Did You Know?

Peripheral nerve entrapments, such as Carpal Tunnel Syndrome (CTS) and Cubital Tunnel Syndrome, can cause pain, numbness, and weakness, impacting daily function. While corticosteroid injections have traditionally been used for relief, Hydrodissection with 5% Dextrose in Water (D5W) is emerging as a safer and equally effective alternative.

What is Hydrodissection?

Hydrodissection is a minimally invasive procedure in which fluid is injected around a compressed nerve to relieve pressure and improve function. When performed using ultrasound guidance, it allows for precise targeting of the entrapped nerve while minimizing damage to surrounding tissues.

Why Choose D5W Over Steroids?

Unlike steroids, which can cause tissue atrophy and nerve damage over time, D5W provides pain relief without harmful side effects. Buffered with Sodium Bicarbonate for better nerve tolerance, D5W helps restore normal nerve function while reducing inflammation. Studies show that D5W can provide pain relief comparable to steroids while improving functional outcomes in conditions like CTS.

How Effective is It?

Research supports Hydrodissection with D5W as a first-line treatment for peripheral nerve entrapments, particularly in mild to moderate cases. It is often preferred over Platelet-Rich Plasma (PRP) due to its lower cost and ease of use, though PRP remains a valuable secondary treatment for more severe cases.

Common Nerve Entrapments Treated with D5W Hydrodissection:

• Carpal Tunnel Syndrome (Median nerve at the wrist)
• Cubital Tunnel Syndrome (Ulnar nerve at the elbow)
• Peroneal Nerve Entrapment (Fibular head, below the knee)
• Tarsal Tunnel Syndrome (Tibial nerve compression at the ankle)

A Safer, More Effective Alternative

With minimal downtime and fewer risks than steroids or surgery, D5W Hydrodissection is gaining recognition as a gold standard for treating nerve entrapments. As more clinicians adopt this approach, it is reshaping the landscape of pain management and nerve care.