What is Nerve Hydrodissection?
Nerve hydrodissection consists in injecting a solution guided by ultrasound around the painful nerve. Peripheral nerve entrapment is a common source of pain. Nerve irritation can occur at areas where the nerve travels through a canal or tunnel. However, it also occurs because of post-trauma and scar formation, which leads to symptoms such as numbness, paralysis, or intolerable pain. The unique nerve hydrodissection treatment is done by injecting a volume of fluids around the nerves in order to release its adhesions from the neighbouring structures.
This accurate injection must be done around the nerve (perineural) not inside the nerve (intraneural) to release the surrounding adhesions. Releasing the pressure on nerves not only alleviates pain but also allows the nerves to regenerate. The addition of biologics enhances the nerve regeneration and accelerates the recovery.
How is the procedure done?
Nerve Hydrodissection consists of injecting either platelet-rich plasma (PRP) or a 5% dextrose solution (D5W) around the painful nerve. The solution releases the healthy tissue from the scar tissue that formed as a result of an injury or a musculoskeletal lesion. The nerve hydrodissection technique requires ultrasound guidance to identify the exact site of the nerve entrapment as well as to locate the needle during the injection.
Who should consider this procedure?
You should consider this procedure if you have:
- Nerve entrapment syndrome;
- Carpal tunnel syndrome;
- Thoracic outlet syndrome;
- Scalene, minor pectoralis syndrome;
- Poor healing postoperatively;
- Hand or forearm tingling/ burning pain;
- Morton’s neuroma;
- Leg/foot pain (Saphenous, Sura, Tibial, Fibular);
- Scar Neuropathy; or if
- You don’t know where the pain is coming from.
Which areas can be treated?
The following areas can be treated with nerve hydrodissection:
- Lumbar Spine
- Sacral Spine
- Thoracic Spine
- Posterior Pelvis
- Anterior Pelvis
What are the benefits?
- Significant and long-lasting pain relief
- Improvement in function and range of motion
- Decrease use of analgesics
This procedure also has a low complication rate and a short recovery time
Please note that nerve hydrodissection treatments are not covered most insurance companies, including Ontario Health Insurance Plan (OHIP). However, on a case-by-case basis, they may be covered by auto injury insurance (MVA) or worker’s injury insurance (WSIB). Contact us for more information regarding coverage options.
Effect of platelet-rich plasma on reconstruction with nerve autografts – read full article
Hakan Teymur, Yigit Ozer Tiftikcioglu, Turker Cavusoglu, Bedile Irem Tiftikcioglu, Oytun Erbas, Gurkan Yigitturk, Yigit Uyanikgil
Peripheral nerve entrapment, hydrodissection, and neural regenerative strategies – read full article
Andrea Trescot, MD, DABIPP, FIPP, Michael Brown, DC, MD
Disclaimer: As with any medical treatment, results will vary among individuals, and there is no implication that you will heal or receive the same outcome as patients herein. There could be pain or substantial risks involved. These concerns should be discussed with your health care provider prior to any treatment so that you are properly informed and understand that there are no guarantees to healing. The information in this website is offered for educational purposed only and does not imply or give medical advice. The photos used may be models and not patients.