Peripheral Nerve Injuries Associated With Anaesthesia

Peripheral Neuropathy Numb Feet and Hands Symptoms Resolved TheVillagesNeuropathy

When you had originally presented to the office,you presented with chronic numbness, tingling, burning, in the hands and the feet. It limitedyour ability to walk, limited your ability to sleep, your ability to relax. We've completeda course of treatment here with the Davis neuropathy program, how have you done withthe treatment and how are you feeling today? I feel wonderful. I have to tell you thatthe treatment, I was on both programs. Before I came in, all that I knew that I had wasperipheral neuropathy after your exam, after you examined me. We found out that I had alsospinal stenosis in my spine. I have followed your program, both of your programs, the DRSprogram and the peripheral neuropathy program,

and I am doing beautifully. I can now walkwithout assistance which I was having to hold my husband's hand or somebody's hand whenI was shopping or doing anything. I could not drive by myself. I feel like a whole personnow. Well congratulations on your results and we're very proud to have you here as apatient. What else would you like to have me tell you? If you have another questionI could certainly, I would like to tell a little bit about your people that you haveworking for you. They are wonderful, young, professional people. I don't know what kindof a program you put them on, but I love each and every one of them. They're an asset toyour office. Well thank you so much for the

kind words and we look forward to seeing youagain soon. You're welcome.

Saphenous and Sural Nerve Injury Following Laser How to Avoid

Saphenous Nerve and Sural nerve injuries area potential complication of all endothermal treatments both endovenous laser and radiofrequencyablation. This presentation discusses this problem. It is mainly of concern to s,nurses and vascular technologists, but members of the public mainly also find it of interest.My own interest in this subject was stimulated by colleague and friend Ted King in Chicago.Ted has done a lot of al research on the saphenous nerve and sural nerve and theiranatomical relationship to the great saphenous vein and the small saphenous vein. Ted haskindly helped to direct my reading of the medical literature and he has generously sharedthe findings of his own research that was

presented to the European Venous Forum inJune 2010. Nerve injury may occur in over a third oflaser treatments of the great saphenous vein and nearly one in twenty small saphenous veintreatments. A recent study from Germany has even suggestedthat saphenous nerve injury is more likely after endovenous laser than after surgicalstripping. The study authors have proposed that in some cases the nerve may have beeninjured by the needle during administration of the tumescent local anaesthetic.Here are the mechanisms by which the nerve might possibly be injured. Firstly, the nervemight injured by the needle during the cannulation

of the vein itself. This is probably veryrare but it is possible that the nerve could be transected by the needle. Similarly, aneedle stick injury might occur during the administration of local anaesthetic causinga neurotemesis. Finally, the thermal ablation could cause the direct transfer of heat energyto the nerve causing a thermal neuropraxia a burn injury.These are the possible strategies to avoid nerve injury. Firstly, the nerve and veincan be imaged in transverse section to identify a site of cannulation where the nerve andvein are sufficiently far apart to minimise the risk of thermal energy transfer. Secondly,the vein and nerve can be imaged in transverse

section during the cannulation to ensure thatthe vein is cannulated directly and that the needle tip does not impinge on the nerve.Thirdly, the nerve, vein and needle tip can be kept in view during tumescent anaestheticadministration by scanning in transverse section at all times. Lastly, the needle should bewithdrawn immediately and the thermal ablation terminated immediately if pain is felt inthe sensory distribution of the nerve at risk. In fact, performing these treatments underlocal anaesthetic is much safer than under general anaesthetic for this very reason.When pain occurs, the treatment should be terminated or the needle withdrawn, makingthe possible risk of nerve injury less likely.

Here you can see that the saphenous nerveand the great saphenous vein are very close and in contact in the distal calf. The twolie within the saphenous fascia superficial to the tibia. In this case the nerve liesanterior to the vein. This would not be a good site for cannulation. Even if the needletip is kept in view and the vein is cannulated cleanly by which I mean the needle tip isnot allowed to stray near the nerve, it is likely that the nerve would be injured byadministration of local anaesthetic fluid. As this tutorial clip shows, distally the nerveand vein and nerve are in contact as the probe moves more proximally, the vein and nerveare separated by 10mm or more. The vein can

be easily identified by the fact that it collapsesflat with pressure from the transducer probe. The probe is moved proximally and distally. Here once again we can see the probe moving more distally, and the vein and the nervecoming into contact with each other the vein collapsing on pressure.Here is the appearance of the Sural Nerve in relation to the small saphenous vein. Theanatomy and ultrasound appearance of the sural nerve have been very nicely described by Ricci.This tutorial clip shows that further proximally the vein and nerve are separated by 10mm ormore. As the probe moves more distally, the vein and the nerve are in close contact. Thevein here is collapsing on light pressure

Nerve Injury After Shoulder SurgeryWhy We Declined The Case

We were recently contacted by an individualwho Had gotten into an auto collision and afterthe Collision had shoulder surgery after the Surgery this particular person was complaining About nerve pain and nerve injury shootingdown The arm and into the hand and the questionwas Did the s do something in the surgery That constituted medical malpractice whichis

What caused the nerve damage or the nervepain in this particular individual's arm helloI'm Marcus Boston and I am a medical malpractice Attorney practicing law here in the stateof Maryland and I would like to talk with youtoday About why not every bad result during a surgeryis Medical malpractice here in Maryland in the Incident that I am talking to you about whatwe

Had to do is we got the records and we hadan Medical expert take a look at the records And during the records if was discovered during The surgical notes and some of the other notes In the records that the s who performed The surgery followed the standard of carethere Was no type of deviation from the standardin this Particular individual's situation and as aresult

Of that we had to conclude during our investigation And looking at some more other things thatthis Case would not be succesful if you are watching This tutorial and you are wondering you're saying I had a bad result is this medical malpractice The truth of the matter is that unless your DOctor fell below the standard of care inyour Situation and by falling below the standardof

Care this is what caused your injury you will Not be successful unless you can show that So why have I taken the time to explain thisto You today? Becuase you are probably wonderingthe Same things in this tutorial you've had a badresult During a surgery or some type of medical procedure Did the mess up did the fallbelow The standard of care? This is what I inviteyou

To do pick up the phone and give us a callwe can Be reached at 3018504832 or you can go ahead And send us an email to medicalinjury@bostonlawllc We answer questions like yours regarding Maryland medical malpractice cases all the time andwe would Be glad to listen to your story if you are Watching this tutorial on YouTube and you likewhat You just watched go ahead an like the tutorialand

Category: Neuropathy Treatment

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