Fascial Hydrodissection
West Palm Beach, FL
Restore Function Without Surgery
Biologics Guided by Evidence
Board-Certified Physician
Restore Function Without Surgery
Biologics Guided by Evidence
Board-Certified Physician
Fascial Hydrodissection
West Palm Beach, FL
Restore Function Without Surgery
Biologics Guided by Evidence
Board-Certified Physician
Fascial Hydrodissection
Fascial hydrodissection is an image-guided technique in which a precise volume of fluid is injected along a fascial plane to separate adherent or scarred tissue layers — restoring the natural gliding movement between structures that should slide freely against one another. Fascia is the connective tissue that surrounds muscles, nerves, tendons, and organs. When fascia becomes thickened, fibrotic, or adherent — from injury, surgery, overuse, or chronic inflammation — it restricts normal tissue movement and generates pain.
Under real-time ultrasound guidance, Dr. Ghattas can visualize the targeted fascial plane, confirm the needle position, and deliver the hydrodissection fluid precisely between the adherent layers — mechanically separating them without damaging adjacent structures. This technique is frequently combined with PRP to add a biological component to the mechanical release.
Plantar fasciitis
Fascial target: Plantar fascia — thickened, scarred attachment at calcaneus
Iliotibial band syndrome
Fascial target: IT band — adhesions to lateral femoral condyle
Peroneal nerve entrapment
Fascial target: Fascial adhesions binding the peroneal nerve at fibular head
Post-surgical scar tissue
Fascial target: Any fascial plane with fibrotic adhesions limiting tissue glide
Chronic tendinopathy
Fascial target: Peritendinous fascia restricting tendon movement within its sheath
Nerve entrapment syndromes
Fascial adhesions compressing peripheral nerves at various sites
Ghattas will discuss your specific situation, realistic expectations, and all options, including when surgical referral is more appropriate. This content is for informational purposes only and does not constitute medical advice, diagnosis, or treatment.
| Condition | Fascial target |
|---|---|
| Plantar fasciitis | Plantar fascia — thickened, scarred attachment at calcaneus |
| Iliotibial band syndrome | IT band — adhesions to lateral femoral condyle |
| Peroneal nerve entrapment | Fascial adhesions binding the peroneal nerve at fibular head |
| Post-surgical scar tissue | Any fascial plane with fibrotic adhesions limiting tissue glide |
| Chronic tendinopathy | Peritendinous fascia restricting tendon movement within its sheath |
| Nerve entrapment syndromes | Fascial adhesions compressing peripheral nerves at various sites |
Key points to remember:
- Image-guided — real-time ultrasound confirms needle position before injection
- Minimally invasive — no incision, no general anesthesia
- Frequently combined with PRP for biological effect alongside mechanical release
- Distinct from corticosteroid injection — targets adhesion and glide, not inflammation suppression
- Results vary; not all fascial adhesions respond to hydrodissection alone
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