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I am considering using local anesthetic on one of my patients who is having trouble with post op scar tissue along the inferior head of the lateral malleolus.
This would allow me to manually "break down" and help reorganise the collagen fibres.
The Scar tissue seems to be inhibiting normal ROM due to a pulling pain ( as well as hypersensitiviy and allodonyia from post op sural nerve damage diagnosed by NCS).
She has had US used for scar tissue breakdown in the past but found it too stressful and painful.
I haven't done this before and don't know any one who has... any thoughts would be much appreciated.
Re: use of LA block for manual scar tissue breakdown
Quote:
Originally Posted by Saab
I am considering using local anesthetic on one of my patients who is having trouble with post op scar tissue along the inferior head of the lateral malleolus.
This would allow me to manually "break down" and help reorganise the collagen fibres.
The Scar tissue seems to be inhibiting normal ROM due to a pulling pain ( as well as hypersensitiviy and allodonyia from post op sural nerve damage diagnosed by NCS).
She has had US used for scar tissue breakdown in the past but found it too stressful and painful.
I haven't done this before and don't know any one who has... any thoughts would be much appreciated.
Thanks
Steve
Steve,
I have replied on the other thread...the one where the student posted about non-use of LA for all but Nail/Surgical procedures.
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use of LA block for manual scar tissue breakdown
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