Pain Therapy for Wrist Joint Pain 05

Interventional Pain Therapy for Wrist Joint Pain:08

Interventional pain therapy is an invasive treatment. Choice of Interventional Pain Therapy is as follows-

A. Needle Therapy

B.  Nerve Ablation Treatment

C.  Placement of Spinal Cord Stimulator

D. Placement of Intrathecal Catheter and Programmable Pump

A. Needle Therapy

Needle therapy treatment includes injection of medications using needles. Needle placement depends on the cause of pain.

Anatomical Area of Needle Placement to Relieve Wrist Joint Pain-

·         Subcutaneous Injection- Indicated for subcutaneous abscess or cellulitis.

·         Wrist Joint Injection or Wrist Joint Block (Injection within the joint) - Indicated for bursitis, sprain ligament, tendonitis, dislocation or fracture.

·         Wrist Joint Nerve block (injection close to nerve)- indicated for pinch nerve and wrist joint neuritis.

·         Cervical (neck) Epidural Injection- Indicated for chronic wrist joint pain.

·         Brachial Plexus Block performed by placing needle in axilla or neck.

Medication Injected In Wrist Joint -

·         Corticosteroid

·         Local Anesthetics

·         Chemical Nerve Ablation Using Phenol or Alcohol.

Wrist Joint Injection Procedure-

·         Wrist joint injection in majority of the patient is performed under local anesthesia.

·         Physician will spray the wrist joint skin with numbing medicine so first prick or insertion of needle is painless and then he will inject local anesthetics to numb all the tissue to be treated including skin.

·         Needle placement is not very painful.

·         Image intensifier (portable X-Ray) is used to identify wrist joint structure and depth of the needle during placement of needle for injection.

·         Nerve to be treated is identified by nerve stimulator.

·         Occasional ultrasound is used to evaluate needle placement during procedure.

·         Few patients suffer with "needle phobia" (fear of needle) for such patients doctor will provide oral or intravenous antianxiety medications or sedation.

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