Skip to main content

Peripheral Nerve Entrapment: Injection Techniques

  • Chapter
Peripheral Nerve Entrapments

Abstract

Injections have a unique role in the management of peripheral nerve entrapments. Injections with local anesthetic help localize and confirm nerve entrapment diagnoses. Injections can also treat the nerve entrapment, with putative mechanisms including hydrodissection, the anti-inflammatory effect of injected corticosteroids, and the dilution and flushing out of inflammatory mediators. Precise and atraumatic injection techniques are essential to maximize the informational and treatment value of any nerve injection for peripheral nerve entrapment.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 189.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 249.00
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 249.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Bogduk N. Cervicogenic headache: anatomic basis and pathophysiologic mechanisms. Curr Pain Headache Rep. 2001;5(4):382–6.

    Article  CAS  PubMed  Google Scholar 

  2. Bogduk N. Role of anesthesiologic blockade in headache management. Curr Pain Headache Rep. 2004;8(5):399–403.

    Article  PubMed  Google Scholar 

  3. Barnsley L, Lord S, Bogduk N. Comparative local anaesthetic blocks in the diagnosis of cervical zygapophysial joint pain. Pain. 1993;55(1):99–106.

    Article  CAS  PubMed  Google Scholar 

  4. Trescot AM. Local anesthetic “resistance”. Pain Physician. 2003;6(3):291–3.

    PubMed  Google Scholar 

  5. Tuel SM, Meythaler JM, Cross LL. Cushing’s syndrome from epidural methylprednisolone. Pain. 1990;40(1):81–4.

    Article  CAS  PubMed  Google Scholar 

  6. Blumenfeld A, Ashkenazi A, Napchan U, Bender SD, Klein BC, Berliner R, et al. Expert consensus recommendations for the performance of peripheral nerve blocks for headaches – a narrative review. Headache. 2013;53(3):437–46.

    Article  PubMed  Google Scholar 

  7. Rynd F. Neuralgia – introduction of fluid to the nerve. Dublin Med Press. 1845;13:167–8.

    Google Scholar 

  8. Labat G. Regional anesthesia: techniques and clinical applications. Philadelphia: WB Saunders; 1922.

    Google Scholar 

  9. Loughnane F. Peripheral nerve block materials. In: Harmon DC, Barrett J, Loughnane F, Finucane B, Shorten GD, editors. Peripheral nerve blocks and peri-operative pain relief. 2nd ed. Philadelphia: Saunders Elsevier; 2011. p. 41–6.

    Chapter  Google Scholar 

  10. Fanelli G, Casati A, Garancini P, Torri G. Nerve stimulator and multiple injection technique for upper and lower limb blockade: failure rate, patient acceptance, and neurologic complications. Study Group on Regional Anesthesia. Anesth Analg. 1999;88(4):847–52.

    Article  CAS  PubMed  Google Scholar 

  11. Abrahams MS, Aziz MF, Fu RF, Horn JL. Ultrasound guidance compared with electrical neurostimulation for peripheral nerve block: a systematic review and meta-analysis of randomized controlled trials. Br J Anaesth. 2009;102(3):408–17.

    Article  CAS  PubMed  Google Scholar 

  12. Niazi AU, Haldipur N, Prasad AG, Chan VW. Ultrasound-guided regional anesthesia performance in the early learning period: effect of simulation training. Reg Anesth Pain Med. 2012;37(1):51–4.

    Article  PubMed  Google Scholar 

  13. Brown MN. Intra-articular joint injections. In: Diwan S, Staats PS, editors. Atlas of pain management procedures. New York: McGraw-Hill; 2014.

    Google Scholar 

  14. Wagner AL. CT fluoroscopy-guided epidural injections: technique and results. AJNR Am J Neuroradiol. 2004;25(10):1821–3.

    PubMed  Google Scholar 

  15. Fritz J, Chhabra A, Wang KC, Carrino JA. Magnetic resonance neurography-guided nerve blocks for the diagnosis and treatment of chronic pelvic pain syndrome. Neuroimaging Clin N Am. 2014;24(1):211–34.

    Article  PubMed  Google Scholar 

  16. Lyftogt J. Subcutaneous prolotherapy for achilles tendinopathy: the best solution? Aust Musculoskelet Med. 2007;12(2):107–9.

    Google Scholar 

  17. Lyftogt J. Subcutaneous prolotherapy treatment of refractory knee, shoulder and lateral elbow pain. Aust Musculoskelet Med. 2007;12(2):110–2.

    Google Scholar 

  18. Lyftogt J. The Hackett Hemwall Foundation and the Italian Society for Prolotherapy sponsored. “Neural Prolotherapy Workshop meeting.” Ferrara. 2010.

    Google Scholar 

  19. Xiao Y, Peperzak V, van Rijn L, Borst J, de Bruijn J. Dexamethasone treatment during the expansion phase sustains stemness of mesenchymal stem cells from human bone marrow. Cell Res. 2008;18:s116.

    Article  Google Scholar 

  20. Wang H, Pang B, Li Y, Zhu D, Pang T, Liu Y. Dexamethasone has variable effects on mesenchymal stromal cells. Cytotherapy. 2012;14(4):423–30.

    Article  CAS  PubMed  Google Scholar 

  21. Crespo-Diaz R, Behfar A, Butler G, Padley D, Sarr M, Bartunek J, et al. Platelet lysate consisting of a natural repair proteome supports human mesenchymal stem cell proliferation and chromosomal stability. Cell Transplant. 2011;20:797–811.

    Article  PubMed  Google Scholar 

  22. Awidi A, Abu harfeil N, Jafar H, Abu A, Ismail S, Kailani M. The in vitro effect of autologous platelet lysate on different types of mesenchymal stem cells. Regen Res. 2012;1(1):25–32.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Andrea M. Trescot MD, ABIPP, FIPP .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2016 Springer International Publishing Switzerland

About this chapter

Cite this chapter

Trescot, A.M., Murinova, N. (2016). Peripheral Nerve Entrapment: Injection Techniques. In: Trescot, A.M. (eds) Peripheral Nerve Entrapments. Springer, Cham. https://doi.org/10.1007/978-3-319-27482-9_7

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-27482-9_7

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-27480-5

  • Online ISBN: 978-3-319-27482-9

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics