Medical blockades

One of the widely used methods of conservative treatment in hand surgery is the so-called “blockade”. However, it should be noted that this term, often used by both patients and doctors, does not reflect the treatment offered accurately. Blockades are usually performed in case of acute spinal nerve pain and are performed with local anesthetic drugs and are not in the competence of a microsurgeon.

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Medical blockades
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Description of the procedure

In hand surgery, drugs are injected into channels, cavities, or joints, which are not blockades by their nature, since they do not “block” anything, but are primarily performed to reduce inflammation and, secondarily, pain.
For such injections, steroid (hormonal) drugs are used. The most commonly used are dexamethasone or triamcinolone. Dexamethasone is prescribed for short-term but rapid relief of symptoms while triamcinolone is used for slow but long-term relief. To reduce the discomfort caused by the injection, these anti-inflammatory drugs are often diluted with local anesthetics (such as lidocaine).
There is no need to be afraid of these drugs, since they, especially triamcinolone, are getting absorbed in the bloodstream minimally. However, it should be recognized that in diabetics, taking these drugs can cause fluctuations in blood sugar levels. Superficial injection of the drug under the skin can cause transient changes in the color and thickness of the skin.
The most common conditions for which steroid injections are used are carpal tunnel syndrome, arthrosis of the wrist, and tendonitides such as Deckervain’s disease or stenosing ligamentitis. These drugs can be prescribed only if the doctor believes that surgery is not required in the near future, but treatment can be started with conservative methods, i.e. injections of steroids, orthoses, etc. It is currently believed that with carpal tunnel syndrome it makes no sense and is even dangerous to do more than 3 injections of triamcinolone in one year since unjustified and prolonged (for years) use of injections causes pronounced atrophic changes in the flexor tendons, which can lead to their rupture.
Specialists
Certified plastic surgeon, microsurgeon, hand surgeon.
Certified plastic surgeon, microsurgeon, hand surgeon
Certified plastic surgeon, microsurgeon, hand surgeon
Certified plastic surgeon, microsurgeon, hand surgeon
Certified traumatologist-orthopaedist, microsurgeon, hand surgeon
Head of the Latvian Microsurgery Center. Certified traumatologist-orthopedist, microsurgeon, hand surgeon
Certified plastic surgeon, microsurgeon, hand surgeon.
Board Certified Plastic Surgeon, Microsurgeon, Hand Surgeon
Certified traumatologist-orthopedist
Certified plastic surgeon, microsurgeon, hand surgeon
Certified plastic surgeon
Certified plastic surgeon
Doctor of Medical Sciences. Certified plastic surgeon
Certified plastic surgeon
Certified plastic surgeon
Operation price

Medical blockades

40 €

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