Hatice Evren EKER, Oya YALÇIN ÇOK, Nesrin BOZDOĞAN ÖZYILKAN, Anış ARIBOĞAN

Nöropatik ağrı için ek tedavi uygulaması: Hipertrofik skar dokusuna diklofenak sodyum ve lidokain ile infiltrasyon bloğu

Bazı durumlarda öngörülen nöropatik ağrı nedeni sinir dokusunda mekanik kompresyona neden olan yara büzüşmesine bağlı skar oluşumundaki gibi anormal doku iyileşmesi olabilir. Bu yazıda mekanik stresi azaltmak için hipertrofik skar dokusu içine diklofenak sodyum ve lidokain ile infiltrasyon bloğu uyguladığımız 3 hasta sunulmaktadır. İnfiltrasyon tekniği yapışıklıkların ayrılmasını sağlayarak kontrakte skar dokusundaki gerginliği ortadan kaldırabilir ve mekanik kompresyonun giderilmesi sinir dokusu üzerindeki basıncı ve bundan dolayı nöropatik ağrı semptomlarını azaltabilir.

An add-on therapy for neuropathic pain: Infiltration block with diclofenac sodium and lidocaine through the hypertrophic scar tissue

In some situations, the cause of the supposed neuropathic pain might be related to abnormal tissue recovery such as scarformation due to wound retraction that might create mechanical compression on the nerve tissue. In this report we describeinfiltration block with diclofenac sodium and lidocaine through the hypertrophic scar tissue to reduce mechanical stress in 3patients. The infiltration technique might resolve the tension of the contracted scar tissue by tearing the adhesions and theeliminated mechanical compression would reduce the pressure on nerve tissue and hence neuropathic pain symptoms.

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