Neuropathic pain is a complex form of chronic pain that results from injury or dysfunction within the nervous system. While not all chronic pain is neuropathic, it is common for patients, especially those with post-surgical pain or a history of injury, to have inflamed or sensitized nerves. In many cases, this is caused by entrapment of nerve fibers by scar tissue in the fascia. This condition can persist long after the initial event and may lead to pain in both nearby and seemingly unrelated areas of the body.
At our NYC clinic, Dr. Richard Nahas offers an advanced and highly personalized approach to neuropathic pain treatment, combining precision diagnostics with interventional care to provide long-term relief for individuals who have not responded to conventional therapies.
Electrodiagnostic Testing and Imaging to Locate Nerve Dysfunction
Accurate identification of nerve involvement is critical in treating neuropathic pain. While symptoms may present in one area, the origin of the pain often lies in a different part of the body due to referred pain caused by nerve irritation or entrapment. To properly evaluate this, Dr. Nahas incorporates both diagnostic imaging and physical examination techniques that go beyond standard methods.
His evaluation includes:
- Ultrasound imaging to visualize areas of scar tissue or fascial restriction
- Palpation-based assessment using a unique light-touch technique to detect altered sensation
- A full-body review of previous injuries, surgeries, and patterns of movement dysfunction
This combination of objective imaging and hands-on examination enables a more nuanced understanding of how nerve structures may contribute to persistent symptoms. The altered sensation many patients experience during the exam is a clear signal of sensitized tissue, guiding treatment with precision and clarity.
Neural Therapy and Pulsed Radiofrequency for Neuropathic Pain Relief
Once the areas of nerve entrapment or irritation are identified, Dr. Nahas uses targeted interventions to calm nerve sensitivity and promote healing. One of the primary techniques he employs is Neural Therapy, which involves precisely placed injections of local anesthetics to reset the dysfunctional nerve pathways and release tension in the surrounding tissues.
In many cases, patients experience immediate relief, sometimes for the first time in years. The injections are guided not only by the patient’s response during palpation but also by ultrasound imaging, which confirms the exact location of the affected nerves and scar tissue. The ability to see and feel the dysfunction enables a high level of accuracy and therapeutic success.
For more complex or deeply embedded cases of nerve pain, pulsed radiofrequency (PRF) may be incorporated into the treatment plan. PRF is a minimally invasive procedure that uses controlled electrical energy to modulate nerve function without damaging the nerve itself. It is especially effective for patients with:
- Long-standing post-surgical pain
- Neuropathic pain syndromes (e.g., CRPS, postherpetic neuralgia)
- Pain not fully resolved with injections alone
Both therapies are integrated into a personalized plan that may also include stretching protocols and rehabilitation support to maximize and sustain the benefits of treatment.
Booking Your Neuropathic Pain Consultation at Our NYC Clinic
If you are struggling with pain that has not responded to conventional treatment, or if you suspect that nerve damage may be contributing to your symptoms, a neuropathic pain consultation with Dr. Nahas can offer clarity and a way forward. His method of Blockage-Based Care identifies the physical, structural, and neural components of pain and addresses them with targeted interventions tailored to your body’s unique history.
At your initial visit, Dr. Nahas will conduct a thorough assessment, review your health and injury history, and begin developing a treatment plan based on an accurate diagnosis and personalized care. Many patients find that even after years of unresolved pain, the proper evaluation and intervention finally help them move forward.
Experience Neuropathic Pain Treatment in NYC With a Personalized Approach
At Dr. Nahas’ NYC clinic, our goal is to offer more than symptom management; we aim for resolution. Dr. Richard Nahas provides neuropathic pain treatment in NYC for patients seeking a more precise, evidence-informed approach to chronic nerve pain. Whether your symptoms are the result of surgery, trauma, or long-standing inflammation, there is a path to relief through personalized, hands-on care.