What is neural therapy?
The term neural therapy commonly describes the use of local anaesthetics, such as procaine or lidocaine, in selected skin, scar, or soft-tissue sites. It encompasses different techniques rather than one standardized treatment.
We identify the exact injection site and substance being considered. Local anaesthetics can temporarily interrupt nerve signalling, but claims that injections permanently reset the nervous system or treat unrelated organ disease are not established.
Clarify what is driving your symptoms.
The assessment reviews pain quality and location, sensation, movement, previous surgery or injury, medications, and prior treatment. Examination may help identify whether local soft-tissue sensitivity, a scar, or a peripheral nerve deserves closer evaluation.
Persistent numbness, weakness, or other neurological changes may need further investigation or referral. An injection is one possible tool within a plan that may also include rehabilitation, pain education, and other appropriate care.
What happens before an injection?
We review the rationale, alternatives, your medication and allergy history, and any bleeding or infection risks. The proposed local anaesthetic, site, technique, and consent are discussed before proceeding.
Aftercare and follow-up depend on the site and response. Temporary numbness or discomfort can occur. Other risks include bruising, bleeding, infection, nerve injury, and reactions to local anaesthetic, including rare serious toxicity. We discuss the risks relevant to the proposed procedure.
Neural therapy & perineural injections differ.
Perineural injection describes treatment around a peripheral nerve and can involve different substances and techniques. It is not interchangeable with all forms of neural therapy, nerve blocks, or prolotherapy. We explain the specific approach rather than using these names as equivalents.
Evidence for neural therapy is limited and varies by condition and protocol. Small studies cannot establish broad effectiveness or durable relief. A temporary response may help guide discussion but does not, by itself, prove the underlying cause of pain.
Common questions.
Is neural therapy the same as a nerve block?
There can be overlap in the use of local anaesthetics, but the injection target, technique, intended purpose, and evidence may differ. We explain precisely what is proposed.
Can a scar be part of the assessment?
Yes, when it is relevant to your history or examination. A scar is not automatically the cause of pain elsewhere, and its presence alone is not an indication for injection.
Is neural therapy the same as dextrose prolotherapy?
No. Local-anaesthetic neural therapy and dextrose prolotherapy use different treatment rationales and may involve different substances and targets.
How many sessions are needed?
That depends on the proposed technique, your condition, and your response. We agree on a reassessment point and discuss fees before committing to treatment.
Learn more.
These resources explain the approach and the evidence discussed above. Research findings are interpreted in the context of your diagnosis and care.
- Neural therapy in De Quervain tenosynovitis · randomized study ↗
- Neural therapy and local anaesthetics · clinical review ↗
Page updated November 2026.
Care with Dr. Jeff Martineau, BScH, BHSc, ND
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