# Pain Specialty Group

> Pain Specialty Group offers advanced interventional pain management and regenerative medicine for chronic pain conditions across New Hampshire's Seacoast and Maine.

Pain Specialty Group provides personalized, advanced interventional pain management and regenerative medicine treatments for chronic pain conditions like sports injuries, arthritis, back pain, sciatica, work injuries, and pain after auto accidents. The practice's senior providers, Dr. Anh Ngo and Dr. Manuel G. Sanchez, are board-certified experts in anesthesiology and pain management, employing evidence-based approaches including interventional procedures, medication management, innovative therapies, and holistic medicine. The multidisciplinary team focuses on an accelerated functional recovery philosophy, utilizing office-based, minimally invasive procedures to decrease pain and restore function.
Disclaimer: This information is for informational purposes only and does not constitute medical advice.

## Booking & Contact
- [Schedule an Appointment](https://www.elihendelmd.com/schedule)
- [Contact Us](https://www.elihendelmd.com/contact-us)
- [Newington Location](https://www.elihendelmd.com/newington-nh)
- [Newmarket Location](https://www.elihendelmd.com/newmarket-nh)

## Providers
- [Anh L. Ngo, MD MBA](https://www.elihendelmd.com/anh-l-ngo-md-mba)
- [Manuel G. Sanchez, MD](https://www.elihendelmd.com/manuel-g-sanchez-md)
- [Josh Duggan, PA-C](https://www.elihendelmd.com/josh-duggan-pa-c)

## Services
- [Arthritis](https://www.elihendelmd.com/arthritis)
- [Botox](https://www.elihendelmd.com/botox)
- [Carpal Tunnel Syndrome](https://www.elihendelmd.com/carpal-tunnel-syndrome)
- [Depression](https://www.elihendelmd.com/depression)
- [Epidural](https://www.elihendelmd.com/epidural)
- [Fibromyalgia](https://www.elihendelmd.com/fibromyalgia)
- [Headaches](https://www.elihendelmd.com/headaches)
- [Herniated Discs](https://www.elihendelmd.com/herniated-discs)
- [Ketamine Infusion](https://www.elihendelmd.com/ketamine-infusion)
- [Knee Pain](https://www.elihendelmd.com/knee-pain)
- [Lower Back Pain](https://www.elihendelmd.com/lower-back-pain)
- [Neck Pain](https://www.elihendelmd.com/neck-pain)
- [Neuropathy](https://www.elihendelmd.com/neuropathy)
- [Physiotherapy](https://www.elihendelmd.com/physiotherapy)
- [Sciatica](https://www.elihendelmd.com/sciatica)
- [Spinal Stenosis](https://www.elihendelmd.com/spinal-stenosis)
- [Spondylosis](https://www.elihendelmd.com/spondylosis)
- [Stem Cell Therapy](https://www.elihendelmd.com/stem-cell-therapy)
- [Varicose Veins](https://www.elihendelmd.com/varicose-veins)

## Policies
- [Accessibility Statement](https://www.elihendelmd.com/accessibility-statement)
- [Privacy Statement](https://www.elihendelmd.com/your-privacy)
- [Terms of Use](https://www.elihendelmd.com/our-terms)

## Patient Resources
- [Patient Registration](https://www.elihendelmd.com/registration)
- [Pay Now](https://www.elihendelmd.com/pay-now)
- [Prepare for Your Visit](https://www.elihendelmd.com/visit)
- [Dr. Anh L. Ngo's Harvard Catalyst Profile](https://connects.catalyst.harvard.edu/Profiles/display/Person/155924)

## Blog
- [Blog Archive](https://www.delaneymd.com/blog-archive)
- [AI in New England Pain Management: Helpful Patterns, Human Judgment, and Safer Questions](https://www.ankaty.com/ai-in-new-england-pain-management-helpful-patterns-human-judgment-and-safer-questions)
- [Vermont SI Joint Pain and Spine Pain: How Clinicians Sort Out Low Back Area Symptoms](https://www.ankaty.com/vermont-si-joint-pain-and-spine-pain-how-clinicians-sort-out-low-back-area-symptoms)
- [Southern Maine Spinal Cord Stimulation Trials: What Patients Should Understand Before Saying Yes](https://www.ankaty.com/southern-maine-spinal-cord-stimulation-trials-what-patients-should-understand-before-saying-yes)
- [Seacoast NH Sciatica or Neuropathy? Why Leg Symptoms Need the Right Label](https://www.ankaty.com/seacoast-nh-sciatica-or-neuropathy-why-leg-symptoms-need-the-right-label)
- [New Hampshire Radiofrequency Ablation: Why Medial Branch Block Results Matter First](https://www.ankaty.com/new-hampshire-radiofrequency-ablation-why-medial-branch-block-results-matter-first)
- [New England Pain Research, Translated: Why Sleep Can Change Pain Sensitivity](https://www.ankaty.com/new-england-pain-research-translated-why-sleep-can-change-pain-sensitivity)
- [Northern Massachusetts Spinal Cord Stimulation: Questions Before a Trial for Chronic Nerve Pain](https://www.ankaty.com/northern-massachusetts-spinal-cord-stimulation-questions-before-a-trial-for-chronic-nerve-pain)
- [Seacoast NH Hip Bursa Pain or Spine Pain? Why Side-Hip Pain Needs a Careful Look](https://www.ankaty.com/seacoast-nh-hip-bursa-pain-or-spine-pain-why-side-hip-pain-needs-a-careful-look)
- [Southern Maine Cervical Radiculopathy: When Neck Pain Travels Into the Arm](https://www.ankaty.com/southern-maine-cervical-radiculopathy-when-neck-pain-travels-into-the-arm)
- [Vermont Compression Fracture Back Pain: When Kyphoplasty Enters the Conversation](https://www.ankaty.com/vermont-compression-fracture-back-pain-when-kyphoplasty-enters-the-conversation)
- [Pain Research, Translated: Why “Placebo” Does Not Mean Pain Is Imaginary](https://www.ankaty.com/pain-research-translated-why-placebo-does-not-mean-pain-is-imaginary)
- [Northern Massachusetts Spinal Stenosis: Epidural Injections, Walking Goals, and Next-Step Decisions](https://www.ankaty.com/northern-massachusetts-spinal-stenosis-epidural-injections-walking-goals-and-next-step-decisions)
- [Southern Maine SI Joint Injections: What a Diagnostic Response Can Tell You](https://www.ankaty.com/southern-maine-si-joint-injections-what-a-diagnostic-response-can-tell-you)
- [Seacoast NH Peripheral Nerve Stimulation: When Focal Nerve Pain Needs a Targeted Plan](https://www.ankaty.com/seacoast-nh-peripheral-nerve-stimulation-when-focal-nerve-pain-needs-a-targeted-plan)
- [New England ASC Pain Procedures: Why Outpatient Setting Questions Matter](https://www.ankaty.com/new-england-asc-pain-procedures-why-outpatient-setting-questions-matter)
- [Pain Research, Translated: Why Pacing Activity Can Reduce Pain Flares](https://www.ankaty.com/pain-research-translated-why-pacing-activity-can-reduce-pain-flares)
- [Vermont Epidural Steroid Injections: What Relief Can and Cannot Prove](https://www.ankaty.com/vermont-epidural-steroid-injections-what-relief-can-and-cannot-prove)
- [Northern Massachusetts SI Joint Pain: When Buttock Pain Is Not Just a Hip Problem](https://www.ankaty.com/northern-massachusetts-si-joint-pain-when-buttock-pain-is-not-just-a-hip-problem)
- [Southern Maine Radiofrequency Ablation: What Happens After Positive Medial Branch Blocks](https://www.ankaty.com/southern-maine-radiofrequency-ablation-what-happens-after-positive-medial-branch-blocks)
- [New Hampshire Spinal Stenosis: Why Walking Relief When Sitting Matters](https://www.ankaty.com/new-hampshire-spinal-stenosis-why-walking-relief-when-sitting-matters)
- [Pain Research, Translated: What Personalized Pain Care Really Means](https://www.ankaty.com/pain-research-translated-what-personalized-pain-care-really-means)
- [Vermont Chronic Pain and Sleep: Why Rest Can Change Pain Sensitivity](https://www.ankaty.com/vermont-chronic-pain-and-sleep-why-rest-can-change-pain-sensitivity)
- [Southern Maine Peripheral Nerve Stimulation: A Targeted Option for Focal Nerve Pain](https://www.ankaty.com/southern-maine-peripheral-nerve-stimulation-a-targeted-option-for-focal-nerve-pain)
- [Seacoast NH Knee Pain on Stairs: Could the Spine or Nerves Be Involved?](https://www.ankaty.com/seacoast-nh-knee-pain-on-stairs-could-the-spine-or-nerves-be-involved)
- [Northern Massachusetts Epidural Injections for Leg Pain: Questions to Ask First](https://www.ankaty.com/northern-massachusetts-epidural-injections-for-leg-pain-questions-to-ask-first)
- [Seacoast NH Outpatient Pain Procedures: How to Prepare Without Overthinking It](https://www.ankaty.com/seacoast-nh-outpatient-pain-procedures-how-to-prepare-without-overthinking-it)
- [Vermont Spinal Cord Stimulation: When Chronic Nerve Pain Needs a Different Strategy](https://www.ankaty.com/vermont-spinal-cord-stimulation-when-chronic-nerve-pain-needs-a-different-strategy)
- [Southern Maine Sciatica or SI Joint Pain? Why the Pain Location Matters](https://www.ankaty.com/southern-maine-sciatica-or-si-joint-pain-why-the-pain-location-matters)
- [New Hampshire Medial Branch Blocks: Testing Facet Joint Pain Before Ablation](https://www.ankaty.com/new-hampshire-medial-branch-blocks-testing-facet-joint-pain-before-ablation)
- [Kyphoplasty in New England: When Compression Fracture Back Pain Needs Evaluation](https://www.ankaty.com/kyphoplasty-in-new-england-when-compression-fracture-back-pain-needs-evaluation)
- [Pain Research, Translated: Why Function Matters as Much as Pain Scores](https://www.ankaty.com/pain-research-translated-why-function-matters-as-much-as-pain-scores)
- [Vermont Pain Flares and Weather Changes: What Patients Can Track](https://www.ankaty.com/vermont-pain-flares-and-weather-changes-what-patients-can-track)
- [Massachusetts Neck Pain With Arm Tingling: When Nerves May Be Involved](https://www.ankaty.com/massachusetts-neck-pain-with-arm-tingling-when-nerves-may-be-involved)
- [Southern Maine Sciatica: Why Leg Pain May Not Start in the Leg](https://www.ankaty.com/southern-maine-sciatica-why-leg-pain-may-not-start-in-the-leg)
- [New Hampshire Back Pain After Gardening: When to Consider a Specialist](https://www.ankaty.com/new-hampshire-back-pain-after-gardening-when-to-consider-a-specialist)
- [Northern MA and Seacoast Patients: What to Ask Before an Epidural Injection](https://www.ankaty.com/northern-ma-and-seacoast-patients-what-to-ask-before-an-epidural-injection)
- [AI in Pain Management: A Support Tool, Not a Replacement for Clinical Judgment](https://www.ankaty.com/ai-in-pain-management-a-support-tool-not-a-replacement-for-clinical-judgment)
- [Vermont and New England Hiking Pain: Knee, Hip, Back, or Nerve?](https://www.ankaty.com/vermont-and-new-england-hiking-pain-knee-hip-back-or-nerve)
- [Southern Maine Neck and Arm Pain: When Tingling Points to a Nerve Problem](https://www.ankaty.com/southern-maine-neck-and-arm-pain-when-tingling-points-to-a-nerve-problem)
- [New Hampshire Back Pain After Yard Work: When a Strain May Be More Than a Strain](https://www.ankaty.com/new-hampshire-back-pain-after-yard-work-when-a-strain-may-be-more-than-a-strain)
- [Outpatient Pain Procedures in New England ASCs: What Patients Should Ask](https://www.ankaty.com/outpatient-pain-procedures-in-new-england-ascs-what-patients-should-ask)
- [Northern Massachusetts Neck Pain While Driving: When Posture Is Not the Only Cause](https://www.ankaty.com/northern-massachusetts-neck-pain-while-driving-when-posture-is-not-the-only-cause)
- [Vermont Chronic Pain Care: Building a Plan That Fits Real New England Life](https://www.ankaty.com/vermont-chronic-pain-care-building-a-plan-that-fits-real-new-england-life)
- [Seacoast NH Radiofrequency Ablation: Why Diagnostic Blocks Come First](https://www.ankaty.com/seacoast-nh-radiofrequency-ablation-why-diagnostic-blocks-come-first)
- [SI Joint Injections in Southern Maine: When Low Back Pain Starts at the Pelvis](https://www.ankaty.com/si-joint-injunctions-in-southern-maine-when-low-back-pain-starts-at-the-pelvis)
- [Pain Research, Translated: Why Expectations Matter Before a Pain Procedure](https://www.ankaty.com/pain-research-translated-why-expectations-matter-before-a-pain-procedure)
- [Cervical Epidural Steroid Injections for Arm Pain: A Patient-Friendly Overview](https://www.ankaty.com/cervical-epidural-steroid-injections-for-arm-pain-a-patient-friendly-overview)
- [Spinal Cord Stimulation vs. Peripheral Nerve Stimulation: Plain-English Differences](https://www.ankaty.com/spinal-cord-stimulation-vs-peripheral-nerve-stimulation-plain-english-differences)
- [Northern Massachusetts Spinal Stenosis: When Leg Heaviness Limits Walking](https://www.ankaty.com/northern-massachusetts-spinal-stenosis-when-leg-heaviness-limits-walking)
- [Epidural Steroid Injections for Sciatica: What Seacoast NH Patients Should Know](https://www.ankaty.com/epidural-steroid-injections-for-sciatica-what-seacoast-nh-patients-should-know)
- [New England Winter, Arthritis, and Pain Flares: What Is Actually Helpful?](https://www.ankaty.com/new-england-winter-arthritis-and-pain-flares-what-is-actually-helpful)
- [Image-Guided Pain Procedures: What Fluoroscopy Helps Doctors See](https://www.ankaty.com/image-guided-pain-procedures-what-fluoroscopy-helps-doctors-see)
- [Pain Research, Translated: Why Sleep Can Change Pain Sensitivity](https://www.ankaty.com/pain-research-translated-why-sleep-can-change-pain-sensitivity)
- [Spinal Cord Stimulation: Questions Patients Should Ask Before a Trial](https://www.ankaty.com/spinal-cord-stimulation-questions-patients-should-ask-before-a-trial)
- [SI Joint Pain in New England: Why Sitting, Stairs, and Rolling in Bed Can Hurt](https://www.ankaty.com/si-joint-pain-in-new-england-why-sitting-stairs-and-rolling-in-bed-can-hurt)
- [Outpatient Pain Procedures at an ASC: Why Preparation Matters](https://www.ankaty.com/outpatient-pain-procedures-at-an-asc-why-preparation-matters)
- [Vermont Chronic Pain Patients: Building a Practical Plan for Flares](https://www.ankaty.com/vermont-chronic-pain-patients-building-a-practical-plan-for-flares)
- [Northern Massachusetts Neck Pain: When Arm Tingling Changes the Conversation](https://www.ankaty.com/northern-massachusetts-neck-pain-when-arm-tingling-changes-the-conversation)
- [Southern Maine Sciatica Care: When Leg Pain May Be Coming From the Spine](https://www.ankaty.com/southern-maine-sciatica-care-when-leg-pain-may-be-coming-from-the-spine)
- [Seacoast NH Back Pain Injections: What Patients Should Ask Before Scheduling](https://www.ankaty.com/seacoast-nh-back-pain-injections-what-patients-should-ask-before-scheduling)
- [Peripheral Nerve Pain After Injury or Surgery: When a Targeted Evaluation Helps](https://www.ankaty.com/peripheral-nerve-pain-after-injury-or-surgery-when-a-targeted-evaluation-helps)
- [Pain Research, Translated: What Recent Spine Procedure Guidelines Mean for Patients](https://www.ankaty.com/pain-research-translated-what-recent-spine-procedure-guidelines-mean-for-patients)
- [Kyphoplasty for Vertebral Compression Fractures: What New England Patients Should Know](https://www.ankaty.com/kyphoplasty-for-vertebral-compression-fractures-what-new-england-patients-should-know)
- [Medial Branch Blocks vs. Radiofrequency Ablation: How the Two-Step Spine Pain Process Works](https://www.ankaty.com/medial-branch-blocks-vs-radiofrequency-ablation-how-the-two-step-spine-pain-process-works)
- [Lumbar Spinal Stenosis in New England: Why Leaning Forward May Help](https://www.ankaty.com/lumbar-spinal-stenosis-in-new-england-why-leaning-forward-may-help)
- [When Pain Travels Down the Leg: Sciatica, Stenosis, or Something Else?](https://www.ankaty.com/when-pain-travels-down-the-leg-sciatica-stenosis-or-something-else)
- [Chronic Pain and Sleep in New England: A Two-Way Street](https://www.ankaty.com/chronic-pain-and-sleep-in-new-england-a-two-way-street)
- [Pain Procedure Safety: Why Imaging Guidance Matters](https://www.ankaty.com/pain-procedure-safety-why-imaging-guidance-matters)
- [Epidural Steroid Injections at an ASC: What Patients Should Expect](https://www.ankaty.com/epidural-steroid-injections-at-an-asc-what-patients-should-expect)
- [Shoulder Pain, Neck Pain, or Nerve Pain? Why the Difference Matters](https://www.ankaty.com/shoulder-pain-neck-pain-or-nerve-pain-why-the-difference-matters)
- [Knee Pain and Pain Management: When It Is Not Just Arthritis](https://www.ankaty.com/knee-pain-and-pain-management-when-it-is-not-just-arthritis)
- [Hip, Buttock, or Back Pain? How Specialists Sort Out the Source](https://www.ankaty.com/hip-buttock-or-back-pain-how-specialists-sort-out-the-source)
- [Winter Weather and Back Pain: Why New England Bodies Complain](https://www.ankaty.com/winter-weather-and-back-pain-why-new-england-bodies-complain)
- [Neck Pain After Driving in New England: Common Causes and Next Steps](https://www.ankaty.com/neck-pain-after-driving-in-new-england-common-causes-and-next-steps)
- [Sacroiliac Joint Injections: Why SI Pain Is Often Missed](https://www.ankaty.com/sacroiliac-joint-injections-why-si-pain-is-often-missed)
- [Peripheral Nerve Stimulation: A Newer Option for Some Nerve Pain](https://www.ankaty.com/peripheral-nerve-stimulation-a-newer-option-for-some-nerve-pain)
- [Spinal Cord Stimulation in New England: A Plain-English Overview](https://www.ankaty.com/spinal-cord-stimulation-in-new-england-a-plain-english-overview)
- [Medial Branch Blocks: The Test Before Some Back Pain Procedures](https://www.ankaty.com/medial-branch-blocks-the-test-before-some-back-pain-procedures)
- [Radiofrequency Ablation Near the Seacoast: Who Is It For?](https://www.ankaty.com/radiofrequency-ablation-near-the-seacoast-who-is-it-for)
- [Pain Research, Translated: Why Personalized Pain Care Matters](https://www.ankaty.com/pain-research-translated-why-personalized-pain-care-matters)
- [AI in Pain Management: Helpful Tool or Hype?](https://www.ankaty.com/ai-in-pain-management-helpful-tool-or-hype)
- [Vermont Chronic Pain Patients: When Interventional Care May Help](https://www.ankaty.com/vermont-chronic-pain-patients-when-interventional-care-may-help)
- [Massachusetts Patients and ASC Pain Procedures: What to Know](https://www.ankaty.com/massachusetts-patients-and-asc-pain-procedures-what-to-know)
- [Southern Maine Back Pain Care: Questions to Ask Before an Injection](https://www.ankaty.com/southern-maine-back-pain-care-questions-to-ask-before-an-injection)
- [Pain Management in New Hampshire: When to See a Specialist](https://www.ankaty.com/pain-management-in-new-hampshire-when-to-see-a-specialist)
- [What to Expect at Your First Pain Management Visit](https://www.ankaty.com/what-to-expect-at-your-first-pain-management-visit)
- [Can Stress Make Pain Worse? The Brain-Body Connection](https://www.ankaty.com/can-stress-make-pain-worse-the-brain-body-connection)
- [Why Your Neck Gets Stiff After Computer Work](https://www.ankaty.com/why-your-neck-gets-stiff-after-computer-work)
- [Why Walking Can Make Leg Pain Better—or Worse](https://www.ankaty.com/why-walking-can-make-leg-pain-better-or-worse)
- [Hip Pain or Back Pain? Why the Source Can Be Hard to Tell](https://www.ankaty.com/hip-pain-or-back-pain-why-the-source-can-be-hard-to-tell)
- [Burning, Tingling, or Numbness: Could It Be Neuropathy?](https://www.ankaty.com/burning-tingling-or-numbness-could-it-be-neuropathy)
- [Sacroiliac Joint Pain: Why the Problem May Not Be Your Low Back](https://www.ankaty.com/sacroiliac-joint-pain-why-the-problem-may-not-be-your-low-back)
- [What Is Radiofrequency Ablation for Back or Neck Pain?](https://www.ankaty.com/what-is-radiofrequency-ablation-for-back-or-neck-pain)
- [Facet Joint Pain: The Small Spinal Joints That Can Cause Big Trouble](https://www.ankaty.com/facet-joint-pain-the-small-spinal-joints-that-can-cause-big-trouble)
- [When Is Back Pain an Emergency? Red Flags to Know](https://www.ankaty.com/when-is-back-pain-an-emergency-red-flags-to-know)
- [Do You Need an MRI for Back Pain?](https://www.ankaty.com/do-you-need-an-mri-for-back-pain)
- [Neck Pain That Travels Into the Arm: What Could It Mean?](https://www.ankaty.com/neck-pain-that-travels-into-the-arm-what-could-it-mean)
- [Sciatica vs. Back Pain: How to Tell the Difference](https://www.ankaty.com/sciatica-vs-back-pain-how-to-tell-the-difference)
- [Spinal Stenosis Explained Without the Medical Jargon](https://www.ankaty.com/spinal-stenosis-explained-without-the-medical-jargon)
- [What Is an Epidural Steroid Injection?](https://www.ankaty.com/what-is-an-epidural-steroid-injection)
- [Why Does My Lower Back Hurt When I Sit Too Long?](https://www.ankaty.com/why-does-my-lower-back-hurt-when-i-sit-too-long)
- [Why Pain Feels Worse When You Do Not Sleep Well](https://www.ankaty.com/why-pain-feels-worse-when-you-do-not-sleep-well)
- [Blog Archive](https://www.elihendelmd.com/blog-archive)