Circulation HD
Hydrodissection — ultrasound-guided precision procedure
We free the adhesions and pressure that trigger pain while watching everything on ultrasound. Using only ringer solution, we open space around nerves and fascia to improve blood flow and natural healing.
Role in the 3-stage system
Circulation HD ✓
Circulation PT
Return to daily life
Circulation HD handles the Downshift stage—calming sensitive nerves and freeing stiff tissue.
What is hydrodissection?
Hydro (water) + dissection (separation)—using fluid to separate stuck tissues.
Under real-time ultrasound, we inject ringer solution around nerves or fascia to:
- Physically separate compressed or adhered tissue
- Create space around nerves
- Improve blood flow for oxygen and nutrients
- Wash out inflammatory irritants
How it differs from steroid injections
- Steroids: suppress inflammation but can weaken tissue
- Hydrodissection: mechanical separation with no tissue damage
Circulation HD creates space without weakening the area.
When Circulation HD helps
Neck/Back/Spine
- Cervical or lumbar disc pain
- Sciatica
- Spinal stenosis
Shoulder/Arm/Hand
- Frozen Shoulder
- Rotator cuff problems
- Tennis/Golfer’s elbow
- Carpal tunnel syndrome
Fascia/Other
- Myofascial pain syndrome
- Thoracic outlet syndrome
- Plantar fasciitis
- Post-surgical adhesions
How the procedure works
-
Ultrasound assessment
Identify the exact problem area in nerves, tendons, and fascia. -
Precise injection
Guide the needle under ultrasound and inject ringer solution while watching tissue separate. -
Optional add-ons
PDRN (salmon DNA) can be added to promote healing when needed. -
Aftercare
You can return to daily activity immediately. Avoid intense exercise that day and move into Circulation PT as planned.
Procedure time: 10–20 minutes per area
Discomfort: similar to a typical injection
Return to activity: same day
After Circulation HD
HD is the calming stage. Once pain decreases, move to the Activate stage (Circulation PT).
If you only do HD
- Pain decreases, but weak muscles/posture stay the same
- Repeating the same motions can recreate adhesions
- Higher chance of recurrence
HD + PT (Combo)
- HD creates space + PT strengthens and corrects movement
- Prevents new adhesions by improving control
- Completes all 3 stages to prevent recurrence
Frequently asked
Does it hurt?
Most feel only a pinch. If the area is very inflamed, you may feel temporary stinging or pressure that settles quickly.
How many sessions will I need?
Depends on severity—mild cases 1–2 sessions, chronic cases 3–5 sessions spaced 2–4 weeks apart. Combining PT often reduces the total.
When will I feel improvement?
Many feel easier movement right after treatment. Tissue healing continues over 2–4 weeks.
Side effects?
We use ringer solution, so side effects are rare. Temporary soreness or bruising can occur and fades in a few days.
Related topics
We’ll pinpoint the cause and release it
Ultrasound-guided, steroid-free care to calm pain at the source.
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