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  • Carpal Tunnel Syndrome

    Nerve Hydrodissection for Carpal Tunnel and other Nerve Compression Syndromes

    CTCarpal Tunnel Syndrome is the most common nerve compression problem of the upper extremity. It happens when the median nerve gets compressed in the wrist, commonly by swollen tendons and repetitive use. The symptoms can interfere with quality of life. The symptoms include:

    • Numbness and tingling in the hands and finger tips.
    • Grip weakness: Dropping things while holding them.
    • Waking up in the morning with numbness, shaking the hands out to wake them
    • Pain in the hand

    Carpal tunnel syndrome affects about 1 percent of the general population and 5 percent of the working population and surgical treatment for carpal tunnel syndrome is the most frequent surgery of the hand and wrist.

    However, do all of these patients need surgery? In our clinical experience, a new technique called nerve Hydrodissection may be a better answer for some patients. Rather than an open surgery, this procedure is performed using a local anesthetic with no sedation required. Hydro (fluid) and dissection (to free up) literally is the use of fluid to expand the carpal tunnel, free up the nerve and reduce swelling thus taking pressure off the nerve and relieve the symptoms.

    Using live ultrasound imaging we precisely guide the injection with a combination of saline and cortisone. The fluid expands the space where the nerve is compressed to “free up” the nerve from adhesions where scar tissue commonly causes the nerve to bind and stick to the local chronically inflamed tendons and Carpal ligament.

    This allows the nerve to glide easier and many times has the same effect as a surgical release — the numbness, tingling, and pain go away. We have also used regenerative therapies with this procedure with the potential to help heal a damaged nerve.

    The procedure is non-invasive, takes about 30 minutes and is performed with a local anesthetic with no sedation required. Patients can leave after the vsisu8t with no down time.



    Can an OptimumJoint traditional or regenerative medical procedure help me? To find out if you might be a candidate for an OptimumJoint medical treatment procedure, complete our Optimum Joint Procedure Candidate Form online.