Nerve Entrapments

Not every pain problem comes down to a bone, muscle, tendon, or ligament. Sometimes the issue lies in the wiring — the nerves that supply movement and sensation to these structures. When a nerve becomes irritated or compressed, the result can be pain, numbness, weakness, or that deep, hard-to-describe “something isn’t right” feeling.

This is where a careful, thoughtful diagnostic approach matters.

Understanding Nerve Entrapment

Nerves travel through tight anatomic spaces and interact closely with muscles, fascia, and blood vessels. Injury, repetitive stress, postural load, scar tissue, or inflammation can create subtle pressure around a nerve.
Over time, that nerve can become hypersensitized — leading to symptoms that often do not show up on MRI or X-ray.

This is why so many patients with nerve-related pain feel frustrated: standard imaging looks “normal,” but they know something is wrong.

Ultrasound-Guided Diagnosis

Using high-resolution musculoskeletal ultrasound, I can evaluate nerves in real time:

  • Track the nerve’s path

  • Assess its size, mobility, and surrounding tissue

  • Identify points of compression or irritation

  • Compare directly to the other side for context

This is a dynamic, functional evaluation — not just a static image. It allows us to see what a nerve is actually doing during movement.

Ultrasound-Guided Hydrodissection

Once an area of entrapment is identified, we can often treat it directly.

Hydrodissection involves gently separating the nerve from the surrounding tissue using a precisely guided medication solution.
The goals are:

  • Create space around the nerve

  • Reduce local inflammation and irritation

  • Restore the nerve’s ability to glide normally

  • Calm the hypersensitive signaling that drives pain

This is performed with great care, precision, and real-time visualization.

Areas Commonly Treated

Nerve entrapments can occur almost anywhere in the body. I commonly evaluate and treat:

  • Pelvis & Core – including ilioinguinal, genitofemoral, pudendal, obturator, and lateral femoral cutaneous nerve issues (e.g., meralgia paresthetica)

  • Hip & Thigh

  • Knee & Lower Leg

  • Foot & Ankle

  • Shoulder & Brachial Plexus

  • Elbow, Forearm & Wrist

  • Specific Focus: Neurogenic Thoracic Outlet Syndrome (nTOS)

This involves compression of the brachial plexus — the major nerve bundle supplying the arm — often leading to arm heaviness, numbness, shoulder fatigue, or vague pain that’s difficult to pinpoint.

This is a condition that requires nuance, patience, and a careful diagnostic strategy. I work with athletes, performing artists, and individuals who have been searching for answers elsewhere — sometimes for months or years.

A Better Way Forward

My approach to nerve-related pain is:

  • Detailed and thoughtful biomechanical evaluation

  • Dynamic ultrasound assessment

  • Targeted, image-guided treatment

  • Collaborative rehab and movement retraining

The goal is not just symptom relief — but restoring confidence, function, and control.

If you’ve been told “your imaging is normal,” but your symptoms don’t feel normal — there may be more to the story. We can look closer. And we can treat what we find.