/assets/production/practices/bcbba1dafcde6bc1a67a13ed29e24d2d58954f8d/images/2810429.png)
Interview with Dr. Kevin O’Donnell | Revitalize Regenerative Orthopedics
What Causes Carpal Tunnel Syndrome, and How Can Injections Help?
Carpal tunnel syndrome (CTS) occurs when the median nerve in the wrist becomes swollen or entrapped, leading to pain, tingling, and numbness in the hand and fingers. One effective non-surgical approach for CTS is hydrodissection, a minimally invasive injection treatment.
At Revitalize Regenerative Orthopedics, Kevin O'Donnell recommends hydrodissection with D5W (dextrose solution) as an alternative to corticosteroid injections. This treatment uses a high volume of dextrose to release the trapped nerve and reduce swelling. Additionally, dextrose has a soothing effect on nerves, providing relief without the potential downsides of steroids.
Why Are Women More Likely to Develop Carpal Tunnel Syndrome?
Women are three times more likely to develop carpal tunnel syndrome than men, particularly during pregnancy and after menopause. This increased risk is likely due to hormonal changes and fluid retention, which can lead to nerve compression.
O'Donnell notes that most patients seeking treatment are women over the age of 40, often in the perimenopausal stage. With hydrodissection, many of these women find significant relief. While some may require multiple injections for complete symptom resolution, the treatment is highly effective for avoiding surgery in the majority of cases.
Is Technology Increasing Carpal Tunnel Cases?
The modern reliance on phones, tablets, and keyboards has contributed to an increase in carpal tunnel syndrome cases. Repetitive hand use, whether through typing or swiping, is a key risk factor for developing CTS. Over the past decade, O'Donnell has observed a growing number of younger patients with hand and wrist injuries due to technology use.
What About Patients with More Complex Cases?
Not all carpal tunnel symptoms stem solely from wrist issues. In some cases, CTS can coexist with nerve problems higher up in the arm or even in the neck. This is known as "double crush syndrome," where multiple areas of nerve compression contribute to the symptoms.
At Revitalize, ultrasound is used to precisely diagnose the cause of symptoms. By measuring the cross-sectional area of the median nerve and tracking its path, O'Donnell can identify whether the problem originates in the wrist or elsewhere. This comprehensive approach ensures accurate diagnosis and treatment.
Are There Other Regenerative Options Besides Hydrodissection?
While hydrodissection with D5W is the primary treatment at Revitalize, platelet-rich plasma (PRP) injections are another effective option. PRP therapy involves injecting concentrated growth factors around the nerve to promote healing and reduce inflammation. Like hydrodissection, PRP can relieve symptoms without surgery, making it a viable alternative for patients seeking regenerative treatments.
When Is Surgery Necessary for Carpal Tunnel?
Although regenerative treatments are effective for most cases, surgery may be necessary for severe CTS that does not respond to injections. For 80–90% of patients, however, non-invasive treatments like hydrodissection and PRP provide sufficient relief to avoid surgery.
Final Thoughts: Regenerative Solutions for Carpal Tunnel Syndrome
Carpal tunnel syndrome doesn’t have to mean living with pain or resorting to surgery. Innovative treatments like hydrodissection with dextrose and PRP therapy offer effective, minimally invasive options for relief. Whether your symptoms are straightforward or part of a more complex issue, personalized care at Revitalize Regenerative Orthopedics can help you regain comfort and mobility.
Your Revitalize Regenerative Orthopedics LLC provider may suggest one or more of the following treatments for carpal tunnel syndrome:
- Rest, ice, compression, and elevation (RICE)
- Heating pads
- Splinting
- Physical therapy
- Radial shockwave (EPAT)
- Focused shockwave therapy
- Platelet-rich plasma (PRP) therapy
- Prolotherapy
- Bone and fat stem cell therapy
- Corticosteroid injections
- Medications
3 Key Takeaways About Carpal Tunnel Injections
- Non-Surgical Relief: Treatments like hydrodissection with D5W and PRP therapy offer effective solutions without the risks of surgery or steroids.
- Personalized Diagnostics: Using ultrasound, Revitalize provides precise measurements and tracks the nerve to ensure accurate diagnosis and tailored care.
- High Success Rate: For 80–90% of patients, these regenerative treatments provide long-term relief, eliminating the need for invasive procedures.
Ready to Find Relief? Schedule Your Ultrasound Assessment Today
If you’re experiencing the symptoms of carpal tunnel syndrome, don’t wait to explore your options. At Revitalize Regenerative Orthopedics, our expert team provides comprehensive assessments, including ultrasound imaging, to accurately diagnose your condition and create a treatment plan tailored to you.
Take the first step toward lasting relief—book your assessment today and discover how advanced carpal tunnel injections can restore your quality of life.