Carpal Tunnel Treatment London Without Surgery — Ultrasound Guided Hydrodissection
Carpal tunnel syndrome affects up to 5% of the adult population — generating the characteristic numbness, tingling and burning in the thumb, index and middle fingers that worsens at night and with sustained hand use. The conventional treatment pathway — splinting, steroid injections, surgery — leaves a significant proportion of patients without lasting resolution. Steroid injections wear off. Surgery carries risks. And for many patients the surgical pathway feels disproportionate for what is initially a manageable condition.
At Proback Clinic in Victoria, London, we offer ultrasound guided Hydrodissection with B12 as a non-surgical alternative — mechanically releasing the compressed median nerve and supporting nerve repair without the risks and recovery time of carpal tunnel release surgery.
How Carpal Tunnel Syndrome Develops
The median nerve is compressed as it passes through the carpal tunnel — a narrow passage at the wrist bounded by the carpal bones and the transverse carpal ligament. Compression results from thickening of the flexor tendons, inflammation of the surrounding tissue, structural factors, repetitive hand and wrist use, or systemic conditions including thyroid dysfunction, diabetes and pregnancy. The compression generates neurogenic inflammation around the nerve — which maintains the symptoms even when the mechanical compression partially eases.
How Ultrasound Guided Hydrodissection Works
We visualise the median nerve under live SonoSite ultrasound imaging — identifying precisely where it is being compressed within the carpal tunnel. A fine needle is guided to the exact location and a natural solution of 5% dextrose and methylcobalamin B12 is injected around the nerve. The fluid pressure gently separates the tissue compressing the nerve — a mechanical release visible on screen as it happens. The dextrose delivers a direct anti-inflammatory effect at the nerve interface and the B12 supports nerve remyelination and repair.
What the Evidence Shows
Multiple published randomised controlled trials demonstrate that 5% dextrose Hydrodissection produces more durable outcomes than corticosteroid injection for carpal tunnel syndrome with a significantly better long term safety profile. A systematic review in Frontiers in Pharmacology confirmed significantly superior outcomes for ultrasound guided Hydrodissection compared to non-guided injection approaches. All relevant papers are searchable at pubmed.ncbi.nlm.nih.gov.
Neuro Prolotherapy for Chronic Nerve Sensitisation
Where carpal tunnel syndrome has been present for a significant period the median nerve often develops chronic sensitisation — generating pain and tingling independently of the mechanical compression. For these patients we add Neuro Prolotherapy along the superficial pathway of the median nerve in the forearm and hand — calming the hypersensitised nerve fibres alongside the mechanical Hydrodissection release.
Pricing
Initial consultation £110 — reduced from £270. Treatment: first area £275 per session, each additional area £85. 15% discount when prepaying for a full course upfront.
Frequently Asked Questions
Can carpal tunnel syndrome be treated without surgery in London?
Yes — ultrasound guided Hydrodissection with 5% dextrose and B12 is a clinically supported non-surgical treatment for carpal tunnel syndrome with a strong published evidence base. It is suitable for mild to moderate presentations and for patients who want to try every reasonable non-surgical option before committing to surgery.
How does Hydrodissection compare to carpal tunnel surgery?
Surgery divides the transverse carpal ligament — effective but irreversible with four to twelve weeks recovery and risks including scar tissue and nerve damage. Hydrodissection mechanically releases the compression around the nerve using a fine needle under live ultrasound guidance — minimally invasive, no downtime and no surgical risks. For mild to moderate carpal tunnel published evidence shows Hydrodissection produces more durable outcomes than steroid injection and avoids the risks of surgery.
Is steroid injection a good treatment for carpal tunnel syndrome?
Steroid injections can provide temporary relief for carpal tunnel syndrome but do not release the mechanical entrapment and the relief typically lasts only weeks to months. Repeated steroid injections can weaken the surrounding tissue. Hydrodissection addresses the mechanical compression directly and produces more lasting outcomes in published comparisons.
How many sessions of Hydrodissection are needed for carpal tunnel?
Most patients require between two and four sessions for the best results. Each session builds on the previous one as the nerve is progressively freed from its entrapment and neurogenic inflammation reduces.
Does carpal tunnel come back after Hydrodissection?
Results from Hydrodissection tend to be more durable than steroid injections. Where the underlying cause — such as repetitive strain or systemic conditions — is not addressed there is a risk of recurrence, which is why we always assess and address contributing factors as part of the treatment plan.
How much does non-surgical carpal tunnel treatment cost in London?
Our initial consultation is £110 reduced from £270 and includes a full clinical examination and ultrasound assessment. Treatment is £275 for the first area and £85 for each additional area per session. 15% discount when prepaying for a full course upfront.
Give us a call on 0207 976 6648 or email victoria@proback.co.uk.
Proback Clinic, 4 Evelyn Mansions, Carlisle Place, Victoria, London SW1P 1NH. Five minutes from Victoria station.
