PainCare - the leading Pain Management specialists in NH

Therapeutic injections are usually a combination of a local anesthetic (for example Novocaine) and an anti-inflammatory steroid. Injections are sometimes referred to as "blocks" due to the blocking or numbing effect of the local anesthetic. The target of these injections is usually an inflamed structure that is, or might be, the source of the patient’s pain. Many times this is a portion of the spine, sometimes a nerve, or perhaps a joint or muscle. 

If your condition does not respond permanently or long term to initial treatments, PainCare offers several implantable devices for the continual management of pain.

Patient comfort and relaxation during our procedures is paramount. Intravenous conscious sedation is offered as the primary method of sedation used at PainCare for injections and implants.

Epidural injections (aka epidural block)

An epidural injection is the administration of medication(s) directly into the epidural space.  More info and types of epidural injections.

Joint injections

Joint injections into or around a painful joint are generally a combination of local anesthetic (eg Novocaine) and an anti-inflammatory steroid (e.g. cortisone). Virtually any joint can be injected. Often the hip joint, facet joints and sacroiliac joints are injected with xray guidance to ensure precise placement. Finger, wrist, and knee joints are typically injected without. The usual indication for joint injections is arthritis.  More info and types of joint injections.

Nerve blocks

A nerve block is a rather confusing and imprecise term that generally refers to an injection of medication (usually a local anesthetic, steroid, opioid or a combination of these) to an area around or along a nerve or nerve pathway.  A commonplace example is when dental patients receive local anesthetic (Novocaine) they are essentially receiving an anesthetic nerve block.  More info and types of nerve blocks.

Trigger point injections

Trigger points are soft tissues (usually muscle) which when palpated cause a reproduction of the patient’s pain. Sometimes the trigger point is palpable as when a band of muscle is contracted. Usually local anesthetic (e.g. Novocaine) is injected, sometimes Botox (botulinum toxin).