Soonchunhyang Med Sci.  2022 Dec;28(2):155-158. 10.15746/sms.22.032.

Ultrasound-Guided Nerve Hydrodissection for Neuropathic-Like Pain Arising from Hemodialysis: A Case Report

Affiliations
  • 1Department of Anesthesiology and Pain Medicine, Soonchunhyang University Seoul Hospital, Soonchunhyang University College of Medicine, Seoul, Korea
  • 2Her Thoracic and Cardiovascular Surgery Clinic, Bucheon, Korea
  • 3Olle Anesthesiology and Pain Medicine Clinic, Jeju, Korea

Abstract

Peripheral neuropathy is very common in patients with chronic renal failure. The pain arising from hemodialysis can be caused by vascular problems (such as vascular stenosis and steal syndrome) and neuropathy. Hemodialysis patients who need to be dialyzed three times a week should not be told to endure worsening pain every time they are dialyzed. We report that the pain arising from hemodialysis in the lower arm was a concern due to the nerve entrapment in the axillary area, and it was successfully controlled with ultrasound-guided nerve hydrodissection.

Keyword

Hemodialysis; Hydrodissection; Pain; Case report
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