DEEP DIVE · CHAPTER 14
Percutaneous Hydro Resection
Remove It, Don’t Jam It
Percutaneous hydro resection uses a jet of water to remove the damaged tendon tissue that is sending the pain signal, awake and in minutes, where a nerve stimulator only confuses that signal. This Deep Dive gives the evidence behind Chapter 14 of The Pained Brain, including why it is a bridge until the tendon is loaded.
43 pages · 145 references, every one verified · written by Dr. Gurpreet Singh Padda, MD, MBA, MHP, and Dr. KrisJay Fucanan, MD
CHAPTER 14 ON VIDEO
Wash Out the Lesion, Don’t Jam the Signal
Dr. Padda walks through this chapter on video. All twenty-two are on the The Pained Brain playlist on the Padda Institute channel.
The receipts behind Chapter 14
A nerve stimulator confuses a pain signal. A jet of water removes the thing that is sending it. In Chapter 14 I show why chronic tendon pain is a failed repair and not a flare, what the stimulator trials actually found, how hydro resection takes the damaged tissue out awake in minutes, and why even that is only a bridge until the tendon is loaded and the terrain is changed.
The book makes the argument. This Deep Dive shows the evidence, claim by claim: the study, who was in it, the number and where it sits in the paper, what it does not show — and the questions to bring to your own physician. It is written to be handed to your doctor.
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Frequently asked questions
Is chronic tendon pain just a flare of inflammation?
No. Chapter 14 argues that chronic tendon pain is a failed repair, not a flare. The damaged tendon tissue is the thing sending the pain signal. That is why the chapter focuses on taking that tissue out and then loading the tendon, instead of leaving it in place and using a nerve stimulator to confuse the signal.
Are you awake for percutaneous hydro resection?
Yes. Percutaneous hydro resection is done awake, and it takes minutes. Percutaneous means through the skin: a jet of water removes the damaged tendon tissue that is sending the pain signal. Chapter 14 compares that with a nerve stimulator, which leaves the damaged tissue in place and only confuses the signal, and it lays out what the stimulator trials actually found.
Does hydro resection fix the tendon for good?
Not on its own. Chapter 14 calls hydro resection a bridge. It clears out the damaged tissue, but the tendon still has to be loaded, and the terrain changed, before the repair holds. The Deep Dive runs 43 pages with 145 verified references and gives the questions to bring to your own physician.