Emergency War Surgery NATO Handbook: Part III: General Considerations of Wound Management: Chapter XX: Wounds and Injuries of Peripheral Nerves

Shell Fragments or Other Foreign Bodies Imbedded in Nerve and Associated with Severe Pain

United States Department of Defense
Peer Review Status: Internally Peer Reviewed

Shell fragments or other foreign bodies imbedded in nerve are associated with severe pain. An occasional patient will have a shell fragment come to rest within a neural element causing severe pain and paresthesia. Relatively immediate surgical removal of such an intraneural foreign body may ameliorate the pain or, failing this, may permit better control with analgesics or by a combination of Tegretol (Carbamazepine) and Elavil (Amitriptyline HCL).

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