Nerve Hydrodissection
Precision treatment for nerve entrapments and neurogenic inflammation
Nerve hydrodissection is a targeted, minimally invasive injection technique that uses fluid, often 5% dextrose, PRP, or other biologics, to gently separate a nerve from the surrounding tissues that may be compressing or irritating it. This is done under ultrasound guidance, allowing for pinpoint accuracy and visualization of both the nerve and surrounding fascial structures.
This treatment works on two levels:
• Physiological: Dextrose and other regenerative solutions help calm neurogenic inflammation and reduce pain signaling at the physiological level.
• Mechanical: The fluid creates space around the nerve, physically freeing it from entrapments, adhesions, or fascial planes that may be compressing it, essentially "peeling" the nerve free.
By restoring normal nerve mobility and reducing local inflammation, patients often experience significant pain relief, improved function, and even reversal of numbness or tingling.
Common Conditions Treated with Nerve Hydrodissection
• Carpal tunnel syndrome
• Meralgia paresthetica (lateral femoral cutaneous nerve entrapment)
• Tarsal tunnel syndrome
• Sciatic nerve entrapment
• Common peroneal nerve entrapment
• Dorsal scapular nerve entrapment
• Superior cluneal nerve entrapment
• Greater and lesser occipital neuralgia
These entrapments are often missed or underdiagnosed, and nerve hydrodissection offers a safe, non-surgical pathway to both diagnosis and relief.
Frequently Asked Questions (FAQ):
What is the procedure like?
After a thorough ultrasound evaluation, a small needle is guided along the nerve’s course. A regenerative fluid is slowly injected, releasing the nerve from the surrounding tissue. Most patients tolerate it well and feel a sense of relief soon after.
How many treatments will I need?
Some patients get relief after one treatment, while others benefit from 2–4 sessions spaced a few weeks apart.
Is nerve hydrodissection painful?
Discomfort is generally mild and brief. You may feel pressure or tingling during the injection as the nerve is decompressed. Most patients describe the experience as tolerable.
Is it safe?
Yes, when performed by trained hands using ultrasound, the risk is minimal.
Nerve Hydrodissection Post-Procedure Care Guidelines:
Activity:
You may return to light activity the same day. Avoid intense exercise for 48 hours.
Symptoms:
Temporary soreness, tingling, or a "release" sensation can occur as the nerve adjusts. This usually subsides within 24–72 hours.
Track Your Progress:
Note changes in pain, numbness, or range of motion. This helps guide future treatments.
Follow-Up:
Follow-up phone call 1-2 weeks out to keep track of your progress and symptoms, as treatment plans may be adjusted to optimize your results.