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Related Experiment Videos

Volume injection adhesiotomy.

N A Grumbine, P A Radovic

    Journal of the American Podiatric Medical Association
    |March 1, 1989
    PubMed
    Summary

    This study introduces a novel injection technique for painful nerve entrapments. The method uses targeted injections to decompress nerves, potentially avoiding surgery for scar tissue pain.

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    Area of Science:

    • Pain management
    • Neurology
    • Minimally invasive procedures

    Background:

    • Cicatrix nerve entrapments cause significant pain.
    • Scar tissue can compress nerves, leading to entrapment and pain.
    • Surgical intervention is often considered for persistent nerve entrapment.

    Purpose of the Study:

    • To present a modified, minimally invasive method for treating painful cicatrix nerve entrapments.
    • To describe a technique for percutaneous adhesiotomy and extraneural fibrosis decompression.
    • To evaluate the potential of this method to reduce or eliminate pain and avoid surgery.

    Main Methods:

    • A series of three high-volume injections.
    • Injections include local anesthetic, steroid, and hyaluronidase.
    • Precise attention to tissue plane level for sequential injections to achieve circumferential neural trunk decompression or cicatrix adhesiotomy.

    Main Results:

    • The described injection technique allows for percutaneous adhesiotomies and extraneural fibrosis decompression.
    • Successful decompression of the neural trunk or cicatrix can be achieved.
    • The procedure shows potential to decrease or eliminate pain.

    Conclusions:

    • This modified injection method offers a less invasive approach to treating painful cicatrix nerve entrapments.
    • Effective neural decompression and pain relief may be achieved, potentially circumventing the need for surgical intervention.
    • The technique highlights the importance of precise injection placement for successful outcomes.

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