Perineural Injection Therapy
What are perineural injections?
These are very superficial injections using Dextrose in a dilute solution (5%) or Mannitol 5%. We inject around skin nerves and this results in almost immediate pain relief.
What conditions will these injections help?
Most painful conditions respond to these injections to some extent but they are exceptionally effective for treating pain due to nerve irritation. This might be known as neuralgia, neuropathy, neurogenic pain or just “nerve pain” which is usually burning or sensitive. It is also very effective for painful scars.
How do they work? See Excerpt from Dr Lyftogt below.*
Perineural injections supply the painful skin nerves with a dilute sugar solution and this almost immediately shuts off production of the painful substances and helps the nerve swelling to go down. We don't know the exact mechanism at the cellular level, but it has been postulated that the dextrose works at the cellular level on the TRVP1 receptors to decrease Substance P and other chemicals that produce pain. Dextrose is also thought to work on ion channels in the affected nerve, once again aiding healing at the cell level. The nerve can once again slide easily through the fascial openings and voila, the pain is gone!