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Carpal Tunnel Injection
Steroid injection of the
right
left
carpal tunnel:
- Consent: obtained after discussion on the benefits and risks,
including pain, bleeding, infection, tendon tear, nerve damage
- Preparation:
alcohol
chlorhexidine
betadine
- Medication:
Depo-Medrol
Kenalog
40
mg/cc
0.50
cc and 1% lidocaine without epi
0.50
cc
- Needle: needle
25
27
- Procedure: carpal tunnel injection with palmar approach, at the base of the wrist crease, just medial to the long palmar tendon
- Complications:
none
, procedure
well tolerated
- Instructions: rest for 48 hours,
wrist splint
, ice, analgesics, return if significant pain, redness, swelling, or fever