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Ultrasound-Guided Nerve Hydrodissection

If you have suffered the sharp, burning intensity of persistent nerve pain, you are aware of the equal frustration of finding a treatment to actually make the pain go away.  The physicians at FoRM may have an answer for you using advanced ultrasound imaging to get a needle very close to the affected nerves.  They have used this relatively new technique to successfully treat common conditions such as carpal tunnel to more hard to identify causes of pain and sensitivity.

What conditions can Nerve Hydrodissection be effective for?

  • Carpal tunnel
  • Tarsal tunnel syndrome
  • Cubital tunnel syndrome
  • Sciatica, when related to entrapment at the piriformis or gluteal region
  • Meralgia Paresthetica (lateral femoral cutaneous nerve entrapment)
  • Peroneal nerve entrapment, foot drop
  • Pain that mimics joint or tendon problems without (or with) specific damage of these structures (for example, “tennis elbow” from radial nerve entrapment)
  • Regions of skin hypersensitivity and persistent, burning pain

How does nerve hydrodissection actually work?

Certain nerves are prone to getting compressed or entrapped, especially between tissue layers affected by scarring, tension and chronic injuries.  The nerves can get stretched, irritated, and then inflamed, causing persistent pain and hypersensitivity.  Using ultrasound, your doctor can visualize the swollen nerves and then get a small needle very close, injecting fluid around the nerve to relieve pressure and adhesions.   The result?  Pain relief, often without the use of any anesthetic at all.

 

Schedule with FoRM’s Nerve Hydrodissection specialist:

Dr. Ryan Minarik ND, LAc

FAQ

What is actually injected during nerve hydrodissection?

Typically just dextrose and water is injected. No anesthetic, no steroid, no other drugs. We are relying on the fluid pressure to release the nerve constriction. Additionally, dextrose has a calming or analgesic (pain relieving) effect on nerves due it binding a specific receptor present when a nerve is constricted and inflamed. Often, we even don’t use anesthetic beforehand as the needles are quite small, plus we like to see immediate pain relief from the hydrodissection, without it being covered up by an anesthetic.

Why is it called dissection? Doesn’t that actually hurt the nerves?

Despite the name, we are not actually dissecting the nerve. We don’t touch the nerve, but get very close, and then use the fluid (hydro) pressure to separate the surrounding tissue from the nerve (dissect).

How many treatments of hydrodissection are needed?

This varies depending on how long the nerve has been constricted, the size of the nerve, and structures around it. We typically see at least a temporary response with the first treatment, with permanent results with as few as 2-3. Some conditions may need up to 8-10 treatments for lasting results.

Am I sore afterwards? When can I resume activity?

There is typically minimal soreness at the injection site for 1-3 days after treatment. Normal activity can be resumed immediately, although strenuous activities should be avoided for a few days to allow tissue recovery.

Orthopedics

  • PRP Injections
  • Prolotherapy
  • Sports Acupuncture & Dry Needling
  • Ultrasound-Guided Nerve Hydrodissection
  • MSK Ultrasound

Functional Medicine

  • IV Nutritional Therapy
  • Neurofeedback
  • Acupuncture
  • Nutrition
  • Hormone testing & Functional Labs

Aesthetics

  • PRP Skin Rejuvenation
  • PRP Hair Restoration
  • Injectables
  • Cosmetic Laser
  • Basic Aesthetics & Clinical Skincare

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We have an exciting announcement for you! Please R We have an exciting announcement for you! Please Read!😃
Elixia Wellness Group and FoRM Health are merging!!
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Get your glow on with our Super Bowl Day Self-Care Sunday Event! We have a couple spots left for Chemical Peels and one spot left for Botox or Xeomin injections. Call 503.232.5653 option 2 or DM to snag your spot. 
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Spring is on its way...but it’s not here yet!  Here are my top 3 recommendations for supporting yourself with food during the last weeks of winter:

🔥Supplement Spleen and Kidney Yang with nutrient dense and warming foods such lamb, beef, winter squash, and rice congees.  

🔥Add warm and acrid herbs/spices such as fresh ginger, black pepper, and green onions to your meals to help support digestion.  Pu-erh tea or a cinnamon and dried ginger combo are great warming drinks.

🔥Avoid cold food and iced drinks- they put out the digestive fire we need to fully transform and transport nutrients from our food.  Cold in the digestive system can lead to bloating, loose stool, tiredness, and foggy brain.

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🥰Announcing our Self-care Sunday Events for Winter 2021🥳

We’re doubling up on our services for each event to give you the best results in as little time as possible. You can sign up for one or both services.

February 7th: Botox + Chemical Peels 

March 7th: Botox + Laser Photorejuvenation

April (exact date TBD): Microneedling + LED (light) Facials

Our events typically fill up, you can grab an early bird spot with a DM or email to info@formhealthpdx.com. 

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1. CBD + Kombucha: combine 10-50mg CBD tincture from @select_cbd with your favorite “dry” (ie low sugar) kombucha (try locally made @hmkpnw)...gives you a much-needed chill-out vibe

2. Ginger + Turmeric tonic: served warm or cold, @drinkrhizome, is an excellent replacement for your evening cocktail. Good for your gut, skin, and overall health.

3. Delicious mixers from @silverjulep - homemade blends of aromatic herbs + fruit juices...just skip the booze.

Start 2021 with your best self!

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Dr. Kai is starting off with a 5-day fasting mimicking diet from @prolonfmd, a simple and quick dietary program with big metabolic and cellular benefits.

Let us know if we can help with your reset! Schedule online using the link in our bio.

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🤗Hello 2021!!🎉🎊🥳

Here’s to wishing everyone a Hapoy New Year...with hopes for healthier and happier next year for all!

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Have you heard?! Starting January 2021, we are i Have you heard?! 

Starting January 2021, we are introducing Wellness Wednesdays! We are kicking off our Wellness Wednesdays by focusing on mental health. If you have been interested in trying neurofeedback, but wanting to learn more about it or see if it is right for you, Wellness Wednesday are the days for you! 

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