Case Reports Journal Article Epublish 1 citation
PubMed: 40290318 DOI: 10.11604/pamj.2025.50.18.45627
Perineural injection therapy as a potential treatment for chronic pain after carpal tunnel surgery: a case report.
Pan Afr Med J 50:18
Authors: Devi Ariani Sudibyo, Hanik Badriyah Hidayati, Fidiana, Septika Ekasari, Qisti Ashari
Affiliations
- Faculty of Medicine, Universitas Airlangga /Dr. Soetomo General Academic Hospital, Jl. Mayjen Prof. Dr. Moestopo No 47 Surabaya 60132, Surabaya, Indonesia.
Abstract
Carpal Tunnel Syndrome (CTS) is a common peripheral neuropathy caused by compression of the median nerve in the wrist. While surgery is often successful, a subset of patients develops Chronic Postoperative Pain (CPOP). This case report discusses a 46-year-old woman who experienced persistent bilateral wrist pain after carpal tunnel surgery, primarily affecting the right hand. Following the recurrence of symptoms after surgery, we administered Perineural Injection Therapy (PIT) using 5% dextrose. The patient experienced significant pain relief, with her Numeric Rating Scale (NRS) score decreasing from 8/10 to 2/10 after three sessions. Additionally, her functional status improved as measured by the Boston Carpal Tunnel Questionnaire (BCTQ). PIT proved to be a non-invasive and effective alternative in managing CPOP when other treatments had failed, demonstrating its potential to improve symptoms and quality of life.
MeSH
Injections, Chronic Pain, Pain, Signs And Symptoms, Therapeutics