Peripheral Nerve Entrapment & Complex Pain

Nerve pain may feel burning, electric, shooting, tingling, numb, hypersensitive, or painful with light touch. However, not every burning pain is a nerve problem. Evaluation is needed to determine whether a nerve is truly involved or whether another structure is driving the symptoms.

Routine MRI does not always show small peripheral nerves, nerve irritation, scar-related restriction, or dynamic compression. Some nerve problems require careful history, examination, symptom mapping, and ultrasound evaluation rather than relying on imaging alone.

Nerve hydrodissection is an image-guided technique used to separate a nerve from surrounding tissue when scar, tight fascia, or adjacent structures may be contributing to irritation. It is not appropriate for every patient, and treatment depends on the specific findings.

In selected cases, regenerative or biologic treatments may be considered when inflammation, scar-related irritation, soft tissue injury, or impaired tissue healing may be contributing. These treatments are not used as a generic solution. They depend on diagnosis, anatomy, patient selection, and precise image-guided placement.

Temporary relief can still provide useful diagnostic information. It may suggest that a nerve is involved, but it does not always mean the underlying cause has been corrected. Further evaluation may be needed to understand why the nerve remains irritated.

Yes. Persistent pain after surgery may involve nerve irritation, scar-related restriction, altered mechanics, local inflammation, or another structure that was not fully addressed. Evaluation focuses on identifying what is actually driving the symptoms rather than assuming all post-surgical pain has the same cause.

Ketamine may be considered in selected patients with complex neuropathic pain, central sensitization, or pain that has not responded to conventional treatment. It is not a first-line treatment for every nerve condition and is considered only after careful evaluation.

Alypos is a direct-pay practice and does not bill insurance. This allows for longer physician visits, detailed evaluation, and individualized care without treatment decisions being driven by insurance protocols. Patients may request documentation for possible out-of-network reimbursement when appropriate.