Injection Diclofenac Leading to Radial Nerve Palsy
Q: I am a doctor. Few years ago I gave diclofenac injection to a patient. Later on, after few days, she presented with radial nerve palsy. The patient has filed a case against me saying it is due to my negligence. I give all respect and care to my patients. I see nearly 60-70 patients everyday and give injections to 90% of patients. She is the only one who presented with nerve palsy. Can you help in how can I protect myself in court? Thank you.
This has been quite unfortunate. All the constraints are never under the control of the doctor alone.
Different Possible Ways This Palsy Could Have Occurred
- Direct trauma to the nerve by the injecting needle.
- Damage to the arterial supply of the nerve leading to its slow damage.
- Development of scar tissue around the nerve due to injection.
- Allergic reaction due to the injected compound around the nerve.
It has been observed that chances of damage are more when the injection is applied posteriorly, closer to the spiral groove.
Medical conditions That Make a Person Prone to Nerve Palsy on Diclofenec Injection
- Multiple Sclerosis
- Rheumatoid arthritis
- Diabetes Mellitus (type 2)
It is appreciable that you are careful and concerned about your patients. You’ll surely get a way to protect yourself.