Post-Surgical Pain Treatment

Healing after surgery should follow a steady trajectory, with less pain, more mobility, and gradual progress day by day. But many people can feel pain or restricted movement that persists well beyond the expected recovery timeline. Known as Persistent Post-Surgical Pain (PPSP), this condition affects a significant number of surgical patients and can become a major barrier to rehabilitation. Using an innovative new procedure, Dr. Nahas is introducing a breakthrough in personalized medicine that he calls Blockage-Based Care.

What Is Persistent Post-Surgical Pain, and When Should You Be Concerned?

PPSP is typically defined as pain that continues for more than three months after surgery. However, you don’t need to wait that long to recognize a problem. If your pain is not improving daily, interfering with your mobility, or preventing you from doing rehab exercises, it may be time to take a closer look.

In many cases, the source of post-surgical pain is not just the visible incision but deeper scar tissue or even an older, seemingly unrelated injury. Scar tissue can affect how your fascia, nerves, and muscles move together, creating hidden tension or alignment issues that radiate pain to nearby or distant body areas.

The Personalized Body Map and Myofascial Assessment: Getting the Full Picture

Dr. Nahas begins with the Personalized BodyMap to understand where post-surgical pain originates. This digital tool allows patients to outline their full health history, including the most recent surgery and old injuries, scars, and areas of chronic pain or inflammation.

Next comes a full-body assessment of the myofascial chain, an interconnected web of muscles, fascia, and tissue extending from the fingers and toes to the torso and cranium. Patients are asked to contract muscles in the affected area while Dr. Nahas evaluates movement patterns, restrictions, and tension points. This helps identify where scar tissue or sensitized nerves may pull on surrounding structures, disrupting normal alignment and contributing to ongoing discomfort.

Neural Therapy and Stretching for Lasting Pain Relief

Once problem areas are identified, Dr. Nahas uses precise palpation, sometimes adding ultrasound guidance, to target precise, specific tissue points that are triggering pain. These points are then treated with injections, using local anesthetics and dextrose, which immediately releases tension in sensitized tissues, to ‘reboot’ and restore normal tissue function. Most patients experience immediate and significant pain relief, often for the first time in years.

But this treatment doesn’t end in the clinic. Each injection is followed by a targeted stretch, designed to release the tension in surrounding tissues, and with regular practice these become an effective self-care resource you can use on your own. Patients are advised to practice stretching at home or with their physical therapist or rehabilitation provider, and we are building a video library to support the process. This collaborative care model empowers patients to participate in their healing process actively, combining mindfulness, movement, and medical precision in one integrated plan.

Experience Personalized Post-Surgical Recovery with Dr. Richard Nahas

If you’re still in pain months after surgery or something doesn’t feel right in your recovery, Dr. Richard Nahas offers a new path forward. His post-surgical treatment plan addresses pain at the root using Personalized Body Mapping, neural therapy, stretching protocols, and collaborative care.