Abstract In this educational post, I present a clear, step-by-step overview of ultrasound-guided hydrodistension (hydroplasty) for frozen shoulder (adhesive capsulitis), grounded in modern, evidence-based research and collaborative clinical practice. I discuss the anatomical landmarks, procedural flow, pharmacologic agents, and physiological mechanisms underlying hydrodistension, including suprascapular nerve block, intra-articular buffering and numbing, and controlled capsular distension. I also detail how our multidisciplinary team at Injury Medical Clinic PA (Mission Plaza Injury Medical Clinic) in El Paso, Texas, integrates chiropractic care, internal medicine oversight by Dr. Maria Guadalupe Cardenas, MD (Board Certified in Internal Medicine; NPI #1164426749; Texas MD License #J2933), functional medicine, rehabilitation, and personal injury protocols. Throughout, I highlight how integrative chiropractic care supports shoulder biomechanics, neuromuscular control, and acc...
Abstract In this educational post, I share how I evaluate and manage persistent lateral elbow and dorsal forearm pain consistent with radial tunnel syndrome and posterior interosseous nerve entrapment. I explain the ultrasound-guided hydrodissection technique from my first-person perspective, emphasizing safety, anatomy, and technique nuances. I present the clinical reasoning for using perineural hydrodissection, outline evidence-based protocols that combine chiropractic biomechanical corrections, medical oversight, and functional medicine strategies, and discuss post-procedure rehabilitation to improve outcomes. I also describe our multidisciplinary care model at Injury Medical Clinic PA (Mission Plaza Injury Medical Clinic) in El Paso, Texas, where I collaborate with Dr. Maria Guadalupe Cardenas, MD—Board Certified in Internal Medicine (NPI #1164426749, Texas MD License #J2933)—who serves as our Medical Director and Collaborative Physician. Together, we integrate chiropractic ca...
