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Nerve-related pain, tingling, numbness, and weakness can interfere with daily activities and significantly impact your quality of life. When nerves become irritated, compressed, or trapped by surrounding tissues, symptoms may persist despite conservative treatments. At IVO Miami in Coral Gables, Florida, Dr. Gregory Foremny, MD, offers perineural hydrodissection, an image-guided procedure designed to relieve nerve entrapment. To learn more about your treatment options, call the office to schedule an appointment.
Perineural Hydrodissection Q & A
What is perineural hydrodissection?
Perineural hydrodissection is a minimally invasive procedure that uses ultrasound guidance to inject fluid around a nerve. The fluid gently separates the nerve from surrounding tissues that may be compressing, irritating, or restricting its movement.
By creating space around the affected nerve, perineural hydrodissection can help reduce inflammation, improve nerve mobility, and relieve symptoms caused by nerve entrapment. The procedure is performed with real-time imaging to ensure precise placement of the injection while protecting nearby structures.
How does perineural hydrodissection work?
During the procedure, Dr. Foremny uses ultrasound imaging to identify the affected nerve and surrounding structures in real time. A carefully selected fluid solution is then injected around the nerve to separate it from tissues that may be causing compression or irritation. This process can help restore the nerve’s ability to glide freely during movement while reducing mechanical stress on the surrounding area.
Because the procedure is highly targeted, it allows treatment to be customized to each patient’s anatomy and symptoms. Many patients appreciate that perineural hydrodissection can provide relief without the need for more invasive surgical intervention and may complement other rehabilitation and regenerative treatment strategies.
What conditions can perineural hydrodissection treat?
Dr. Foremny may recommend perineural hydrodissection for a variety of conditions involving irritated or compressed nerves, including:
Peripheral nerve entrapments
Nerves can become compressed by muscles, fascia, scar tissue, or other soft tissues, leading to pain and dysfunction.
Carpal tunnel syndrome
Compression of the median nerve in the wrist can cause numbness, tingling, weakness, and hand discomfort.
Ulnar nerve entrapment
Irritation of the ulnar nerve near the elbow or wrist may result in pain, tingling, and weakness in the hand and fingers.
Post-surgical nerve irritation
Scar tissue following surgery can sometimes restrict nerves and contribute to chronic symptoms.
Sports and overuse injuries
Repetitive motion and soft tissue injuries can place pressure on nearby nerves and cause persistent discomfort.
What symptoms may improve with perineural hydrodissection?
Depending on the affected nerve, treatment may help relieve:
- Nerve pain
- Tingling sensations
- Numbness
- Burning discomfort
- Weakness
- Reduced mobility
- Sensitivity along the nerve pathway
What are the benefits of perineural hydrodissection?
Potential benefits include:
- Minimally invasive treatment
- Precise treatment of affected nerves with real-time ultrasound guidance
- Reduced nerve irritation and compression
- Little downtime
- Outpatient procedure
Many patients experience improved comfort and function as pressure on the nerve is relieved. In some cases, treatment may also help improve flexibility, reduce sensitivity, and support participation in physical therapy or rehabilitation programs.
To learn more about perineural hydrodissection and whether it may be right for you, call IVO Miami to book your consultation.
WHAT TO EXPECT
PROCEDURE TIME: < 30 minutes
RECOVERY: Same day
ANESTHESIA: Local
SETTING: In-office