Available only at The Fascia Institute · Performed by Dr. Courseault
An immediate myofascial release — from the inside.
Hydrofascia Release™ (HFR) is a minimally invasive, ultrasound-guided procedure available only at The Fascia Institute and Treatment Center®. Using the precisely targeted liquid pressure of the injection itself, we break up fascial adhesions and scar tissue at the source — performing a true myofascial release the moment the fluid is delivered.
What Hydrofascia Release does.
Soft tissue injuries — strains, tendinopathies, scar tissue, nerve entrapments, chronic myofascial pain — leave behind fascial adhesions: bound, restricted layers of connective tissue that imaging often cannot see and that physical therapy alone cannot reach. They are why pain that “shouldn’t” be there persists for months. They are why injuries keep coming back.
Hydrofascia Release addresses those adhesions directly. Under real-time ultrasound guidance, Dr. Courseault delivers a precisely placed injection. The liquid pressure of the injection itself separates the bound tissue planes — performing a true myofascial release at the source, in the same moment the fluid is delivered. The tissue is freed. Glide is restored. Pain that has been locked in for years can resolve in minutes.
With Hydrofascia Release, soft-tissue injuries can heal faster than the typical 4-to-6-week timeline. Chronic soft-tissue injuries can become a problem of the past.
Two protocols. One precise tool.
Hydrofascia Release is delivered through two distinct protocols, selected by Dr. Courseault based on what your tissue actually needs. The protocols are tailored to the type, location, and stage of soft-tissue dysfunction.
HFR-A
A single, decisive procedure pairing the mechanical release of HFR with a targeted anti-inflammatory steroid. Best for smaller, well-defined areas of pain — both acute and chronic — that respond well to a one-time intervention.
Cadence: Single procedure.
HFR-P
A regenerative series pairing the mechanical release of HFR with fascial dextrose prolotherapy to stimulate tissue repair over time. Designed for more persistent, long-term tissue dysfunction that benefits from a structured rebuilding cadence.
Cadence: A planned series of at least four treatments, spaced approximately one month apart.
Chronic neck pain, resolved in minutes.
A 35-year-old woman. Active. Healthy on paper. In pain for years.
Daily, debilitating neck pain that had quietly reshaped her life — making it harder to work, sleep, exercise, and be present with the people she loves. Her MRI came back normal. Months of physical therapy brought no relief. Medications didn’t help either. By the time she arrived at The Fascia Institute, she had spent years being told nothing was wrong — while her body insisted otherwise. She wasn’t imagining her pain. She was living with it.
Adhesion discovered on Fascial Mapping®. A single Hydrofascia Release procedure. Five minutes. Ultrasound-guided. Minimally invasive. The liquid pressure of the injection broke up fascial adhesions no MRI could detect — performing a true myofascial release at the source.
Drag the divider to compare. The before image shows the fascial adhesion identified on Fascial Mapping®; the after image shows the same area immediately following Hydrofascia Release.
Why this matters for you.
Pain that lives in the fascia rarely shows up on imaging — which is why so many patients are told their scans are clean and their pain “shouldn’t” be there. It is real. It is treatable.
Hydrofascia Release is helping patients every day with chronic neck pain, low back pain, shoulder and arm pain, hip and knee pain, scar tissue pain, and a range of complex pain syndromes that have gone unanswered for too long. If your imaging is normal but your pain isn’t, you are not alone — and you may be exactly the patient we are built to help.
TRUSTED AT THE HIGHEST LEVEL
The procedure that has changed careers.
Hydrofascia Release is the procedure professional and Olympic-level athletes turn to when their body is the one thing standing between them and
the season — including Shaquille O’Neal. The same technique, the same physician, the same standard of care now in Beverly Hills.
Conditions treated with Hydrofascia Release.
Hydrofascia Release is used to treat a wide range of pain conditions caused by fascial adhesions, scar tissue, and nerve compression — many of which have gone undiagnosed or under-treated for years. Below is an extensive but not exhaustive list. If you do not see your condition, reach out: new applications emerge as our understanding of fascia continues to evolve.
Nerve Entrapments & Neuropathies
Tight fascia and scar tissue can compress nerves, causing pain, numbness, tingling, and weakness. HFR frees the nerve from surrounding restriction — without surgery.
- Carpal Tunnel Syndrome
- Cubital Tunnel Syndrome / Ulnar Neuropathy
- Tarsal Tunnel Syndrome
- Meralgia Paresthetica
- Sciatica & Piriformis Syndrome
- Thoracic Outlet Syndrome
- Occipital Neuralgia
- Radial Tunnel Syndrome
- Saphenous Nerve Entrapment
Tendon & Ligament Conditions
Tendinopathies are notoriously slow to heal because tendons have poor blood supply. HFR relieves surrounding fascial restriction and stimulates the body’s repair response.
- Achilles Tendinopathy
- Tennis Elbow (Lateral Epicondylitis)
- Golfer’s Elbow (Medial Epicondylitis)
- Rotator Cuff Tendinopathy
- Patellar Tendinopathy (“Jumper’s Knee”)
- Hip Flexor Tendinopathy
- Gluteal Tendinopathy
- Plantar Fasciitis
- De Quervain’s Tenosynovitis
- Trigger Finger
Muscle Strains & Soft Tissue Injuries
Acute injuries and repetitive strains often leave behind fascial adhesions long after the initial pain fades — restrictions that physical therapy alone cannot reach.
- Hamstring Strains
- Oblique Injuries
- Quadriceps Strains
- Calf Strains
- Groin & Adductor Strains
- Rotator Cuff Strains
- IT Band Syndrome
- Piriformis Syndrome
- Repetitive Strain Injuries
Chronic & Complex Pain
When pain persists for months or years despite “normal” imaging, fascial dysfunction is often the missing diagnosis.
- Chronic Pain Syndromes
- Myofascial Pain Syndrome
- Chronic Neck Pain
- Chronic Low Back Pain
- Whiplash-Associated Disorders
- Cervicogenic Headaches
- Fibromyalgia-Related Fascial Pain
- TMJ-Related Myofascial Pain
Scar Tissue & Post-Surgical Pain
Scar tissue from past injuries or surgeries can restrict movement and trigger pain long after healing. HFR breaks up these adhesions to restore normal function.
- Surgical Scar Pain
- C-Section Scar Adhesions
- Post-Mastectomy Pain
- Hernia Repair Pain
- Post-Traumatic Scar Tissue
Connective Tissue & Hypermobility
Patients with hypermobility often have unstable, irritable fascia that can be retrained and supported with targeted treatment.
- Hypermobility Spectrum Disorder & EDS
- Hypermobility-Related Joint Pain
- Connective Tissue Pain Syndromes
Joint-Related Soft Tissue Pain
Pain attributed to “joint problems” often originates in the fascial structures around the joint — and that is where HFR can make the difference.
- Frozen Shoulder (Adhesive Capsulitis)
- Trochanteric Bursitis
- Hip Impingement-Related Pain
- Knee Pain (Patellofemoral, IT Band, Pes Anserine)
- SI Joint Dysfunction
- Osteoarthritis-Related Soft Tissue Pain
Don’t see your condition? Hydrofascia Release is being applied to new pain conditions every year as our understanding of fascia evolves. Reach out — there is a strong chance we can help.
Your Hydrofascia Release visit, simply.
Hydrofascia Release is performed in our Beverly Hills office on Dr. Courseault’s procedure days. The visit is structured so you walk out the same day with the work done.
Frequently asked.
No. HFR is a minimally invasive, in-office injection procedure performed under ultrasound guidance. There is no incision, no general anesthesia, and no surgical recovery period.
The procedure itself typically takes around five minutes. The full visit — including diagnostic conversation, ultrasound assessment, the procedure, and post-treatment recommendations — takes longer, but the procedural component is brief.
Many patients do — sometimes the moment the fluid is delivered. Because HFR performs a true myofascial release at the source, the relief can be immediate. Some patients experience a more gradual resolution over the following days as the tissue settles. Both are normal.
Most patients describe HFR as well-tolerated. Local anesthetic is used to minimize discomfort during the injection. Any short-term soreness afterward is typically mild and resolves quickly.
A cortisone injection delivers anti-inflammatory medication to a region. Hydrofascia Release uses the physical pressure of the injected fluid to mechanically separate bound tissue planes and release adhesions — a structural intervention, not a chemical one. The two address different problems.
No. Most patients receive HFR after a focused diagnostic visit and case-specific ultrasound. Fascial Mapping is an optional advanced diagnostic, recommended for complex cases or for patients who want a comprehensive view of their fascial network before treatment.
It depends on which protocol your case calls for. HFR-A is delivered as a single procedure — appropriate for many acute and chronic localized issues. HFR-P is a regenerative series of at least four treatments, spaced approximately one month apart, designed for more persistent, long-term tissue dysfunction. Dr. Courseault recommends the protocol your specific case requires — never more than that.
Most patients return to normal daily activity the same day. For higher-impact training or sport, Dr. Courseault will give specific timing guidance based on what was treated.
Ready to be released?
Hydrofascia Release appointments are scheduled around Dr. Courseault’s procedure days in Beverly Hills. We will help you find a fit.
415 North Crescent Drive, Beverly Hills, CA 90210
In the Golden Triangle · Founded and led by Jacques Courseault, MD
