Carpal Tunnel Syndrome Research Today is a free monthly online journal that collates and summarizes the latest research about Carpal Tunnel Syndrome, including details on symptoms, causes, trauma, diagnosis, physiotherapy.

The use of a selective peripheral median nerve block for pain-free early active motion after hand surgery.

Broekhuysen CL, Fechner MR, Kerkkamp HE

Department of Plastic Reconstructive Hand Surgery, Maxima Medical Center, Veldhoven, the Netherlands. coralienbroekhuysen@hotmail.com

We describe a simple method in which a nearly selective sensory median nerve block is used for early motion exercises. In this method an 18-gauge epidural catheter with 3 side holes in the fine catheter tip is placed proximal to the carpal tunnel. A bolus of 5 mL of 0.25% bupivacaine is injected before a continuous infusion of 3 mL/60 min of 0.125% bupivacaine is started. This method allows a continuous and selective sensory blockade with preservation of motor function and proprioception for early motion after hand surgeries.

Published 22 May 2006 in J Hand Surg [Am], 31(5): 857-9.
Full-text of this article is available online (may require subscription).

© 2005-2008 Carpal Tunnel Syndrome Research Today. All Rights Reserved.