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.

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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Consultations Are Usually Available Within 1 to 2 Weeks

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●PATIENT OUTCOMES

Patient Experiences

No medical procedure can guarantee an outcome. What you should expect is an honest discussion of the evidence, a careful assessment of candidacy, and a recommendation based on your condition.

These testimonials reflect the real-life experiences of patients with the Regenexx protocol but are not necessarily typical of what you or any other patient might experience. Individual results of the procedures using Regenexx lab processes will vary depending on a number of factors, including your diagnosis, the severity of your condition, your overall health, and others. To better understand what large numbers of patients experience on average, please visit the Patient Results page, and inquire with a physician within the licensed Regenexx network near you.

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