Will microneedling minimize crunching and clicking fascia?

Thank you for reaching out with your concerns. Microneedling is a procedure primarily used to improve skin texture, reduce fine lines, and enhance the overall appearance of the skin by promoting collagen production. However, it may not directly address the issue of fascia adhesions or the crunching and clicking sounds you're experiencing. These sounds are likely related to the movement of tissue over the fascia, which microneedling is unlikely to affect significantly.

Given your condition of hypermobile Ehlers-Danlos Syndrome (hEDS), it's important to approach treatments with caution. The connective tissue differences in hEDS can lead to unique challenges, and procedures that affect the skin and underlying structures may have different outcomes compared to those without the condition.

For your specific concerns, you might consider consulting with a specialist who has experience in treating fascia-related issues, perhaps a physical therapist or a dermatologist with expertise in connective tissue disorders. They may recommend alternative therapies such as myofascial release or other forms of manual therapy that could be more effective in addressing fascia adhesions.

Additionally, since Botox has not provided the desired relief, discussing alternative or adjunctive treatments with your healthcare provider could be beneficial. They might explore other options such as different injection techniques, dosage adjustments, or combining treatments for better results.

As always, any treatment plan should be personalized and discussed thoroughly with a healthcare professional familiar with your medical history and specific needs.