Skip to main content

Memorial Hospital Launches Interventional Pain Service

March 26, 2021

Media Contact: Tim Kershner, Director of Communications & Public Affairs
603-356-5461 ext. 2198

NORTH CONWAY, NH – For many patients suffering with chronic pain, narcotics are a common choice to manage their pain. Helping patients better manage pain without turning to narcotics is the goal of the interventional pain clinic at Memorial Hospital.

Specially-trained nurse anesthesiologists provide treatment using a variety of spinal injections and other procedures all administered in a hospital setting. Zachary Chase, director of anesthesia and interventional pain services at Memorial, is part of a team of four Certified Registered Nurse Anesthetists (CRNAs) who oversee the service. Pain intervention procedures at Memorial maximize patient safety by taking place in a full operating room, not in an exam room in an outpatient practice.

Certified Registered Nurse Anesthetists (l-r) David Esmay,
Ashley Cyr, Luke Stafford, and Zachary Chase
“We do injections in a full operating room with all of the resources available for us,” said Chase. Among those resources is a C-arm. C-arms are used for imaging during surgeries including, orthopedic and emergency care procedures and provide increased accuracy for the clinician as they pinpoint treatment. This is especially important for spinal procedures. We also have the ability to use sedation in this setting for appropriate patients.

Interventional pain services such as Memorial’s are often prescribed for patients when other treatments, such as ibuprofen or oral steroids, prove ineffective. Appropriate candidates are also patients attempting to transition from narcotics to other forms of treatment, or patients with a fear of narcotics. Chase says this is important as opioid misuse is at a high level in New Hampshire.

“We offer non-narcotic options for patients looking to avoid opiates, or for those who don’t want to be exposed to them. We help keep our patients pain free without complications and issues associated with opioid medications.”

All of Memorial’s CRNAs are participating in interventional pain services. Chase says this makes scheduling an appointment easier and provides the patient with “a familiar face” for the procedure.

“Patients will likely see a provider who they met for a previous surgery or procedure. That’s an advantage of getting your care from a community hospital like Memorial. ”Because of this prior relationship, providers may already be familiar with the patient’s background.“It’s good when we already have some experience with the patient. What is their health history? Are they nervous?
Do they want to be awake? We can provide sedation if the patient requests it or is anxious. It’s a collaboration.”

Pain intervention services are delivered in a
surgical setting for increased patient safety.

In addition to spinal injections, the interventional pain program also performs joint and trigger point injections. Memorial plans to grow these services over time. In the near future we also will start treatment for chronic migraines and cervical dystonia (muscle spasm) with targeted Botox injections. The department “is very cutting edge. We will be the only one in the region offering this treatment,” said Chase.

Memorial Hospital pain intervention services include: 

  • Epidural Steroid Injections (both interlaminar and transforaminal)
  • Facet Joint, Sacroiliac Joint, and Selective Nerve Root: Diagnostic and Therapeutic Neurotomies
  • Intraarticular joint injections with Regenerative "Biologics"
  • Intramuscular and Trigger Point Injections, using either anti-inflammatories and/or Botox.
  • Epidural Steroid Injections (a minimally-invasive procedure that is used to treat neck, shoulder, arm, back, and leg pain resulting from inflammation of spinal nerve roots)
  • Medial Branch Blocks/Facet Joint Injections (to both diagnose and treat pain emanating from the small joints of the spine, performed under live X-ray guidance).
  • Major Joint (Shoulder, Hip, and Knee) Injections (used to treat pain stemming from a variety of causes, including osteoarthritis).

For more information, call Memorial Hospital at 603-356-5461 or visit our website



About Memorial Hospital
Memorial Hospital is a not-for-profit 25-bed Critical Access Hospital located in North Conway, NH, and is a member of the MaineHealth family. Its hospital services include a 24-hour emergency department, surgery center, clinical laboratory, heart health & wellness programs, imaging services, cardiopulmonary care, family birthing center, oncology, chemotherapy and infusion services. Practices include primary care and family medicine, diabetes care, behavioral health, women's health, podiatry, orthopedics and physical therapy. Memorial Hospital is also home to The Merriman House nursing home, which provides senior care services in a comfortable, home-like setting. For more information,  or call 603-356-5461.

News from Around MaineHealth

View All
New Memorial Pediatrician Advocates “Whole-of-Society” Approach To Connect Kids With Resources
Dr. Charlotte Helvie, Memorial Hospital’s newest pediatrician, believes patient care happens as much in the community as in the exam room.
41st Annual Memorial Hospital Golf Tournament Tees Up, Supports New Cause
Memorial Hospital will host its 41st annual golf tournament on Thursday, July 22, 2021 at the North Conway Country Club.
Memorial Hospital Welcomes New Primary Care Physician with a Specialization in Rural Health
Like many during the coronavirus pandemic, Dr. Peter Murphy, left the city for the mountains. Dr. Murphy, a new primary care physician at Memorial Hospital, he says he “always wanted to come back to rural medicine.”
Memorial COVID-19 Vaccine Clinic Passes 10,000 Doses
The Memorial Hospital vaccine clinic administered its 10,000th dose of COVID-19 vaccine yesterday (April 8, 2021).
High Scores for Merriman House in Recent State Survey
The residents and staff at Merriman House at Memorial Hospital are celebrating a deficiency free survey from the New Hampshire Department of Health and Human Services (DHHS).
Memorial Hospital Launches Interventional Pain Service
For many patients suffering with chronic pain, narcotics are a common choice to manage their pain. Helping patients better manage pain without turning to narcotics is the goal of the interventional pain clinic at Memorial Hospital.
Memorial Hospital’s New Winter Challenge Encourages Outdoor Activity for Students and Teachers
February was a flurry of outdoor activity for our local schools who participated in the WinterGames sponsored by the Memorial Hospital Let’s Go! program.
Memorial Hospital Healthcare Scholarship Applications are Now Available
Applications are now available for Memorial Hospital’s healthcare scholarships to support students in the community pursuing careers in health-related fields.
New Emergency Medicine Director Brings a World of Experience to Memorial
Dr. Williams took the helm of Memorial’s Emergency Department in November. He coordinates the activities of numerous professionals including physicians, advance practice providers, nurses, and other health care workers.
Memorial Welcomes Physician Assistant to Orthopedics Practice
Noelle Palmstrom joins an orthopedic team diagnosing and treating patients with a variety of musculoskeletal injuries including joint replacement, broken limbs, and major and minor sprains.