Blockage-Based Care is a forward-thinking approach to treating chronic pain and dysfunction by targeting areas in the body where healing was incomplete after injury, illness, or trauma. Developed and practiced by Dr. Richard Nahas, this method is based on the concept that unresolved physical stress from past events, such as surgeries, sprains, fractures, or infections, can create subtle yet significant blockages in the body’s soft tissues. Over time, these blockages may contribute to chronic pain, poor mobility, and other persistent health problems.
For individuals seeking alternatives to conventional pain management or providers aiming to integrate a more personalized strategy into their practice, Blockage-Based Care offers a unique and practical framework for healing.
Mechanism and Benefits of Clinic-Guided Blockage Release Therapy
Blockage-Based Care is not a single treatment; it is a system for identifying and resolving the lasting impact of tissue damage. At its core, the method involves identifying specific areas of the body where the fascia, muscles, or nerves have become restricted due to a prior injury or event. These are not always visible through conventional imaging, but they can be identified through expert palpation and clinical examination.
Dr. Nahas uses a hands-on technique to detect these regions. Once identified, the blockages are treated using neural therapy, a series of highly targeted injections containing local anesthetics, dextrose, or other agents that calm sensitized nerves and release surrounding tissue tension. This technique can produce immediate and often dramatic reductions in pain.
Key benefits include:
- Immediate relief from localized or referred pain
- Improved mobility and tissue function
- Reduction in muscle guarding or compensatory strain
- Lower likelihood of pain recurrence with follow-up care
- A deeper understanding of one’s unique pain patterns
Because the treatment is customized based on each individual’s history and anatomy, it often succeeds where other interventions have failed.
Preparing for Your Session and Optimizing Post-Treatment Integration
A Blockage-Based Care session with Dr. Nahas begins with a detailed medical history and may include a review of past injuries, surgeries, and unresolved symptoms. Patients are encouraged to reflect on their full injury history, including even minor incidents that may have seemed insignificant at the time, as these events often form the basis of long-term dysfunction.
During the visit, Dr. Nahas conducts a physical assessment using palpation techniques to identify the most significant blockages. In many cases, patients report a subtle change in sensation at these sites, which helps guide treatment with great accuracy.
Following injection therapy, the process continues with targeted movement and stretching. Patients are taught how to perform specific stretches designed to support the treated area and reinforce newly restored mobility. These stretches can be performed at home or with the guidance of a physical therapist or rehabilitation provider. The active involvement of the patient is a crucial component of the healing process and can significantly enhance long-term outcomes.
Safety Profile and Anticipated Healing Trajectory Over Time
In some cases, particularly in patients with central sensitization or widespread conditions like fibromyalgia, symptoms may return due to heightened nervous system sensitivity. For these patients, IV infusion therapy may be introduced as a complementary strategy to calm the nervous system and extend the relief gained from blockage release techniques.
Healing timelines vary depending on the complexity and chronicity of the condition; however, Blockage-Based Care aims for long-term resolution, rather than temporary suppression of symptoms.
Discover the Benefits of Blockage-Based Care in NYC
Whether you’re living with chronic musculoskeletal pain, post-surgical tension, or unexplained functional limitations, Blockage-Based Care offers a personalized, evidence-informed path forward. Dr. Richard Nahas combines medical precision with integrative healing strategies to help patients understand and resolve the hidden factors contributing to their discomfort.

