Preprint Review Version 1 Preserved in Portico This version is not peer-reviewed

Ultrasound-Guided Nerve Hydrodissection for Pain Management: An Updated Review of Anatomy and Techniques

King Hei Stanley Lam
* ORCID logo ,
Chen-Yu Hung
,
Yi-Pin Chiang
,
Kentaro Onishi
,
Thomas B. Clark
,
Dean K Reeves
,
Su Daniel
Version 1 : Received: 13 January 2020 / Approved: 15 January 2020 / Online: 15 January 2020 (12:09:56 CET)

How to cite: Lam, K.H.S.; Hung, C.; Chiang, Y.; Onishi, K.; Clark, T.B.; Reeves, D.K.; Daniel, S. Ultrasound-Guided Nerve Hydrodissection for Pain Management: An Updated Review of Anatomy and Techniques. Preprints 2020, 2020010148. https://doi.org/10.20944/preprints202001.0148.v1 Lam, K.H.S.; Hung, C.; Chiang, Y.; Onishi, K.; Clark, T.B.; Reeves, D.K.; Daniel, S. Ultrasound-Guided Nerve Hydrodissection for Pain Management: An Updated Review of Anatomy and Techniques. Preprints 2020, 2020010148. https://doi.org/10.20944/preprints202001.0148.v1

Abstract

Nerve hydrodissection (HD), a technique used when treating nerve entrapments, involves using an anesthetic or solution such as saline or 5% dextrose solution to separate the nerve from the surrounding tissue, fascia, or adjacent structures. This technique aims to treat neuropathic pain, or pain caused by the nerve. Ultrasound-guided HD of peripheral nerves has gained significant attention in the medical profession and pain management fields in recent years. This is due to a number of high impact publications of randomized control trials demonstrating the efficacy and safety of this technique for the treatment of carpal tunnel syndrome. Even the 20th edition of Harrison’s Principles of Internal Medicine textbook lists injection of 5% dextrose as an alternative local treatment that does not have the side effects of corticosteroids. At present, there is no review of the current literature on this technique. This manuscript will summarize and discuss the following: 1) the different approaches to doing ultrasound-guided HD of nervous structures, 2) its usages in different clinical situations, 3) its clinical pearls, 4) the solution used, and 5) the postulated mechanisms of action.

Keywords

nerve hydrodissection; pain management; ultrasonography; neuropathic pain

Subject

Medicine and Pharmacology, Neuroscience and Neurology

Copyright: This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Comments (0)

Comment 1
Received: 24 March 2020
Commenter: ahmed ould hennia
The commenter has declared there is no conflict of interests.
Comment: HI Sir,
excellent,
thank you for the improvment of the care and science,
ahmed
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