Step-by-Step Guide: Administering Local Anaesthesia for Carpal Tunnel Decompression

A step-by-step instructional guide on injecting local anaesthetic comfortably and effectively for a carpal tunnel decompression. This tried and tested technique provides anaesthesia to all the areas involved in surgery and even those like the ulnar extent of the wound and hook of hamate and the proximal antebrachial fascia that might sometimes be missed by conventional infiltration avoiding those rare instances where a small percentage of patients feel discomfort during the procedure.
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Mr. Samuel George MBChB, MSc, FRCS(Plast.), MFSTEd, Dip Hand Surg (Br.)
Consultant Plastic, Hand and Peripheral Nerve Surgeon
Birmingham Hand Centre
Queen Elizabeth Hospital Birmingham