Perineural Injection Therapy is a proven safe, effective treatment for patients who may not be candidates for joint replacement surgery or biologic options such as stem cell injections or PRP. Chronic nerve pain is often due to trauma, arthritis, sports, overuse, occupational, and surgical injuries. Any sensation that is perceived by the brain is transmitted to the brain via the sensory nervous system. This is true for sensations like pain, temperature, vibration, or pressure. For example, when a nerve is stimulated by pain, the individual nerve cells generate an electrical current that is carried by the nerve to the spinal cord and then to the brain. Perineural Injection Therapy involves the physician understanding the anatomy of these sensory nerves as they course throughout the body. A series of injections containing the dextrose solution are placed underneath the skin much in the same way as getting a TB test or a “pin prick.” A very short, small needle is used to treat along the course of the nerve.