Ultrasound-guided nerve hydrodissection.

A small volume of fluid — saline, 5% dextrose, or platelet-rich plasma (PRP) — is precisely placed around the nerve under real-time ultrasound. The fluid physically separates the nerve from surrounding adhesions and fascia, reducing mechanical irritation.

How it works

• Mechanical release of the nerve from adhesions.
• Hydraulic reduction of mechanical irritation.
• With PRP, biological support of nerve recovery (growth factors, modulation of local inflammation).

What to expect on the day

• Local anaesthetic to the skin.
• Procedure typically 15–20 minutes.
• You walk out the same day. Light activity is usually fine immediately; return to running is typically in the days following (standard hydrodissection) or 1–2 weeks (PRP). Individual results vary.
• A repeat course is often indicated — typically 2–3 sessions over 4–8 weeks.

Who it’s suitable for

• Morton’s neuroma
• Tarsal tunnel and other compressive neuropathies
• Post-surgical nerve pain and scar neuromas
• Peripheral nerve entrapments in the lower limb

Who it isn’t suitable for

• Active infection at the site
• Uncontrolled anticoagulation
• Severe needle phobia that cannot be managed with local anaesthetic alone

Who performs it: James Ferrie (PRP and standard hydrodissection) and Dr Amit Lakkaraju.