Evidence map›Paper›PMID 32801851›Full record

ReviewJournal of pain research2020

Ultrasound-Guided Nerve Hydrodissection for Pain Management: Rationale, Methods, Current Literature, and Theoretical Mechanisms.

King Hei Stanley Lam, Chen-Yu Hung, Yi-Pin Chiang, Kentaro Onishi, Daniel Chiung Jui Su, Thomas B Clark, K Dean Reeves

2 registry-linked trialsAbstract readReview
In one paragraph

Review in Journal of pain research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 98 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
98citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05222126 nacompletednot on this mapstarted 2022, after this paper: background citation

Efficacy of Ultrasound-Guided Hydrodissection in Patients With Carpal Tunnel Syndrome

TypeinterventionalSponsorAfyonkarahisar Health Sciences UniversityRan2022 to 2024Enrolled80ConditionsMusculoskeletal Diseases, Median Nerve Disease, Carpal Tunnel Syndrome, Ultrasound-Guided InjectionArmsUltrasound-guided Hydrodissection (HD) with 5 cc 5% Dextrose, Ultrasound-guided Hydrodissection (HD) with 5 cc Normal Saline, Ultrasound-guided Hydrodissection (HD) with 10 cc 5% Dextrose, Ultrasound-guided Hydrodissection (HD) with 10 cc Normal Saline
NCT07588126 nacompletednot on this mapstarted 2024, after this paper: background citation

Ultrasound Guided Transgluteal Sciatic Nerve Hydrodissection for the Treatment of Sciatica in the Emergency Department

TypeinterventionalSponsorKaiser PermanenteRan2024 to 2025Enrolled69ConditionsSciatica Acute, Sciatica PainArmsUltrasound guided transgluteal sciatic nerve hydrodissection
3 · Its place in the literature

Who cites it

98 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Non-Biologic Injections in Sports Medicine.Current reviews in musculoskeletal medicine · 2026
    Review
  5. Review
  6. Article
  7. Article
  8. Review
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  10. Article
  11. Review
  12. Observational
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  14. Review
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38 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

King Hei Stanley LamThe Hong Kong Institute of Musculoskeletal Medicine, Hong Kong.ORCID 0000-0003-1392-829X
Chen-Yu HungDepartment of Physical Medicine and Rehabilitation, National Taiwan University Hospital, Taipei, Taiwan.ORCID 0000-0003-2757-9369
Yi-Pin ChiangDepartment of Physical Medicine and Rehabilitation, MacKay Memorial Hospital, Taipei, Taiwan.ORCID 0000-0003-1714-3246
Kentaro OnishiDepartment of PM&R and Orthopedic Surgery, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Daniel Chiung Jui SuDepartment of Physical Medicine and Rehabilitation, Chi Mei Medical Center, Tainan, Taiwan.
Thomas B ClarkPrivate Practice Ultrasonographic Training, Vista, CA, USA.
K Dean ReevesPrivate Practice PM&R and Pain Management, Roeland Park, KS, USA.ORCID 0000-0002-2346-2326

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Nerve hydrodissection (HD), a technique used when treating nerve entrapments, involves the injection of an anesthetic, saline, or 5% dextrose in water to separate the nerve from the surrounding tissue, fascia, or adjacent structures. Animal models suggest the potential for minimal compression to initiate and perpetuate neuropathic pain. Mechanical benefits of HD may relate to release of nervi nervorum or vasa nervorum compression. Pathologic nerves can be identified by examination or ultrasound visualization. The in-plane technique is the predominant and safest method for nerve HD. Five percent dextrose may be favored as the preferred injectate based on preliminary comparative-injectate literature, but additional research is critical. Literature-based hypotheses for a direct ameliorative effect of dextrose HD on neuropathic pain are presented.

Indexed as

nerve hydrodissectionneuropathic painpain managementultrasonography

Identifiers

PMID32801851
PMCPMC7414936

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.