisfactory alleviation is to be gained by immediate intervention by the most widely adopted technique of a fanning infiltration of the region of maximal point of tenderness with anesthetic and anti-inflammatory agents. Unfortunately, we observe that clinicians inexperienced performing this procedure are deterred from this technique owing to fears of inaccurate medication deposition or penetrating the abdominal cavity and perforating viscera. In this paper we describe a method to provide a safe and accurately targeted injection precisely at the necessary location without risking iatrogenic harm. This is easily achieved by raising a mound of the superficial soft tissue at the point of maximal tenderness and inserting the needle oriented parallel to the surface of the anterior body surface. Adoption of this method provides a simple, safe and effective solution for C.N.E.S. and will allow recruiting more physicians to join the circle of those actively treating this condition.
Authors and Affiliations
Sody A. Naimer
Keywords
Related Articles
- EP ID EP347802
- DOI 10.9734/BJMMR/2015/14047
- Views 63
- Downloads 0
Comparison of Mantoux Reactivity in Smear Positive Pulmonary Tuberculosis Adults and Controls in Yenagoa, Nigeria
Background: Tuberculin skin tests (TST) are long established screening methods for tuberculosis (TB). We aimed to compare Mantoux test (a TST) in smear positive pulmonary tuberculosis adults and control subjects. From Ja...
Fungal Infections in Aseer Central Hospital: A Retrospective Laboratory-based Study of 340 Cases during the Years 2011 to 2015
Objectives: The incidence of fungal infections is increasing due to increasing episodes of risk factors such as immune competence; broader used of antibiotics and longer hospital stays. This study aimed to analyze fungal...
Patient Dose Assessment for Common Digital Diagnostic Radiology Examination in Hamad Medical Corporation Hospitals in the State of Qatar
The aim of this study was to estimate radiation doses to patients undergoing standard radiographic examinations using Computed Radiography (CR) and Direct Digital Radiography (DDR) in two hospitals within Hamad Medical C...
Assessment of Biochemical Changes in Pregnancy Induced Hypertension (PIH) among Saudi Population at KAMC-Riyadh
Background: One of the most common complications that affect around 2-5% pregnant women is elevated blood pressure defined as gestational hypertension. Aims & Objective: To compare and correlate between plasma urea, cre...
Dental Considerations of a 4-year-old Girl with Lennox-Gastaut Syndrome. Case Report and Literature Review
We present the developmental, oral, clinical, radiographic findings and oral treatment of a 4-year-old girl presenting with Lennox-Gastaut syndrome (LGS), which is a severe disabling childhood epilepsy disease that is tr...