REGENERATIVE MEDICINE

NERVE HYDRODISSECTION AT SOURCE OF HEALTH

As nerves pass through the body, they enter and exit through planes of muscle that can develop scar tissue or fascial adhesions. Nerve hydrodissection, aka perineural injection therapy, or Neural Prolotherapy, aims to open the constricted tissue around the nerve and allow the nerve freedom to move and thereby reduce nerve related pain.

Nerve Hydro Icon
  • NERVE HYDRODISSECTION PROCESS
  • NERVE HYDRODISSECTION TREATMENT
  • NERVE HYDRODISSECTION BENEFITS
NERVE HYDRODISSECTION PROCESS

NERVE HYDRODISSECTION PROCESS

After a thorough physical exam, your doctor will visualize the area of pain under ultrasound guidance and a fine needle will inject a dilute sugar-water solution called D5W with or without other medicines to expand the tissue and relieve the constricted nerve.
NERVE HYDRODISSECTION TREATMENT

NERVE HYDRODISSECTION TREATMENT

A lesser known cause of pain can come from nerve entrapment. Hydrodissection can provide almost immediate relief for some patients. It's a great adjunct therapy to prolotherapy to help address any co-existing conditions. As nerve hydrodissection treatment doesn't involve surgery, there's no downtime. In fact, some patients who have already had surgery and are still in pain may benefit from this therapy. Dr. Sorr will work closely with you to decide on the number of sessions needed to alleviate the underlying issues.

NERVE HYDRODISSECTION BENEFITS

NERVE HYDRODISSECTION BENEFITS

D5W (5% Dextrose Water) is the most common solution injected since it is safe and nontoxic. Dextrose, another name for glucose or sugar, has been shown to exert pain-relieving benefits by binding to the TrpV1 receptor in the pain signalling pathway thereby decreasing pain. Hydrodissection effectively separates redundant fibers of fascia that constricts nerve paths without surgery. Other benefits can include relief from:

  • Fibromyalgia
  • Plantar Fasciitis
  • Carpal Tunnel Syndrome
  • Morton's Neuroma
  • Knee pain
  • Occipital Neuralgia

“We are not made of drugs, we are made of cells.”

NERVE HYDRODISSECTION

COMMON QUESTIONS

  1. How many treatments are needed?

    Benefits can be seen anywhere from 1-3 treatments.

  2. Is the sugar going to give me diabetes or damage the area?

    No, the concentration of sugar is very low and will not spike blood sugar levels. Since sugar is non-toxic and not a drug, there are no side effects other than swelling or bruising.

  3. Will the injection damage the nerve?

    It is unlikely to damage a nerve using ultrasound guided injections since the nerve is visualized on screen in real time. Nerves are protected by a sheath that is more difficult to penetrate using the dilute sugar water solution.

  4. What are healing growth factors?

    Growth factors are small proteins signals that your body secretes to give cells in that area the message to begin healing. All cells in our body respond to signals and when instructed to do so, carry out the message. Examples of growth factors are TGF-B3, VEGF, EGF, and PDGF which stimulate collagen, blood vessel, and cellular growth to occur.

  5. Where do growth factors come from?

    Platelets are a common source of growth factors from your own body. Via a blood draw just before your treatment, we separate the platelets from the red blood cells and excess plasma to create a concentrated solution called PRP or platelet rich plasma. Other growth factors may be used from acellular sterile growth factors isolated from bone marrow or placental MSC (medicinal signaling cells aka mesenchymal stem cells).

BECOME A PATIENT

During your initial discovery session, we’ll listen to your concerns and make sure we are a great fit to help you. We’ll review any recent imaging, labs or other pertinent information. But most importantly, we’ll listen.