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Median Nerve Measurement and Steroid Injection for Carpal Tunnel Syndrome: A Case Report
Gregory Oliva1, Joseph McShannic1, Yonghoon Lee1
1Mount Sinai Medical Center Miami Beach, Department of Emergency Medicine, Miami Beach, Florida.
Introduction:
Carpal tunnel syndrome is an entrapment neuropathy that affects 3% of adults in the United States. The current techniques used for diagnosis have limited specificity/sensitivity, and the techniques used for treatment have limited efficacy.
Case Report:
A 34-year-old female presented to the emergency department with two months of worsening painful paresthesias in her right thenar eminence. Ultrasound was performed showing a median nerve area of 20.4 square millimeters within the carpal tunnel. Median nerve block was performed within the carpal tunnel causing complete resolution of her pain.
Conclusion:
Emergency physicians skilled in point-of-care ultrasound and needle-guided procedures can diagnose and treat carpel tunnel syndrome.
