Pain & Needle

[emad]

hi all;

I have a sciatic patient with severe pain ,accompanied with hyperthesia of the front thigh aspect , as well she is diabetic insulin-dependant .

Do you think injection of drugs through the gluteal muscle could evoke more pain ??


Do you think insulin injection through that hyperthesia Quadrecips could evoke more pain ??


Regards

Emad

[Diane]

Maybe she has managed to inject a few cutaneous branches of her femoral nerve.

[emad]

Diane :

Although this was not my question ,you elicited another hypothsis.


Regards
Emad

[nari]

emad

There are a number of possibilities - but I don't think injecting the thigh would cause sciatica. Does the pain run posteriorly or laterally in the upper leg?

However, if there is a relationship between her sciatic pain and injecting, she might try another spot for injecting. I would think it is unrelated to the reason for the sciatic pain, but may be adding to her pain experience - ie increasing sensitivity. Other than that, I'm not sure without seeing the woman.

Nari

[emad]

Hi Nari ;
Right, like you it did not begin as a result of needle /injection injury .

The main point i am trying to discuss giving injection within a painul area could add more pain and sentivity .

But may be , that hyperthesia of the quadriceps is caused by injection of insulin .

The pain is referred to the whole posterior aspect of the thigh and leg , the knee anterior aspect also , may be referred ,may be a local knee joint problem .

Regards

Emad

[bernard]

Nari,

Normally nurses learn to avoid injections in painful areas but in such cases it becomes difficult. Patients that are doing self-injections are not often well trained and able to avoid these areas.

[slopoke]

Since pain is a perception. Maybe the patient can tell us if injection into the mentioned area did provoke more pain or not.

[emad]

Hi slop ;

This patient visited me today , her back and sciatica referred pain diminshed , but that hyperthesia feeling and pain along anterior aspect has flared up , and there is pain along lateral aspect of the leg .No injection at all taken in the thigh anteior aspect


Regards

Emad