Nerve Hydrodissection for Nerve Entrapment

Nerve hydrodissection (HD), a technique used when treating nerve entrapments, involves the injection of an anesthetic, saline, or 5% dextrose in water to separate the nerve from the surrounding tissue, fascia, or adjacent structures. Minimal compression of a nerve can initiate and perpetuate neuropathic pain. Mechanical benefits of HD may relate to release of nervi nervorum or vasa nervorum compression. Pathologic nerves can be identified by examination and ultrasound visualization. The in-plane technique is the predominant and safest method for nerve HD.

If you have suffered the sharp, burning intensity of persistent nerve pain, you are aware of the equal frustration of finding a treatment to actually make the pain go away.

What conditions can Nerve Hydrodissection be effective for?

  • Carpal tunnel
  • Tarsal tunnel syndrome
  • Cubital tunnel syndrome
  • Sciatica, when related to entrapment at the piriformis or gluteal region
  • Meralgia Paresthetica (lateral femoral cutaneous nerve entrapment)
  • Peroneal nerve entrapment, foot drop
  • Pain that mimics joint or tendon problems without (or with) specific damage of these structures (for example, “tennis elbow” from radial nerve entrapment)
  • Regions of skin hypersensitivity and persistent, burning pain

How does nerve hydrodissection actually work?

Certain nerves are prone to getting compressed or entrapped, especially between tissue layers affected by scarring, tension and chronic injuries. The nerves can get stretched, irritated, and then inflamed, causing persistent pain and hypersensitivity. Using ultrasound, your doctor can visualize the swollen nerves and then get a small needle very close, injecting fluid around the nerve to relieve pressure and adhesions. The result? Pain relief.

Make an Appointment to see Dr Mahl at 305 332-7234.

Avoid surgery whenever possible. Control inflammation smartly, keep your weight down fuel your body right, take control of your hormones.

Dr. Charles F. Mahl MD FACS FICS FAAOM

Apply for a consultation

other treatments offered


Is the new frontier of medical care, providing new treatments for diseases and injuries once incurable.

Platelet RICH PLasma - PRP

Involves slowing down the ravages of aging by learning how to make the right choices for your mind and body


Regenerative treatment using injections to stimulate tissue repair and relieve pain in joints and ligaments

Hormone replacement

Why you should choose Bioidentical Hormone Replacement (BHRT)

contact US

2601 SW 37th Ave, Suite 503
Coral Gables Medical Plaza
Coral Gables, FL 33133

Mon - Thu | 9:00 AM to 4:30 PM

Telephone: +1 305-332-7234
Fax: +1 305-402-8537

Apply for a consultation

Consultation Preferred

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.