Hand and Wrist Pain Treatment London — Ultrasound Guided Hydrodissection for Nerve Entrapment
Hand and wrist pain is one of the most functionally disruptive conditions in musculoskeletal medicine. Whether it is the numbness and tingling of carpal tunnel syndrome, the nerve pain of cubital tunnel, the burning of wrist nerve entrapment or the chronic aching of wrist ligament instability — hand and wrist symptoms affect every aspect of daily life from typing and gripping to sleeping and driving.
At Proback Clinic in Victoria, London, we specialise in ultrasound guided Hydrodissection for nerve entrapment at the wrist and hand — and in Prolotherapy and Prolozone for the ligamentous and structural component of hand and wrist pain.
Carpal Tunnel Syndrome — A Better Option Than Surgery
Carpal tunnel syndrome is the most common nerve entrapment we treat at the hand and wrist. The median nerve is compressed as it passes through the carpal tunnel at the wrist — generating the characteristic numbness, tingling and burning in the thumb, index and middle fingers that worsens at night and with sustained hand use.
Ultrasound Guided Hydrodissection offers a genuinely different mechanism. We visualise the median nerve under live SonoSite ultrasound imaging and inject a natural 5% dextrose and B12 solution precisely around the nerve. The fluid pressure gently separates the surrounding tissue compressing the nerve while the dextrose reduces neurogenic inflammation and the B12 supports nerve remyelination and repair. Published RCTs demonstrate that dextrose Hydrodissection produces more durable outcomes than cortisone for carpal tunnel syndrome with a better long term safety profile.
Other Wrist and Hand Nerve Entrapments We Treat
- Cubital tunnel syndrome — ulnar nerve entrapment generating numbness in the ring and little fingers
- De Quervain’s tenosynovitis — nerve and tendon involvement at the radial wrist
- Wrist nerve entrapment — dorsal cutaneous and superficial radial nerve entrapment
- Guyon’s canal syndrome — ulnar nerve compression at the wrist
- Trigger finger — where fascial restriction is contributing
- Post surgical hand and wrist pain — scar tissue and nerve sensitisation
Prolotherapy and Prolozone for Wrist Ligament Pain
Where wrist ligament laxity, instability or chronic ligament damage is generating the pain — particularly following a wrist sprain, TFCC tear or in hypermobility conditions — Prolotherapy into the affected wrist ligaments stimulates new collagen production and progressively restores structural integrity.
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 Hydrodissection treat carpal tunnel syndrome without surgery?
Yes — ultrasound guided Hydrodissection with 5% dextrose and B12 is a clinically supported non-surgical treatment for carpal tunnel syndrome. Multiple published RCTs demonstrate more durable outcomes than steroid injection and a better safety profile than surgery for mild to moderate presentations.
What is the difference between Hydrodissection and carpal tunnel surgery?
Surgery divides the transverse carpal ligament to create more space for the nerve — effective but irreversible, with recovery of four to twelve weeks and risks including scar tissue and nerve damage. Hydrodissection mechanically releases the compression around the nerve using a fine needle and fluid under live ultrasound guidance — minimally invasive, no downtime and no surgical risks.
How many Hydrodissection sessions 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 the neurogenic inflammation reduces.
Can Prolotherapy help wrist pain from ligament damage?
Yes — Prolotherapy injected precisely into the affected wrist ligaments and joint capsule under ultrasound guidance stimulates new collagen production and strengthens the damaged structures from within. It is particularly effective for wrist instability following sprains, TFCC tears and hypermobility related wrist pain.
Does Proback treat trigger finger?
We assess trigger finger on an individual basis. Where fascial restriction is contributing alongside the tendon involvement Hydro-Release can be directly relevant. Please give us a call to discuss your specific presentation.
How much does carpal tunnel treatment cost in London without surgery?
Our initial consultation is £110 reduced from £270. 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.
