The pain is at the buttonholes itself. Once the needle is in the vessel, the patient reports no pain until it is time to pull the needle out and the buttonhole is touched. This is a common report from my patients with lower arm fistulas. At first it seemed to be with my diabetic patients so I thought it could be related to neuropathy that nerve endings were overactive in that area of healing but I now have 1 non-diabetic patient complaining of sensitivity in venour buttonhole, almost reporting it as pain.
I do not know many people who are knowledgable about buttonholes and am trying to reach out to anyone ho can give me insight as to why this is occurring and what I can do to assist patient. 1 patient abandoned the BH and now is doing rope and ladder and feels imprved but she has a nurse doing her treatments. Most of my patents will refuse to go to sharps.