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Repair with Regeneration | Dr. Erin Nelson | S7 - E15
Manage episode 518713746 series 3559271
Вміст надано Dr. Stephen L. Barrett. Весь вміст подкастів, включаючи епізоди, графіку та описи подкастів, завантажується та надається безпосередньо компанією Dr. Stephen L. Barrett або його партнером по платформі подкастів. Якщо ви вважаєте, що хтось використовує ваш захищений авторським правом твір без вашого дозволу, ви можете виконати процедуру, описану тут https://uk.player.fm/legal.
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Can a nerve regenerate without surgery? This case suggests yes.
In this episode of Pod of Inquiry, Dr. Stephen Barrett sits down with Dr. Erin Nelson to review a rare EMG-documented case of nerve regeneration after ultrasound-guided Hydrodissection with D5W — no scalpel required.
A 56-year-old woman developed sudden foot drop due to deep peroneal nerve entrapment. After two D5W Hydrodissection sessions, a 4-month repeat EMG showed significant interval improvement in demyelination + axonal injury. Objective. Measurable. Independent neurologist confirmed.
🎯 What you'll learn in this episode: • Why 5% dextrose (D5W) outperforms saline in Hydrodissection • The exact protocol Dr. Nelson uses (volume, frequency, technique) • When to choose Hydrodissection vs. surgical decompression • Implications for patients with diabetic neuropathy • The difference between glucose puncture vs Hydrodissection
This may become one of the most important clinical conversations in the nerve pain / peripheral neuropathy space.
Visit our website https://podofinquiry.com/latest-episodes/ - click on the show link to read the show notes and get more information.
Timestamps: 00:00 - Introduction 00:52 - Opening & Welcome 02:39 - What is Hydrodissection? 04:03 - Why D5W Over Other Solutions? 05:33 - Safety in Diabetic Patients 07:12 - Safety Profile & Substance P 07:50 - Glucose Puncture vs Hydrodissection 09:48 - Case Presentation Begins 10:00 - Patient History 13:47 - Prior Upper Extremity Surgeries 17:09 - EMG Findings 18:17 - Weight Loss Connection 19:24 - Physical Examination 22:59 - First Hydrodissection 23:03 - One Month Follow-up 23:16 - Second Hydrodissection 25:45 - EMG Improvement 26:33 - Significance of Objective Findings 27:06 - Current Status 30:19 - Causes of Nerve Entrapment 31:48 - Hydrodissection Mechanism Review 33:20 - Patient Experience 34:41 - Future Considerations 36:39 - Conservative Approach Benefits 39:39 - Residual Symptoms & Central Sensitization 41:04 - Complexity of Treatment 42:17 - Contact Information
-- Hashtags -- #D5WHydrodissection #NerveRegeneration #Electrodiagnostics #EMG #Neuropathy #PeripheralNerve #UltrasoundGuidedProcedures #PainMedicine #RegenerativeMedicine
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