Informative Video on treatment for Nerve Pain
The treatment of nerves has improved dramatically with the wide spread use of ultrasound in the office. The pathways of nerves, known from the study of cadavers, can be followed through the length of a limb, revealing areas of entrapment. Nerves can get compressed, or swell, or have enlargements of fascicles, the cables within them.
Nerve hydro-dissection, which uses a stream of fluid to separate the nerve from the tissue around it, frees the nerve from whatever has compressed it, allowing it to again glide freely through the tissue. Nerve hydro-dissection might need to be repeated but, unlike surgery, offers the benefit of no scar formation, which is a common cause of nerve entrapment.
How do you know if the nerve is damaged?
Ultrasound is used to evaluate an area- the joint, the muscles, the tendons, and the nerves and fascia AFTER the tissue is palpated or felt. Tenderness or tightness of the tissue can help determine what the issue may be. Usually a combination of all the above are involved. In the case of nerves, they travel within fascia layers, where they can be entrapped, swished against bone, or compressed by scar tissue. This can be seen on ultrasound, as the nerve may look swollen or the tissue may not glide easily under the ultrasound with movement of a joint. Some patients have an increase in discomfort or a sensation that something is not right as the ultrasound probe passes over the inflamed nerve.
What is fascia?
Fascia is everywhere. It surrounds or encases every organ, muscle, bone, nerve, blood vessel and other structures in the body. It is easily seen as the see through, hard to cut thru substance that surrounds a breast of chicken.