are you frustrated by symptoms related to carpal tunnel syndrome
well in this video i'm going to tell you how i treat carpal
tunnel syndrome without surgery there is a novel treatment technique that can provide
incredible results in terms of functional improvement and pain relief let's learn more
let's talk about a new procedure called a nerve hydrodissection this is a perineural injection
using a five percent dextrose solution clinical trials show amazing results with this when used
to treat carpal tunnel syndrome but before we get into that let's make sure we're all on the
same page what is carpal tunnel syndrome carpal tunnel syndrome is caused by increased pressure in
the wrist this leads to gradual damage to a nerve called the median nerve and this is why people who
suffer from carpal tunnel syndrome have numbness have tingling and even weakness in their hands
and their wrists non-surgical treatment options have included oral anti-inflammatory medications
home stretches or home exercises physical therapy and wrist splinting these can help with carpal
tunnel syndrome but usually their effects are short-lived and that's why for the longest time
definitive treatment has always been surgical intervention this involves cutting a ligament
over the wrist to relieve the pressure and to decompress the nerve but surgery comes with
possible complications and are usually reserved for those with the most severe cases or those
who are just not getting better with conservative management so instead what we gave were cortisone
injections to treat those with carpal tunnel syndrome but as more clinical trials are done
we're becoming more and more concerned about the potential side effects of cortisone injections
especially for those people who need multiple cortisone injections specifically cortisone
injections can cause long-term damage to the nerves as well as the surrounding tendons and soft
tissues fortunately there is now a novel treatment technique used to treat carpal tunnel syndrome
without the need for surgical intervention and without the need for cortisone this procedure
is called a nerve hydro dissection and involves injecting five percent dextrose under ultrasound
guidance around the nerve five percent dextrose has no harmful effects to the body and can even
decrease inflammation around an irritated nerve this study conducted a randomized double-blinded
head-to-head trial comparing cortisone injections to five percent dextrose nerve hydro dissections
in those with carpal tunnel syndrome they found that perineural injection of five percent dextrose
is more beneficial than that of corticosteroid in patients with mild to moderate carpal tunnel
syndrome at four to six months post-injection these same researchers did a long-term outcome
study looking at how patients did up to three years after a five percent dextrose injection
they found that 89 of patients with this procedure reported an effective outcome this
was true of those with mild moderate and even severe carpal tunnel syndrome they concluded
perineural injection therapy is a novel approach for treatment of carpal tunnel syndrome with
safe and outstanding long-term effects most importantly there were no associated complications
or side effects over the last few years of doing this injection i too have seen amazing results
patients who initially thought they were gonna get surgery are now able to use their hands and their
wrists pain-free and because five percent dextrose has no harmful effects to the body this procedure
can be repeated should symptoms recur nerve hydra dissection is a very exciting treatment option
with minimal to no side effects please share this video with anyone you know who may be suffering
from carpal tunnel syndrome they may see huge benefits with this new type of procedure please
also consider liking the video and subscribing to my channel you can find me on social media
i'm on twitter @jeffreypengmd and i write on my blog at jeffreypengmd.com see you next time