Efficacy of Nerve Hydrodissection With 5% Dextrose in Chronic Meralgia Paresthetica

Su, Yu-Chi; Lee, Chun-Yi; Chang, Chia-Wei; Wu, Yung-Tsan

doi:10.1111/papr.12870

Cited by 5 publications

(2 citation statements)

References 6 publications

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“…Su et al [58] studied a 35-year-old woman with chronic meralgia paresthetica having tingling sensation, pain, or numbness in the anterolateral region of the thigh for 20 years. After receiving 7 ultrasound-guided PITs with 10 D5W on the lateral femoral cutaneous nerve within 2 months, she experienced significant symptom relief, and clear improvement was observed in the results of electrophysiologic study, accompanied by decreased swelling of the nerve evaluated by sonography at 6 months post injection.…”

Section: Meralgia Parestheticamentioning

confidence: 99%

Efficacy of 5% Dextrose Water Injection for Peripheral Entrapment Neuropathy: A Narrative Review

Lin

et al. 2021

IJMS

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Current non-surgical treatment for peripheral entrapment neuropathy is considered insignificant and unsustainable; thus, it is essential to find an alternative novel treatment. The technique of perineural injection therapy using 5% dextrose water has been progressively used to treat many peripheral entrapment neuropathies and has been proven to have outstanding effects in a few high-quality studies. Currently, the twentieth edition of Harrison’s Principles of Internal Medicine textbook recommends this novel injection therapy as an alternative local treatment for carpal tunnel syndrome (CTS). Hence, this novel approach has become the mainstream method for treating CTS, and other studies have revealed its clinical benefit for other peripheral entrapment neuropathies. In this narrative review, we aimed to provide an insight into this treatment method and summarize the current studies on cases of peripheral entrapment neuropathy treated by this method.

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Section: Meralgia Parestheticamentioning

confidence: 99%

Efficacy of 5% Dextrose Water Injection for Peripheral Entrapment Neuropathy: A Narrative Review

Lin

et al. 2021

IJMS

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“…Similar processes have been used for treatment of the median nerve in carpal tunnel syndrome (18,21,22) and pronator syndrome (23), superficial radial sensory neuropathy (24), cubital tunnel syndrome (25), chronic meralgia paresthetica (26,27), entrapped saphenous nerve (28), and infrapatellar saphenous neuralgia (29). Although often performed with saline and some variation of lidocaine or corticosteroid, platelet-rich plasma and dextrose also have been utilized (17,20,26,30).…”

Section: Introductionmentioning

confidence: 99%

Ultrasound-Guided Hydrodissection Provides Complete Symptom Resolution in Radial Tunnel Syndrome: A Case Series and Scoping Review on Hydrodissection for Radial Nerve Pathology

Gill

Rahman

Khadavi³

2022

Curr Sports Med Rep

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This study analyzes the effectiveness of ultrasound-guided hydrodissection (HD) perineural as a treatment for radial tunnel syndrome (RTS). A literature search was performed along with retrospective analysis of local cases to assess outcomes and safety of this procedure. In the case series, surgical candidates, defined as cases with over 80% but temporary relief after diagnostic injection, were treated with ultrasound-guided HD. Of 22 patients who received ultrasound-guided diagnostic injections, 11 proceeded to HD. All HD patients experienced complete and lasting symptom resolution for a minimum of 2 years, and none required surgery. Thorough literature review provided seven studies, which fulfilled inclusion criteria. Sixty-one patients are represented in the literature. All studies reported significant benefit to pain symptoms with HD of radial nerve, with five specifying over 90% improvement. No adverse effects from HD were noted in any study. Ultrasound-guided HD of the radial tunnel has potential to be a surgery sparing treatment for RTS.

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Ultrasound-Guided Nerve Hydrodissection for Pain Management: From Anatomy to Techniques

Lam

Reeves³

2022

Musculoskeletal Ultrasound-Guided Regenerative Medicine

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Efficacy of Nerve Hydrodissection With 5% Dextrose in Chronic Meralgia Paresthetica

Cited by 5 publications

References 6 publications

Efficacy of 5% Dextrose Water Injection for Peripheral Entrapment Neuropathy: A Narrative Review

Efficacy of 5% Dextrose Water Injection for Peripheral Entrapment Neuropathy: A Narrative Review

Ultrasound-Guided Hydrodissection Provides Complete Symptom Resolution in Radial Tunnel Syndrome: A Case Series and Scoping Review on Hydrodissection for Radial Nerve Pathology

Ultrasound-Guided Nerve Hydrodissection for Pain Management: From Anatomy to Techniques

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