Perineural Injection Therapy

Osteopathic Center for Healing

Neil Spiegel, DO

Physical Medicine & Rehabilitation Physician located in Rockville, MD

The discomfort associated with acute or chronic nerve pain can be debilitating, but safe and natural treatments like perineural injection therapy offer relief. Neil Spiegel, DO, is a talented physician offering physical and rehabilitative medicine services at Osteopathic Center for Healing in Rockville, Maryland. With more than 25 years managing pain conditions with innovative treatments like perineural injections, stem cell therapy, and prolotherapy, Dr. Spiegel can relieve even the most stubborn pain. Call Osteopathic Center for Healing or schedule an appointment online to learn more today.

Perineural Injection Therapy Q & A

What is perineural injection therapy?

Perineural injection therapy is a natural treatment designed to ease chronic pain associated with damaged tissues. When administered properly, it can deliver profound healing effects and long-lasting relief from pain and inflammation so you can resume the activities you love without discomfort.

Perineural injection therapy targets the nerves causing your pain and inflammation with a sugar-based solution.

How does perineural injection therapy work?

Perineural injections contain dextrose and sterile water. This safe solution treats the small nerves underneath the surface of your skin that aren't visible on MRIs or X-rays. When these nerves become inflamed, they can be a significant source of pain.

When branches of nerves become inflamed, they begin misfiring and send pain messages to your brain even if the nerves aren't stimulated. When Dr. Spiegel administers a perineural injection containing dextrose to the site of your pain, it disrupts the nerve's misfiring. This disruption reduces and eventually eliminates your pain.

In addition to easing chronic discomfort caused by superficial peripheral nerves, this also allows the deeper structures beneath the nerves to begin their healing process so your injury can genuinely resolve itself.

What conditions does perineural injection therapy treat?

Dr. Spiegel utilizes perineural injection therapy for several types of nerve pain. Causes of nerve pain include:

  • Sports injuries
  • Arthritis
  • Trauma
  • Surgery
  • Overuse

Perineural injection therapy is especially effective at treating nerve pain in men and women who aren’t good candidates for other regenerative treatments like platelet-rich plasma or stem cell therapy.

What can I expect during my perineural injection therapy appointment?

Perineural injections are quick and effective 85% of the time.

During your appointment, Dr. Spiegel isolates the sensory nerves causing your pain. He then administers a series of injections along the course of the nerve using a small needle. Because your inflamed nerves are just below the surface of your skin, he uses a short needle, providing a mild pinprick sensation.

Your first perineural injection offers relief immediately, but it’s short-term. To achieve maximum results, you need a series of injections to eliminate pain and restore normal function. The number of injections you need depends on your condition and level of pain. Dr. Spiegel often recommends a series of four to six perineural injections over the course of several weeks.

For information on perineural injection therapy, call Osteopathic Center for Healing or schedule an appointment online today.