Perineural Injections for Nerve Pain
Perineural injections are used to treat pain that comes from irritated or inflamed nerves. The treatment involves placing medicine around the affected nerve under ultrasound guidance. In some cases the injection contains only local anaesthetic and you may be asked to keep a pain diary afterwards. This helps confirm whether the nerve is the source of pain. In other cases a mixture of local anaesthetic and steroid is given to reduce inflammation and provide longer lasting relief.
All procedures will include a targeted diagnostic scan of the area of concern.
Perineural injections can be used in many different parts of the body. They are considered when nerve pain has not improved with tablets, physiotherapy, or other simple treatments. Many people notice reduced pain and improved function, which can make daily activities and rehabilitation easier.
Conditions that can be treated include:
- Nerve irritation or entrapment - Pain caused by pressure or irritation of a nerve.
- Pain after injury or surgery - Ongoing nerve pain that does not settle with time.
- Mixed pain with tendon or joint problems - Sometimes nerve irritation adds to pain from musculoskeletal conditions, and treating the nerve can help recovery.
Treatable Conditions
Morton's Neuroma
Morton’s Neuroma is a painful condition affecting the ball of the foot caused by a thickened or irritated nerve. Symptoms may include a sharp, burning pain, tingling, or the feeling of a small lump under the foot – often described as feeling like you're standing on a pebble.
How can a steroid injection help?
A steroid injection can reduce inflammation around the nerve, helping to relieve pain and improve mobility—often without the need for surgery.
Carpal Tunnel Syndrome
Carpal Tunnel Syndrome is caused by pressure on the median nerve as it passes through the wrist. It can lead to symptoms like numbness, tingling, or weakness in the hand—especially in the thumb, index, and middle fingers.
How can a steroid injection help?
A steroid injection into the carpal tunnel can reduce inflammation and pressure on the nerve, easing symptoms and improving hand function—often helping to avoid or delay the need for surgery.
FAQs
How do I know if I need a perineural injection?
You may be offered this treatment if you have nerve related pain that has not improved with simple treatments. Sometimes it is used as a test injection with local anaesthetic only, followed by a pain diary to help confirm the diagnosis.
If, during your consultation, you or our radiology specialist decide to change the treatment plan or not proceed, we’ll adjust the booking and update the price accordingly.
What are the benefits of perineural injections for nerve pain?
Targeted treatment - The injection is placed directly around the nerve using ultrasound for accuracy.
Pain relief - Local anaesthetic provides short term benefit and can help with diagnosis, while steroid can reduce inflammation and give longer relief.
Improved movement - Calming nerve pain allows freer movement and helps with ongoing physiotherapy or exercise.
Minimally invasive - The procedure is quick, safe, and usually well tolerated, with little recovery time needed.
What symptoms are related to nerve irritation?
Nerve pain often feels sharp, burning, or shooting. It may be associated with tingling, numbness, or sensitivity in the affected area.
When should I see a doctor?
You should seek advice if pain is persistent, is interfering with sleep or daily life, or has not improved with medication and physiotherapy.
What happens during the procedure?
The skin is cleaned and a small needle is placed next to the nerve under ultrasound guidance. Local anaesthetic with or without steroid is injected. If anaesthetic only is used, you may be asked to keep a pain diary to record how your symptoms change. The procedure usually takes only a few minutes.
Are there any risks of perineural injections?
Side effects are uncommon. Mild soreness, bruising, or swelling at the injection site may occur. Infection is very rare. The treatment is generally safe and well tolerated.
What we do
- Consultant led ultrasound imaging
- Comfortable, informative sessions to give clarity on your health concerns
- Referrals, advice and suggested treatment plans if anything needs taken further
Unsure what support you need?
Book an initial consultation with one of our senior consultants to advise on your concerns.
