Superficial Part Of Cervical Plexus Hydrodisssection

Neck pain of unknown origin is a problem for many patients and may last for many years.

The cause can be an entrapment of any of four superficial nerves of cervical plexus. They pierce the deep fascia and emerge from behind the sternocleidomastoid muscle. The exit site is called punctum nervosum or Erb’s point.

Superficial nerves of cervical plexus:

smaller occipital nerve,
greater auricular nerve,
transverse cervical nerve,
supraclavicular nerves.

Indications for hydrodissection:

Neck pain of unknown origin with lack of response to conservative treatment,
Neck pain after an accident,
Symptoms of neuropathic pain in the skin area innervated by four mentioned above nerves.

What does the procedure entail?

The procedure is performed only under ultrasound guidance. It involves placing the needle very close to the cervical plexus and injecting dextrose solution in order to release the nerves from a surrounding tissue.

Dr. Marcin Goczewski performs nerve hydrodissection only under ultrasound guidance in order to increase the chance of successful therapy and minimize the risk of complications.