What are pearls for carpal tunnel steroid injection administration?

Updated: May 31, 2018
  • Author: Samir Shah, MD; Chief Editor: Meda Raghavendra (Raghu), MD  more...
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Sudden pain or paresthesia during the procedure can be indicative of improper needle placement. The needle should be retracted and redirected more medial.

Some patients lack a palmaris longus tendon in which case the insertion point of the needle should be halfway between the radial and ulnar aspects of the wrist and about 1cm proximal to the wrist crease. The needle should be advanced toward the ring finger.

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