Treatments > Perineural Therapy

Breaking the Cycle of Persistent Pain

Perineural therapy involves the precise injection of therapeutic substances, such as local anesthetics or dextrose, into the perineural space surrounding nerves. By directly targeting the affected nerves, this therapeutic technique aims to modulate pain signals, reduce inflammation, and promote healing.

Perineural Therapy

Perineural injections are a safe and effective way for treatment of persistent pain.

The injections aim to help reduce the neural inflammation such as neuralgia, low back pain, shingles, fibromyalgia, headaches or migraines, nerve impingement, and neuropathy. This therapy supports the body to heal itself.

Perineural therapy involves subcutaneous injections below the skin’s surface. It uses dextrose or mannitol in a saline solution combined with sodium bicarbonate. This focuses on areas of the skin above nerve pathways to address pain at the root cause.

Treatment for Chronic Pain and Inflammation

Perineural therapy is often used for the management of chronic pain, particularly neuropathic pain, and the reduction of inflammation.

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Neuropathic Pain

Neuropathic pain is a type of pain that is associated with damage or dysfunction of the nervous system. This can result from various conditions, such as diabetes, shingles, nerve compression, or traumatic injuries.

Perineural therapy is often used for various types of neuropathic pain, such as sciatica, peripheral neuropathy, and post-herpetic neuralgia.

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Musculoskeletal Pain

It may be used to address pain associated with musculoskeletal conditions, including injuries and inflammation around nerves.

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Joint Pain

Some practitioners use perineural therapy to address pain in or around joints, particularly when nerve involvement is suspected.

Benefits of Perineural Therapy

The main advantage of perineural therapy is the management of chronic pain and inflammation.

Targeted Pain Relief

Perineural therapy aims to provide targeted relief by delivering medications, such as local anesthetics or dextrose, directly to the perineural space around affected nerves. This can be beneficial for localized pain associated with nerve damage or inflammation.

Reduced Inflammation

The injections used in perineural therapy may help reduce inflammation in the perineural space, contributing to pain relief. Inflammation is a common factor in many chronic pain conditions.

Improved Nerve Function

By addressing inflammation and promoting healing around nerves, perineural therapy may contribute to improved nerve function. This can be particularly relevant in cases of neuropathic pain.

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How Perineural Therapy Works

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Skin Preparation

The patient will be positioned appropriately based on the target area for treatment. This may involve lying down or sitting, depending on the location of the affected nerves.

The skin over the injection site will be cleaned and sterilized to reduce the risk of infection. In some cases, a local anesthetic may be applied to numb the skin and underlying tissues at the injection site, helping to minimize discomfort during the procedure.

Needle Insertion

A thin needle is inserted through the skin and into the perineural space near the affected nerves. The needle may be guided by ultrasound or fluoroscopy to ensure accuracy.

Medication Injection

The selected medication, such as a local anesthetic, dextrose, or another substance, is injected into the perineural space. The choice of medication depends on the healthcare provider's judgment and the specific goals of the therapy.

Reasons to Get Perineural Therapy

Perineural therapy is typically offered as a treatment option for those who suffer from chronic pain and inflammation.

Localized Pain

When pain is localized to a specific area and is associated with nerve involvement, perineural therapy may be considered. This localized approach allows for targeted treatment of the affected nerves.

Failed Conservative Treatments

Individuals who have not experienced sufficient relief from conservative treatments such as medications, physical therapy, or other interventions may explore perineural therapy as an alternative or complementary option.

Chronic Musculoskeletal Pain

Perineural therapy may be used for chronic pain associated with musculoskeletal conditions, especially when nerves are implicated. This includes conditions like sciatica or pain around joints.

FAQ

Is perineural therapy painful?

Discomfort during the procedure is subjective and can vary from person to person. Healthcare providers may use local anesthesia to minimize discomfort. Post-procedure, patients may experience some soreness or mild discomfort at the injection site.

How many sessions of perineural therapy are typically needed?

The number of sessions varies based on individual response and the nature of the condition being treated. Some individuals may experience relief after one session, while others may need a series of treatments.

What are the side effects or risks associated with perineural therapy?

Potential side effects may include temporary soreness, bruising, or infection at the injection site. Serious complications are rare but can include nerve damage or allergic reactions.

Can perineural therapy be combined with other treatments?

Yes, perineural therapy is often used as part of a comprehensive pain management plan. It can be combined with other treatments such as physical therapy, medications, and lifestyle modifications.

How long do the effects from perineural therapy last?

The duration of pain relief can vary among individuals. Some may experience immediate relief, while others may require multiple sessions for sustained benefits. Periodic maintenance treatments may also be recommended.