• Am J Emerg Med · Oct 2024

    Case Reports

    Alternative treatment of carpal tunnel syndrome with ultrasound-guided median nerve hydrodissection in the emergency department.

    • Joshua Fuchs and Gabriel Rose.
    • Department of Emergency Medicine, Kaiser Permanente San Diego, 4647 Zion Ave, San Diego, CA 92120, United States of America.
    • Am J Emerg Med. 2024 Oct 1; 84: 189.e5189.e7189.e5-189.e7.

    AbstractHydrodissection is becoming increasingly recognized as a treatment for nerve entrapment syndromes in the orthopedic and rehabilitation world. Carpal Tunnel Syndrome (CTS) is the most prevalent nerve entrapment neuropathy, characterized by compression of the median nerve as it passes through the carpal tunnel. Initial management includes NSAIDs and wrist splints, but surgical intervention is often necessary when these measures fail. Ultrasound-guided hydrodissection of the median nerve is both safe and effective and presents a minimally invasive option when first-line treatments fail to provide adequate symptom relief. This case report demonstrates the potential for an alternative approach to analgesia in the Emergency Department (ED) for patients presenting with pain related to CTS. Here we discuss a case of a 26-year-old female presenting with CTS symptoms and her successful treatment with ultrasound-guided hydrodissection in the ED.Copyright © 2024 Elsevier Inc. All rights reserved.

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