Junctional Adhesion Pain Syndrome Implication for USG Pain Hydrorelease

This groundbreaking talk introduces the concept of the “Pain Trinity”—inflammation, disruption, and junctional adhesions—as key pain generators in regenerative pain medicine. While inflammation and disruption are well understood and treated with biologics, junctional adhesions are often overlooked. The speaker defines these adhesions as abnormal connections between tissues (e.g., tendon-nerve, tendon-capsule) that limit movement and cause pain. Using ultrasound-based diagnostics (selective limitation, comparative imaging, dynamic testing), and precision hydrorelease with HA + dextrose, clinicians can target these adhesions. He presents compelling clinical examples and proposes a future of perineural hydrodissection and anti-scar biologics for enhanced outcomes in chronic pain patients.