Sciatic nerve Hydro-dissection?

Bump. Also, flying out to Europe to have the US guided EPI done is not completely out of the question. I just want to make sure there are no other viable alternatives in the United States, and that US guided EPI would be an effective treatment option.

I'll help ya bump this one back up Brochaski

Another bump

Last try, anyone please?

Bumping this. Sorry didn't see it till now. Am also considering EPI, hydrodissection, or, a last option, microsurgery. I'll fly anywhere, the alternative is losing the rest of my life. I'm going to give the linked EPI paper to my doctor and see what he thinks.

Happy to correspond and coordinate...there is a group on Facebook that covers this topic.

https://www.facebook.com/groups/1005973269469849/about/

Check out the UVA Runner's Clinic in Charlottesville. They see a lot of tough or rare running injuries and have docs who do ultrasound guided procedures including nerve hydrodissection.

I would like to invite any body viewing to join the Facebook Group "Proximal Hamstring Injury and Surgery" where there is a constant and lively discussion on this topics. Some doctors chiming in. We'd like to hear more about EPI. Well, I certainly would. - Tom

Here's a link: https://www.facebook.com/groups/1005973269469849/

I just had Hydro Dissection after my diagnosis of Hamstring syndrome following partial conjoint tendon tear near ischial tuberosity. My tendon was still intact. Diagnosis of hamstring syndrome was made after Ultrasounds and two MRI's , 12 months later. Ultrasounds and MRI showed that there was no entrapment of sciatic nerve but that my sciatic nerve was "tethered" to the fibrosis/scar tissue of healing from my partial conjoint tendon tear.

My experience so far is as follows, had ultrasound guided hydrodissection of 5 CC's of saline and dextrose. Maybe some very slight relief immediately after injection but nothing major and may have been for lidocaine. Next 6-8 hours that night after lidocaine wore off and all of next day was in worse pain and had a dramatic increase in nerve symptoms. Especially next night after was almost worse ever been, BUT

The following morning about 40 hours after injection I woke up completely nerve symptom free and felt like I had all my feel and strength back in leg for first time in over 12 months. I was still a little achy and stiff in area but I thought I was out of the woods and finally beat this. Was like this all day for next 24 hours. I sat and laid down completely pain free for first time in over a year. Sat on couch want watched a movie without any pain and having to get up. Upon waking on next day nerve symptoms were back and pretty similar to before maybe slightly better. Maybe got greedy with sitting, who knows.

Since then its been four more days and i've had crazy nerve activity (far more than ever b4) and I go through periods of intense nerve pain to almost near relief (but never complete relief that I felt for one day).

Overall though i'm somewhat optimistic I am moving in right direction as I keep slowly getting more and more feeling back into my leg and keep to be slowly improving.

To date, I'm 5 days post injection. I know how bad this sucks so I can continue to post my experience if others are interested .

DoubleM - How are you doing now from the sciatic nerve hydro-dissection?

Hi! I also have proximal hamstring sciatic nerve entrapment. Have you tried any further treatment?

DoubleM, any updates on your condition? I had a hydrodissection treatment for sciatic nerve entrapment around my biceps femoris tendon a few days ago. Interested in whether improvement is supposed to be immediate or more gradual...

I'm very curious what ended up happening with both of you (OP/Tom). My symptoms sound exactly like the OP's description, it's almost scary how similar it is. For a second i thought maybe i posted this and forgot about it. ~3.5 years now and i had surgery a year ago (proximal hamstring reattachment *Dr Sallay in Indianapolis). The surgery did not help.

I just can't seem to find someone that will approach this for what it is vs what they know specifically. I can pinpoint the spot of my pain.

Very Curious.

Not sure if i would get notified with this post my email is

william.muff@gmail.com

I had this treatment done a few days ago for a low hamstring injury unresponsive to treatment (PT, rest, ART) for 6+ months. Sciatic nerve was entrapped in a bunch of scar tissue and appeared akin to a mass on the ultrasound - quite alarming. I felt immediate relief following the procedure but my symptoms have increased to almost normal capacity since then, with lots of nerve activity. Similar to DoubleM's experience. Not sure if that means its ineffective or the improvement will be gradual- time will tell but I would like to hear about others' longterm outcomes....

Where did you have this done?

where are you located? I had it done by a doc in Michigan. I can give more specifics if you would like.

I'm curious how much deep-tissue bodywork the afflicted posters have undergone? I have had these symptoms butt was alwasy able to work them out (if a bit acutely painfully).

for me, I had a very specific nerve entrapment clearly identified by ultrasound.

Sorry it’s been awhile since I’ve been on the thread. I’m shocked at how well I’m doing now since the injection. I finally have my daily life back. Can sit, sleep, table and live pain free without constant debilitating nerve pain affecting my life.

Athletically and in gym I’m not 100% back yet (prolly 80%) but each week improving and feel like I will get there just a matter of when not if.

Injured nerves. Your experience sounds similar to me. I had that day of bliss as I called it with complete relief about 30 hours following injection but then intense symptoms returned and were maybe even worse but they were different and included lots of new/unusual experiences. I would have drastic swings in symptoms ranging from intense pain to no pain. Also they were in new and different spots and moved all over. This seemed to occur for a few weeks slowly improving and lessening in intensity and duration. Then I had a long phase of very achy and stiff in places where the intense nerve pain used to be. Then had a phase that is almost hard to describe but it seemed like I had to relearn different movements with affected leg and sometimes nerve/affected leg would work and perform movements properly and other times it wouldn’t and had like a collapsing sensation. This eventually went away and normalized and really trend as a whole was I continued to improve while having very weird symptoms that eventually normalized and went away.

My doc was not concerned (I was) he said nerve healing is classically unpredictable and my symptoms could even be a positive sign that my nerve was “waking up” and healing. Also said longer a nerve is affected longer it can take to wake up so be patient if if you see any improvement.

We debated a second injection during this and a follow up MRI and ultrasound (after pictures) showed nerve was free so we decided against second injection and then I continued to improve.

I also believe my PT that had experience with this injury was game changer. We did:

1. Daily nerve flossing (this sucked and hurt at times but I think def helped)

2. Tons of eccentrics (2 legs up, 1 the affected leg down on ham curl machine)

3. Strengthening