Peripheral Neuropathy and Nerve Pain Treatment
Peripheral neuropathy is a broad term that covers many different causes of nerve pain, numbness, tingling, and weakness. Because the underlying cause varies so widely from patient to patient, not every form of neuropathy responds to the same type of treatment. At Palm Beach Regenerative Sport and Spine, Dr. Ghattas focuses on nerve pain caused by localized entrapment or compression, and will help you understand honestly whether this approach may be appropriate for your specific type of neuropathy.
Results vary. Not all types of neuropathy respond to this approach. Dr. Ghattas will discuss whether your condition is a good match during your evaluation.
What Is Peripheral Neuropathy?
Peripheral neuropathy refers to damage or dysfunction affecting the nerves outside the brain and spinal cord. It can cause pain, burning, numbness, tingling, or weakness, often in the hands and feet. There are many potential causes, including diabetes, chemotherapy, autoimmune conditions, and direct injury or compression of a nerve, and in some cases a specific cause cannot be identified.
Which Types of Neuropathy May Respond to Our Treatment Approach?
Our image-guided approach is focused specifically on nerve pain caused by entrapment or compression, meaning a nerve that is being irritated or restricted at a particular point along its path. Examples include carpal tunnel syndrome (compression of the median nerve at the wrist), tarsal tunnel syndrome (compression of a nerve at the ankle), ulnar nerve entrapment at the elbow, and nerve irritation related to spine conditions such as sciatica.
Diffuse, widespread forms of neuropathy, including diabetic peripheral neuropathy and chemotherapy-induced neuropathy, affect nerves throughout the body rather than at a single point of compression. These conditions are generally not good candidates for our image-guided injection approach. Dr. Ghattas will review your history, perform a physical examination, and consider results from nerve testing, such as EMG or nerve conduction studies, when available, to help determine whether entrapment or compression is contributing to your symptoms.
How We Approach Nerve Entrapment and Compression
For appropriately selected patients, we use ultrasound-guided hydrodissection, an injection technique that separates the nerve from surrounding scar tissue or adhesions using an injectate that may include orthobiologic material such as platelet lysate. This approach is intended to reduce irritation around the nerve and support its natural healing and function.
These treatments do not regenerate nerve tissue that has been severed or severely damaged, and they are not intended for diffuse polyneuropathy. Dr. Ghattas will discuss honestly whether your presentation is consistent with a localized, treatable source of nerve compression, or whether other management strategies or specialist referral would be more appropriate.
What to Expect
- Consultation: A detailed history and physical examination, with review of any prior nerve testing, to assess whether entrapment or compression is likely contributing to your symptoms.
- Treatment: If you are a candidate, ultrasound-guided hydrodissection targeted to the affected nerve.
- Recovery: Most patients resume normal activities quickly, with specific guidance based on the nerve treated.
- Follow-up: Structured follow-up to monitor your symptoms and function over time.
Like all medical procedures, orthobiologic treatments have potential risks and benefits. Results vary by individual. Not all patients are candidates. Dr. Ghattas will discuss your specific situation, realistic expectations, and all treatment options, including when surgery may be more appropriate.
Frequently Asked Questions
Diabetic peripheral neuropathy is a diffuse condition affecting nerves broadly rather than at a single compression point, so it is generally not a good match for our image-guided injection approach. Dr. Ghattas can discuss other management strategies and, where appropriate, refer you to the right specialist.
Nerve hydrodissection is an ultrasound-guided injection technique used to help separate an irritated or entrapped nerve from surrounding scar tissue or adhesions, with the goal of reducing compression and supporting nerve function.
Common symptoms include localized numbness, tingling, burning, or weakness along the path of a specific nerve, which can worsen with certain positions or repetitive movements. This differs from diffuse neuropathy, which tends to affect both feet or both hands more symmetrically.
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No medical procedure can guarantee an outcome. What you should expect is an honest discussion of the evidence, a careful assessment of candidacy, and a recommendation based on your condition.
"Honestly one of the best experiences, I’ve had a really stiff neck for a couple weeks I tried seeing a chiropractor for and it helped marginally but the real jump in relief was coming to see Dr. Ghattas! He has been incredible, wonderful staff, and minimally invasive technique for my pain relief which was super important to me! Thank you Dr. Ghattas recommending to anyone with pain!"Monica A
"Ghattas was instrumental in helping my torn rotator cuff. I did Barbotage for the stone, and then PRP. Great experience. Been about a month or 2 since and I feel great."Ahmet B
"I had severe knee pain and was looking for proper knee pain treatment, which is how I found Dr. Ghattas on Instagram. I was a bit hesitant at first, but it turned out to be one of the best decisions I’ve made for my health. Francia was amazing at coordinating all my consultations and making the whole process easy and stress-free. If you’re dealing with knee pain and looking for a reliable doctor and team, I highly recommend them."Roger L
"Over a year ago, both my daughter and I underwent PRP treatment with Dr. Ghattas—PRP for my left knee and PRP for my daughter’s L4-L5 and sacral region. We wanted to wait long enough to truly evaluate the results before sharing our experience. I am pleased to say that the outcomes have been outstanding. My daughter’s improvement has been remarkable, and the treatment has made a significant difference in her quality of life. I have also experienced excellent results with my knee. Dr. Ghattas is an exceptional physician who combines expertise, professionalism, and genuine care for his patients. We are incredibly grateful for the treatment we received and the positive impact it has had on our lives. Thank you, Dr. Ghattas. We are truly grateful for everything you have done. You are simply the best."Dr Jorge A
"Dr. Ghattas is very knowledgable and a sympathetic doctor. Hard to find in America. All questions answered, my procedure went very smoothly, very little pain. Follow up is excellent, I highly recommend his practice."Luciana D
“ I had severe knee pain and was looking for proper knee pain treatment, which is how I found Dr. Ghattas on Instagram. I was a bit hesitant at first, but it turned out to be one of the best decisions I’ve made for my health. Francia was amazing at coordinating all my consultations and making the whole process easy and stress-free. If you’re dealing with knee pain and looking for a reliable doctor and team, I highly recommend them. ”Roger L
“Dr. Ghattas was terrific today. He spent a good amount of time examining me and explaining the regenerative process which I intend to have done next month. More to come after the procedure.”Louie R
“I found Dr Ghattas and his staff very welcoming and informative. The process was well explained and gave me encouragement about the potential for fully restoring my knee joint integrity.”Eric C
“I received two treatments from Dr. Ghattas With excellent results, he takes great care in his assessment and in his treatment you couldn’t be in better hands. I highly recommend his work.”Gisela S
“Apart from the exemplary personal service by the reception and the staff that makes us feel we're at home at the clinic, I have experienced remarkable healing in several episodes from shoulder issue to knee injuries and hip pain. The doctor is so thorough in the diagnosis phase that he administered exactly what was needed, no more no less! Thank you folks for a wonderful experience.”RG G
“Went to Dr. Ghattas for chronic knee and neck issue. I’ve already had multiple procedures done on my neck and multiple epidurals with minimal success. My knee I was told needed surgery to fix. I already had surgery in the past with minimal difference. I ended up getting stem cells in my knee and neck and could t be happier with the outcome. Anyone considering surgery I recommend checking out Regenex first. Next I’m doing the ganglion block and look forward to the results.”Logan H
“Dr. James Ghattas and his team are truly top-notch. His office is equipped with state-of-the-art technology and a staff that's exceptional in their fields. I've referred several clients to him, and they've all been incredibly satisfied. Dr. Ghattas is absolutely ahead of the curve, and I wholeheartedly endorse his work.”Ron H
“I am quite active and go to pilates 3-4 times per week. I was having left knee pain and which was treated with PRP. It took about 3 months for me to feel better but then the pain completely subsided. I now am able to exercise without the fear that I will tear a ligament and am pain free.”Ellipsis P
“Transparency, thoroughness, attention to detail, immediate, high quality, follow ups and follow through are just a few words that come to mind throughout my experiences with Palm Beach Regenerative Sport and Spine.”Milton L
