NerveHydrodissectionWhatisit? Nervehydrodissectionisatechniqueusedtofreeuppinchednervestodecreasepainandinflammationduetochronicnervecompression.Whyisitused? Nervesnormallyglidethroughthemusclesandsofttissuewithmovements.Ifinjuriesorrepetitivestressoccur,thenervescanget"stuck"andthetissuedoesnotallowthenormalmotion.Painand/oralteredsensationscandevelop.Nervehydrodissectioncanbeusedtofreethenervefromthesurroundingtissues.Howisitperformed?Afteralocalskinanestheticisappliedtonumbtheinjectionsite,aneedleisinsertedintothesiteofinterestanddirectedtowardsthecompressednerveanditssurroundingtissue.Thenadilutedextrosesolutionisdeliveredintothespacetodecreasethenerveinflammationaswellastoseparatethetissuefromthenerveresultinginreliefofpain.Toensureaccuracyandsafety,thisprocedureisdoneunderultrasoundguidance.Whatarethetypicalresults?Nervehydrodissectioncanbeverysuccessfulinrelievingpain.Infact,hydrodissectioncanprovidesubstantialpainreliefevenwhensurgeryfails.Thebenefitfromthisprocedurewilltypicallyoccurtwotosevendaysfollowingtheprocedure.Thistherapycombinedwitharoutineofstretchingallowsmanyindividualstoenjoyapainfreelifestyle.Whatnervesaretypicallyhydrodissected?MediannerveassociatedwithcarpaltunnelsyndromeUlnarnerveassociatedwithcubitaltunnelsyndromeSaphenousnerveassociatedwithchronickneepainPosteriortibialnerveassociatedwithtarsaltunnelsyndromeSuprascapularnerveassociatedwithchronicshoulderpainHowoftenshouldthisprocedurebedone?Thisproceduremayberepeatedseveraltimesasneededtofullyseparatethenervefromitssurroundingtissue.Wewillconsiderrepeatingtheprocedureevery3-4weeksasneededuntilyouaresymptomfree.

DocumentcreatedbyAustinTutt,OMS-IV;January2015