Work

Ultrasound-Guided Hydrodissection Combined with Acupotomy Release versus Hydrodissection Alone for Deep Gluteal Syndrome: A Retrospective Study on Short-Term Efficacy

Year: 2026

Type: article

Abstract: Purpose: To evaluate the short-term efficacy and safety of ultrasound-guided hydrodissection alone versus hydrodissection combined with acupotomy release for deep gluteal syndrome (DGS). Methods: This retrospective study included 82 patients with DGS, divided into a hydrodissection group (n = 41) and a combined hydrodissection with acupotomy group (n = 41). Both groups underwent ultrasound-guided sciatic nerve hydrodissection; the combined group additionally received acupotomy to incise surrounding fascia. Primary outcomes were changes in Visual Analog Scale (VAS) and Oswestry Disability Index (ODI) scores at two weeks post-treatment. Results: No complications (eg, bleeding, nerve injury) occurred in either group from immediately post-treatment to two weeks. At two weeks, both groups showed significant improvements in VAS and ODI scores compared to baseline (P<0.001)). The combined group had greater VAS improvement [median (IQR): 4.00 (4.00, 5.00)] than the hydrodissection group [3.00 (2.00, 4.00); P < 0.001] and greater ODI improvement [40 (20, 60) vs 20 (20, 30); P = 0.004]. Conclusion: Ultrasound-guided hydrodissection combined with acupotomy release was associated with greater short-term pain relief (VAS) and functional improvement (ODI) in patients with DGS compared with hydrodissection alone.

Source: Journal of Pain Research

DOI: 10.2147/jpr.s564639

Authors: Jingmei Tuo, Jinfeng Wang, Yunhao Luo, Wen Cao

Institutions: Chengdu University of Traditional Chinese Medicine, Capital Medical University, Beijing Chao-Yang Hospital, Capital Medical University

Language: English

Topic: Myofascial pain diagnosis and treatment

Subfield: Cell Biology

Field: Biochemistry, Genetics and Molecular Biology

Domain: Life Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $2,836