The advanced, integrative pain management program at Portsmouth Regional Hospital offers a broad range of inpatient and outpatient treatment options designed to be minimally invasive with maximum effectiveness. You benefit from long-lasting pain relief administered by our caring team of experts.

Diagnostic Procedures

Methods of diagnosing the source of your pain include:

  • Discography – A diagnostic procedure in which X-ray dye is injected into the spinal disc(s) and an X-ray called a discogram is taken to reveal tears in the spinal disc(s). This information is used to plan spinal surgery or pain management therapy.
  • Quantitative sensory testing – A noninvasive test used to assess how your nerves respond to vibration and changes in temperature

Noninvasive Treatments

Typically, noninvasive methods of care involve procedures or tools that do not break the skin or physically enter the body. Noninvasive treatments include:

  • Rehabilitation services – Physical, occupational and warm-water aquatic therapy
  • Integrative care – Biofeedback, massage and Reiki
  • Nutrition services – Education and meal planning for optimal health
  • Therapeutic exercise – Yoga, T'ai Chi and Pilates
  • Myofascial release – A form of deep tissue therapy used to stretch, massage and release pressure in painful muscles and tissue
  • Transcutaneous electrical nerve stimulation (TENS) – A therapy that sends a mild, painless electrical current through electrode patches in the area to be treated, passing through the skin to reach specific nerves. The current generates heat that relieves stiffness, improves mobility and relieves pain.

Minimally Invasive Treatments

Minimally invasive procedures use technology that enables doctors to make smaller incisions than those in traditional open surgery, resulting in less pain and faster recovery. Such treatments include:

  • Kyphoplasty/vertebroplasty – Procedures that treat vertebral compression fractures (VCF) of the spine by injecting cement into fractured bones and restoring the vertebra height, offering patients faster recovery and reducing the risk of future fractures
  • Nerve and facet blocks (diagnostic and therapeutic) – A therapy that uses a local anesthetic to inject a nerve block for specific areas of the body. The nerve block also can be used to diagnose which neural pathway is causing the chronic pain.
  • Percutaneous disc decompression – A procedure that can help alleviate pain, numbness and decreased mobility from a ruptured, herniated or bulging disc by inserting a small instrument through the skin to reach the affected disc and removing disc material to "decompress" or relieve pressure
  • Trigger point with dry needling – Targeting "trigger points" in the body to reduce pain and promote healing with dry needling
  • Epidural steroids – The injection of steroids into the neck or low back, a therapy often provided to individuals with herniated discs, degenerative disc disease or spinal stenosis who have nerve pain in their arms or legs


Our highly skilled surgeons offer a number of procedures for pain management, including:

  • Nerve entrapment releases including tarsal tunnel and carpal tunnel – Surgical procedures that release tissues over nerves in the foot or wrist to relieve painful pressure
  • Cervical column stimulation – Applying electrical current to an area of back pain through thin wires with electrical leads on their tips placed near the spinal column
  • Discectomy – Surgical removal of herniated disc material that is pressing on a nerve root or the spinal cord
  • Cervical and lumbar fusions – Surgical procedures in which two vertebrae are fused together in order to eliminate motion in an enflamed vertebral segment or relieve pressure on the spinal cord and/or nerve roots
  • Cervical and lumbar intrathecal infusion pumps – A surgically implanted pump that works by delivering small, regular doses of analgesic directly to the pain receptors in the spinal cord, blocking pain messages to the brain
  • Decompression laminectomies (lumbar, thoracic, cervical) – Surgical removal of the lamina—the back part of the vertebra that covers the spinal canal—enlarging the spinal canal to relieve pressure on the spinal cord or nerves
  • Minimally invasive lumbar laminectomy – A laminectomy performed using a tubular retractor inserted through a small incision to create a portal through which the surgeon may perform minimally invasive surgery to enlarge the spinal column
  • Spinal cord stimulation – A surgically implanted pain pump therapy that uses electrical impulses to block pain from being perceived in the brain, instead producing a pleasant tingling sensation

Learn more about spine services at Portsmouth Regional Hospital.

Find in-depth information on pain management at the Pain Management Center in our online Health Library.

Take the Next Step Toward Managing Your Pain

Our free referral service, Consult-A-Nurse®, can help you:

  • Find a doctor and make an appointment
  • Answer healthcare questions
  • Register for classes and events

Call (888) 421-1080. Available 24/7.