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Description

Composition EACH ML CONTAINS : METHYLCOBALAMIN IP 2500MCG + BENZYL ALCOHOL IP 1.5% Dosage Form INJECTION Packaging 10X1X2ML (DISPO PACK) Nerventin 2500 mcg Injection is a vitamin B12 supplement that contains Methylcobalamin, a form of Vitamin B12 that is more readily absorbed and utilized by the body

Despite its critical importance, environmental factors including exposure to formaldehyde , formic acid , and methanol from industrial sources significantly impair our bodys ability to utilize this essential Vitamin B effectively

Technique Ultrasound-guided approach (preferred) Local Corticosteroid Injection at tendon sheath under Ultrasound guidance (see Shoulder Ultrasound) Approached in-plane to linear Ultrasound probe (probe short axis to anterior Shoulder - home position) Do not inject within tendon (and avoid circumflex artery within groove) Technique Landmark-based approach Images Landmarks Identify bicipital tendon in bicipital groove (proximal Humerus) Mark point of maximal tenderness over groove Injected with sterile technique (with Betadine preparation of skin) Direct needle parallel to bicipital groove (vertically oriented) Needle enters skin at 30 degrees oriented superiorly Do not inject bicipital tendon Infiltrate area around groove, but not into tendon Flow resisted when needle is inside tendon Withdraw needle slightly and retry Continue to withdraw until not in tendon Complications Bicipital tendon rupture Associated with intratendinous injection Do not inject bicipital tendon References

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