Nerve entrapments (often referred to as a “pinched nerve”) can be cause of chronic pain and suffering. Some nerve entrapments are common and easily diagnosed, such as Carpal Tunnel Syndrome or spinal stenosis. But in other cases it’s not so obvious.
In our experience, if someone has persistent pain, and the source of the pain isn’t obvious on physical exam, x-rays, or MRI studies, then often the culprit is an irritated nerve. In fact, the challenge is that many times nerve entrapment isn’t seen on imaging studies or physical exam, making it even more challenging.
Sadly, many physicians aren’t even aware of the possibility of a trapped or irritated nerve causing pain. In these cases the patient is often told that “there’s nothing wrong with you,” or “it’s all in your head.” This is a travesty in medicine. In our opinion, a doctor’s inability to find the source of the pain doesn’t mean the pain doesn’t exist!
The good news is that most often treatment for a trapped or irritated nerve is actually pretty easy to treat – if you’re trained to know what to look for and how to treat it!
In our practice we use a technique known as nerve hydrodissection to treat trapped or irritated nerves. Using a simple and safe mixture of I.V. fluid with a small touch of anesthetic we inject the fluid into the tissues surrounding the compressed nerve. The fluid decompresses the nerve and frees it up. This is all done very precisely under ultrasound guidance, and in most cases it’s either completely painless or only minimally uncomfortable. Sometime it takes more than one treatment, depending on the severity of the condition and on how long it’s been present. But the treatment is designed to cure the problem in most cases, not just make it feel better temporarily. We’re leading experts in the country in ultrasound guided nerve hydrodissection techniques.