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Sep 1997;81(5):1165-1198

2008;29(2 suppl):S126S131

In this case, the B12 shots have started to heal the damaged neurons myelin sheath, but the neural network in which the healed neuron is in, is in a super sensitive state (with extra receptors), so the patient may feel pain or other unpleasant sensations

Elbow Injection Technique To perform the injection into the elbow joint, follow these steps: Patient sits with elbow supported in pronation at 45 degrees of flexion Identify gap of joint line above head of radius posteriorly by passively moving elbow into flexion and extension Insert needle at midpoint of joint line parallel to top of head of radius, and penetrate capsule Inject solution as a bolus