Pain physician Joseph Shurman gives patient Ginny Dowling a greater occipital nerve block injection of a long-lasting local anesthetic. Dowling, an Encinitas resident, has chronic pain from a car accident a decade ago. <BR><small><B> BRADLEY J. FIKES </B>Staff Photographer</small> <BR><A HREF="https://secure.townnews.com/nctimes.com/forms/photo_services/linkorder.php?des= BRADLEY J. FIKES / Pain physician Joseph Shurman gives patient Ginny Dowling a greater occipital nerve block injection of a long-lasting local anesthetic. Dowling, an Encinitas resident, has chronic pain from a car accident a decade ago. " target="new">Order a copy of this photo</A> <BR> <A HREF="http://www.nctimes.com/news/photogallery/" target="new">Visit our Photo Gallery</A><br> <hr width="250">
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