Nerve Hydrodissection

What is nerve hydrodissection?

External pressure on a nerve may be derived from fascia inflammation, scar tissue from trauma or surgery, surrounding muscle tension, or structural issues. Nerve hydrodissection is a minimally invasive ultrasound-guided procedure aimed at targeting compressed peripheral nerves in the extremities. When delivering this treatment, a specific solution is used to dissect the nerve away from the surrounding constrictions. By releasing soft tissue compression on the nerve, flushing out local inflammatory mediators, and creating an anti-inflammatory environment, the nerve is potentially “freed up” and able to function better.

What conditions are treated with nerve hydrodissection?

Determining the cause of nerve entrapment is critical for sustainable results.
The common entrapment neuropathies we treat with this procedure are:

  • Occipital neuralgia
  • Brachial plexopathy / neurogenic thoracic outlet syndrome
  • Ulnar neuropathy at the elbow or wrist
  • Radial tunnel syndrome
  • Pronator syndrome
  • Carpal tunnel syndrome
  • Cuneal neuralgia
  • Sciatica
  • Peroneal neuropathy
  • Tarsal tunnel syndrome

What to expect during treatment with nerve hydrodissection?

For diagnostic purposes when first determining if a particular nerve is involved in a patient’s pain presentation, 5% dextrose in saline or sterile water is preferred (D5W). Once a neuropathy has been established from a traditional nerve block, nerve testing (electrodiagnostics), or D5W diagnostic injection, other ingredients can be considered. Based on the patient’s unique clinical circumstances, we may integrate the ingredients listed below.

  • PRP
  • Platelet Lysate
  • MFAT
  • Traumeel
  • Natural low dose steroid
  • Ongoing D5W

The number and timing of treatments varies, based on the factors listed below.

  • the ingredient being used
  • the presence or absence of underlying nerve damage
  • how long the neuralgia has been occurring
  • if the underlying cause is modifiable

Am I a candidate for nerve hydrodissection?

Nerve hydrodissection is ideal for individuals experiencing nerve entrapments or chronic nerve pain that hasn’t responded to other treatments. It may benefit those with conditions like carpal tunnel syndrome, post-surgical nerve adhesions, or injuries causing limited nerve mobility. This minimally invasive technique is tailored for patients seeking nonsurgical solutions to restore function and alleviate discomfort.

The Orthohealing Center prioritizes a personalized approach, ensuring that each candidate receives a thorough evaluation to determine if nerve hydrodissection is an appropriate treatment approach for you.

Is there downtime associated with nerve hydrodissection?

Temporary side effects include numbness or tingling, sensation of pressure or fullness, swelling, and in rare instances, mild weakness. For some, no downtime is necessary; for others, we prescribe up to 72 hours of restricted activity. Downtime generally depends on the ingredient(s) used.

Nerve hydrodissection publications:

Regenerative Medicine to Keep You Moving