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FASCIA & NERVE INJECTIONS & HYDRODISSECTION 

Carpal tunnel injections in Raleigh, NC 

ORTHOPEDIC NERVE COMPRESSIONS WE TREAT

  • Carpal Tunnel Syndrome: Compression of the median nerve at the wrist, causing pain, numbness, and tingling in the hand and fingers, particularly the thumb, index, and middle fingers.

  • Piriformis Syndrome: Compression of the sciatic nerve by the piriformis muscle in the buttock, leading to pain, numbness, and tingling radiating down the leg.

FASCIAL ADHESIONS 

  • A minimally invasive procedure using fluid (usually saline, local anesthetic, or dextrose) to separate tissue layers.

  • Often performed under ultrasound guidance to target specific fascial planes  

  • Often used in scar tissue as after surgery or injury 

  • Release Fascial Adhesions: Separates bound or scarred fascial layers to restore mobility and reduce pain.

  • Facilitate Healing: Restores normal biomechanics, which supports healing of the surrounding musculoskeletal structures.

 

NERVE CONDITIONS WE DO NOT TREAT

 

We do not currently treat neuropathy, or chronic nerve and pain conditions.  We also do not treat small peripheral nerve conditions causing numbness, tingling , or burning other than as noted above in carpal tunnel or in the piriformis muscle. 

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HOW WE TREAT PAIN 

 Injections

  • Procedure: A needle is inserted near the targeted area, and medication is injected under local anesthesia.  ALWAYS performed with ultrasound guidance for accuracy.

  • Benefits: Provides targeted pain relief, reduces inflammation, and can serve as a diagnostic tool to confirm involvement.

  • Types of Medications Used: Corticosteroids (to reduce inflammation), local anesthetics (for temporary pain relief), and sometimes platelet-rich plasma (PRP) for tissue healing.

Hydrodissection

  • Purpose: A technique used to treat entrapment or irritation by separating the nerve from surrounding tissues using a saline solution or other fluids.

  • Procedure: A needle is inserted and a fluid is injected around area to gently release it from the surrounding tissues or scar tissue.

  • Benefits: Reduces compression, improves mobility, and provides pain relief by hydrating the surrounding tissues.

READ MORE ABOUT INJECTIONS

Ultrasound-Guided Nerve Injections: Ultrasound-guided nerve injections are a minimally invasive procedure used to target specific nerves for pain relief and diagnosis. Using real-time ultrasound imaging, healthcare providers can accurately locate and visualize nerves, tissues, and surrounding structures. This precision allows for the delivery of medications, such as corticosteroids, local anesthetics, or platelet-rich plasma (PRP), directly to the nerve or its surrounding area, improving the effectiveness of the injection while minimizing the risk of injury to nearby structures. These injections are commonly used in the management of chronic pain conditions, including nerve entrapment, radiculopathy (nerve root compression), and other musculoskeletal disorders such as tendinopathies or ligament injuries. Ultrasound guidance offers several advantages over traditional methods, including improved accuracy, reduced procedure time, and better patient comfort. The ability to see the needle’s trajectory and exact placement in real time reduces the likelihood of incorrect needle positioning, which can lead to ineffective treatment or complications. Patients undergoing ultrasound-guided nerve injections often experience significant pain relief, increased mobility, and improved function. The procedure is typically performed in outpatient settings, and recovery time is minimal. However, the effectiveness of the treatment may vary depending on the underlying condition and the individual’s response to the injection.

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WHY CAROLINA
NONSURGICAL ORTHOPEDICS

  • All Providers are BOARD CERTIFIED and Specially Trained in Nonsurgical Orthopedics 

  • Over 50,000+ and Counting Procedures Performed

  • Procedures Performed with Ultrasound Guidance for Accuracy and Safety 

  • Local and Independent Practice That is NOT a Franchise 

  • Discounts for Service Members, Teachers, and Public Servants 

  • Serving Raleigh Since 2013

REQUEST AN APPOINTMENT

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