When Is a Hyaluronidase Injection Recommended?
A Hyaluronidase Injection is recommended for patients with scar tissue, particularly after back surgery or long-standing inflammation, that traps a spinal nerve or prevents medication from reaching the nerve. This treatment is offered by Dr. Purnajyoti Banerjee under image guidance for patients with persistent nerve pain.
Conditions Treated by a Hyaluronidase Injection
- Epidural scar tissue and adhesions
- Persistent sciatica after surgery
- Failed back surgery pain
- Nerve entrapment by scar tissue
- Chronic radicular pain
What Happens During Your Hyaluronidase Injection?
BEFORE
You can eat and drink normally unless sedation is planned. Arrive 30 minutes early for consent, and inform the team of any known allergy to hyaluronidase.
DURING
Lying face-down with the skin numbed, X-ray guidance and contrast confirm where the medication should go, and the hyaluronidase is delivered, usually alongside an epidural, into the affected area.
AFTER
You rest for a short period and go home the same day with a companion. Benefit tends to build gradually over the following weeks rather than immediately.
Benefits of Hyaluronidase Injection
- Can reach nerves that ordinary injections cannot free
- A non-surgical option for scar-related nerve pain
- Often combined with an epidural in one visit
- Considered when other injections have not worked
Considerations
- Relief varies and is not guaranteed
- Not suitable if you are allergic to hyaluronidase
- Temporary soreness
- Small risk of infection or dural puncture
For more information on the medical use of Hyaluronidase, you can visit the NICE website.
For related treatments, such as Caudal Epidural or Transforaminal Epidural, please explore our services.