For patients with neuropathic pain related to a compressed nerve, such as carpal tunnel syndrome, traditional treatment options have been bracing, short term relief with steroid injections, and surgical interventions. Examples of such conditions include carpal tunnel syndrome (pinched nerve at the wrist), cubital tunnel syndrome (pinched nerve at the elbow), pinched nerve at the knee, and tarsal tunnel syndrome (pinched nerve at the ankle).
While the traditional treatments can work, we need to do better. Surgical release techniques can work but do have associated risks. Steroid injections work short term but not too well. Using a novel regenerative medicine treatment with newer ultrasound guided techniques has given us a better way to treat these conditions.
Platelet lysate hydrodissection treatment combines two really great treatment approaches. Platelet lysate is a advanced version of platelet rich plasma where we crack open the platelets and inject the released growth factors. These growth factors are beneficial to nerve tissue and are definitely safer than steroid injections. Hydrodissection technique is a process where utilizing ultrasound guidance a needle is placed at a submilimeter level into the tissue that wraps around the nerve. Then by injecting platelet lysate the nerve is bathed in the platelet lysate. By injecting enough volume into this exact space, we are able to separate the nerve from the surrounding scar tissue that develops in a compression neuropathy, and this process is called hydrodissection. Hydrodissection helps to release the pressure on the nerve, resulting in improvement in symptoms.
This process is a sophisticated and nuanced approach to compressive neuropathies. Rather than slamming steroids into an area blindly, or cutting out tissue that may be supportive for other associated structures, Platelet lysate hydrodissection treatment attempts to fix your problem using your body’s own normal healing process.