Can Ultrasound-Guided Injections Alleviate Post-Surgery Nerve Scarring?

Postoperative nerve scarring

Hello Dr.
Wang, I underwent a brain tumor resection surgery in June 2021, and postoperatively, I experienced facial numbness, trigeminal nerve issues, diplopia, and tinnitus.
I would like to know if ultrasound-guided injection could improve the symptoms of nerve scarring at the "central nervous system" level.
Thank you for your response.

Mr. Chen, 40~49 year old female. Ask Date: 2023/03/03

Dr. Wang Zhaomin reply Rehabilitation

Central nervous system lesions cannot be treated with ultrasound-guided injection therapy and can only address issues related to peripheral nerves and soft tissues of the muscles.

Reply Date: 2023/03/03

More Info

Ultrasound-guided injections are a valuable tool in the management of various pain conditions, particularly those involving peripheral nerves and soft tissues. However, when it comes to addressing issues related to central nervous system (CNS) injuries, such as nerve scarring following brain surgery, the effectiveness of ultrasound-guided injections is limited.
In your case, following a brain tumor resection, you are experiencing symptoms such as facial numbness, trigeminal nerve pain, diplopia (double vision), and tinnitus (ringing in the ears). These symptoms suggest that the nerve pathways in the central nervous system may have been affected by the surgery or the underlying condition. Unfortunately, ultrasound-guided injections are primarily effective for peripheral nerve issues and soft tissue problems, as they allow for precise delivery of medications (like corticosteroids or anesthetics) to areas where inflammation or nerve compression is present.
The central nervous system, which includes the brain and spinal cord, operates differently than peripheral nerves. Nerve scarring or damage in the CNS often leads to more complex issues that cannot be effectively treated with injections. Instead, the management of CNS-related symptoms typically involves a multidisciplinary approach, including medications for pain management, physical therapy, and possibly other interventions like neuromodulation techniques or rehabilitation therapies.

For your specific symptoms, it would be advisable to consult with a neurologist or a pain management specialist who has experience with post-surgical complications related to the CNS. They can provide a comprehensive evaluation and recommend appropriate treatments tailored to your condition. This may include medications such as anticonvulsants for nerve pain, antidepressants for chronic pain management, or even referral to a neurosurgeon if there are concerns about structural issues that may be contributing to your symptoms.

In summary, while ultrasound-guided injections can be beneficial for peripheral nerve issues, they are not suitable for treating nerve scarring or related symptoms in the central nervous system. A thorough evaluation by a specialist is essential to determine the best course of action for your post-surgical symptoms.

Similar Q&A

Understanding Nerve Injury Risks from Ultrasound-Guided Injections

Hello, doctor. I underwent a nerve hydrodissection injection in both elbows at a private clinic in early August 2021, using ultrasound guidance. After the needle was inserted, I experienced a more intense stabbing pain in my right hand. The next day, I noticed pain in the skin of...

Dr. Lai Zhaokang reply Neurosurgery
Hello: Theoretically, there is a high chance that it will gradually improve and disappear. Wishing you a happy Mid-Autumn Festival. // Dr. Lai Chao-Kang, Neurosurgery

Post-Surgery Nerve Pain: Understanding Scar Tissue Impact and Treatment Options

Doctor, I have been experiencing numbness and pain in my calf for a year after surgery! During this time, I have undergone rehabilitation and received medication injections, but there has been no significant improvement. Recently, I sought acupuncture treatment from traditional C...

Dr. Lai Zhaokang reply Neurosurgery
Hello: I recommend that you consult with a pain specialist or a neurosurgeon to arrange for a series of tests such as nerve conduction studies and electromyography. After that, an assessment can be made regarding the possibility of further treatments, such as pain nerve block pro...

Alternative Methods for Scar Tissue Management in the Central Nervous System

Dr. Wang, since the scar tissue in the central nervous system cannot be eliminated using ultrasound-guided injection, are there any other viable recommendations?

Dr. Wang Zhaomin reply Rehabilitation
Medications and rehabilitation therapy may help alleviate related symptoms, but if further intervention is considered, please consult a neurosurgeon.

Ultrasound Fat Reduction: Risks of Nerve Damage and Hand Numbness

On April 5th, I underwent "Liposonix" ultrasound fat reduction treatment at a medical aesthetics clinic to slim down my arms. This treatment is non-invasive and claims not to harm the skin, nerves, or muscles; it only destroys fat cells, which are then metabolized out o...

Dr. Gao Chunde reply Neurology
If there is a trend of progression or worsening of the condition, it is advisable to schedule an appointment with a neurologist at Chang Gung Memorial Hospital to inquire whether there are any treatments or medications that can be initiated, as electromyography is primarily a dia...