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Successful and Complete Recovery of the Ulnar Nerve After Eight Years of Chronic Injury Through Local Steroid Injections: A Case Report.

Authors :
Bani Hani DA
Alawneh KZ
Aleshawi AJ
Ahmad AI
Raffee LA
Alhowary AAA
AlQawasmeh M
Abuzayed B
Source :
Pain and therapy [Pain Ther] 2020 Jun; Vol. 9 (1), pp. 327-332. Date of Electronic Publication: 2020 Jan 03.
Publication Year :
2020

Abstract

Peripheral neuropathy is a common neurodegenerative disease, with vastness of inducers and causalities. The acquired form peripheral neuropathy can be caused by traumatic injuries caused by nerve lacerations or compressions. Such injuries are usually followed by Wallerian degeneration, and inflammatory reaction. We present a case of a 33-year-old female with a chronic loss of the ulnar nerve function for 8 years after traumatic laceration. After that, she regained the functions of ulnar nerve after nerve stimulation by peri-ulnar nerve injection of methylprednisolone and lidocaine. The theory behind using steroids is related to the fact that the immune system could induce a secondary injury that interferes with the recovery. Many studies have shown effectiveness in using steroids alone or when combined with other substances on nerve regeneration in animal models. We believe that this is the first report of nerve recovery using local steroidal injections after a traumatic injury.

Details

Language :
English
ISSN :
2193-8237
Volume :
9
Issue :
1
Database :
MEDLINE
Journal :
Pain and therapy
Publication Type :
Academic Journal
Accession number :
31900814
Full Text :
https://doi.org/10.1007/s40122-019-00144-5