Des Moines University - Osteopathic Medical Center, Des Moines, Iowa
Internship
University of Massachusetts, Worcester
Residency
Mayo Clinic, Rochester, Minnesota - Physical Medicine and Rehabilitation
Board Certification
Physical Medicine and Rehabilitation
Fellowship Credentials
Mayo Clinic, Rochester, Minnesota - Pain Medicine, Department of Anesthesia
About
Dr. Terrence R. McNamara is a board-certified Physiatrist and Pain Physician with a focus on Physical Medicine and Rehabilitation. He completed his residency and fellowship at the Mayo Clinic, and currently serves as the Medical Director of Pain Medicine at Monadnock Community Hospital in Peterborough, New Hampshire. With nearly 15 years of experience in the Monadnock area, Dr. McNamara offers specialized services for spine pain, joint/muscle pain, and general pain management.
His treatment options include various injections, medication prescriptions, physical therapy, and acupuncture for spine and musculoskeletal pain. Additionally, he provides non-surgical options such as guided injections, physical modalities, and unique services like cooled radiofrequency ablation for knee pain and Botox for migraine headaches.
Outside of his medical practice, Dr. McNamara is actively involved in the community, having coached youth sports and varsity lacrosse at Conval High School. When not in the office, he can often be found supporting his children at sports events and spending time with his family.
LEADERSHIP ROLE Monadnock Community Hospital — Medical Director of Pain Medicine
SPECTRUM OF
TREATMENT OPTIONS Comprehensive Evaluation
Epidural Steroid Injections
Botox A for Migraine Headaches
Cooled RF Technology for Knee Pain
Hip And Other Major Joint Injections
Lumbar, Cervical, and Thoracic Facet Injections
Medial Branch Blocks / Radiofrequency Ablation
Medication and Physical Therapy Prescriptions
Sacroiliac Joint Injections
Ultrasound-guided Joint, Bursa and Nerve Block Injections
OTHER SERVICES
Japanese-style Acupuncture for Spine and / or Musculoskeletal Pain
Osteopathic Manual Medicine
Testimonials
What Hillary has to say
Comprehensive and Caring Orthopedic Care
“Dr. McNamara and monadnock orthopedics are great! I have been dealing with back pain for most of my life and they take good care of me there. McNamara’s assessment was very thorough, he had helpful suggestions for home exercises, and he was able to administer trigger point injections in office the same day. The office responds quickly to requests and the DOs advocate for their patients to receive the proper diagnostic imaging/best care possible.” – Hillary
What Theresa has to say
Thorough and Collaborative Approach
“Dr. McNamara is awesome!! Everyone in the office is very nice! Scheduling is convenient. Dr. McNamara is very knowledgeable. He’s very thorough and let’s you know what he is doing step by step before proceeding. He listens to what I have to say. Dr. McNamara includes me in the decision making on how we are proceeding forward.” – Theresa
What S has to say
Life-Changing Pain Management Expertise
“I have been a patient of Dr. McNamara’s for over ten years. I live with a rare chronic pain condition, and Dr. McNamara has helped me both manage the pain and improve my quality of life. He is very knowledgeable in the science of pain medicine, and he is a highly skilled practitioner of both trigger point and epidural injections. Most importantly, though, Dr. McNamara works with his pain patients to find what works best for them, and to adjust their pain management plan when necessary. I highly recommend this excellent pain management physician.” -S
What Julie has to say
Exceptional Pain Management with a Personal Touch
“I’ve been seeing Dr. McNamara for pain management. He is one of the best doctors that I’ve ever seen. I have come such a long way under his care. Dr. McNamara is a great listener, so knowledgeable and experienced in his field.” -Julie
What Kelly has to say
Two Decades of Compassionate Care
“I have been seeing Dr. McNamara for 20+ years. He has been a lifesaver, helping me with Migraines & Hip pain. I am very lucky that I found him. He is kind and listens to what you are having lots of pain with. His office staff are kind and very helpful.” -Kelly
What Matthew has to say
Freedom of Movement Restored
“Dr MacNamara and his whole team have been taking great care of me for some years now. He has performed multiple procedures for my OA including one in 2024. The results are game changing for me because my symptoms are much less and my freedom of movement is much greater. Highly recommended!” -Matthew
What Sue has to say
Patient-Centered and Worth the Wait
“He listens well and performs appropriate treatments after discussion with you. It does take a while to get an appointment with him so you have to be patient but it is worth it. Once in you schedule it as suggested like every 3 months and then you are all set. He is definitely worth it!” -Sue
What David has to say
Painless Procedures and Expert Guidance
“I think Dr. McNamara is one of the best doctors that I have ever had work on my body… His procedures were absolutely painless. He explains everything he is going to do in great detail in advance, which I appreciate greatly. Most recently, he preformed a radio frequency ablation on my knee prior to replacement surgery. Again, the procedure was painless and has reduced reduced the pain in my knee significantly. I would recommend him to any of my friends in a heartbeat.” – David
What Alllen has to say
Confidence in Personalized Treatment Plans
“Great visit with Dr. McNamara! Friendly, understanding and extremely competent. Spent time with me and helped with my ankle situation. His guidance on next steps with my shoulder gave me the confidence to move forward with a treatment plan. Highly recommend Dr. McNamara.” -Allen
What Judith has to say
Persistent, Thoughtful, and Effective
“Dr. McNamara is an excellent pain doctor as well as a very thoughtful and caring person. From diagnosis to solution he is very persistent. He has helped me with everything from a problem within my spinal cord to lower back pain and other issues as well. He’s so fantastic he needs to be cloned!!” -Judith
What Theresa has to say
Time, Attention, and Excellent Care
“I have been a patient of Dr. McNamara for many years. He always takes the time to listen to me and to fully explain any procedures to be certain I understand the plan of care. I never feel rushed and I am very pleased with the care I receive. I would highly recommend Dr. McNamara.” -Theresa
What Cheryl has to say
Pinpoint Precision in Pain Relief
“Doctor McNamara is amazing!… He pin pointed the area and I feel like dancing again! So amazing he’s a A-Plus in my book Thank you.” -Cheryl
What Holly has to say
Outstanding Care and Professionalism
“Dr. McNamara has been outstanding… The staff is always welcoming and professional. I highly recommend Dr. McNamara!” -Holly
What Mark has to say
Comfortable Appointments with Clear Communication
“Appointments are very comfortable, pleasant to talk with, explains everything while doing procedures.” -Mark
What Mark has to say
Innovative Orthopedic Solutions That Work
“Have you ever had so much back pain that you didn’t know what to do? Did you ever wish a doctor could help you deal with your unimaginable pain? I know I have, and I found the guy. No, I’m not talking some magic drug. I’m talking about an amazing orthopedic surgeon, Dr. Terrence McNamara in Peterborough, NH. Now I know what you’re thinking … after my initial back surgery, the last thing I wanted was for someone to open me back up again. But Dr. Mac uses this much less invasive technique that he’s perfected over a thousand times with incredible results. It’s not my place to explain how it works, but I am here to tell you that it really does work and that Dr. Mac truly has given my life back to me. Sounds too good to be true? I know that I sound like an infomercial, but you really have to meet him to find out what he can do for you. I hope he can do for you what he’s done for me.” -Mark
What Laura has to say
Timely Care and Ongoing Support
“I am beyond thrilled with the care I’ve received over the last 2 years. He was happy to continue my care from my prior ortho and never rushes me. When I had a sudden flare he was quick to get me in and get a plan in place. Highly recommend!” -Laura
What Sophia has to say
Trustworthy and Meticulous Treatment
“Dr McNamara has a very clean space when he sees me. He is very careful when he does OMT for me. I have complete trust I him.” -Sophia
What Dan has to say
Highly Recommended Expertise and Outcomes
“Very happy with the procedure and outcome. I would highly recommend!” -Dan
What Laszlo has to say
Simply the Best!
“Dr. McNamara is the best!” -Laszlo
What Christina has to say
Professional and Accommodating Care
“Dr. McNamara is very professional and personable, and does a great job trying to accommodate his patients.” – Christina
"Dr. McNamara and monadnock orthopedics are great! I have been dealing with back pain for most of my life and they take good care of me there. McNamara’s assessment was very thorough, he had helpful suggestions for home exercises, and he was able to administer trigger point injections in office the same day. The office responds quickly to requests and the DOs advocate for their patients to receive the proper diagnostic imaging/best care possible." - Hillary
"Dr. McNamara is awesome!! Everyone in the office is very nice! Scheduling is convenient. Dr. McNamara is very knowledgeable. He's very thorough and let's you know what he is doing step by step before proceeding. He listens to what I have to say. Dr. McNamara includes me in the decision making on how we are proceeding forward." - Theresa
"I have been a patient of Dr. McNamara's for over ten years. I live with a rare chronic pain condition, and Dr. McNamara has helped me both manage the pain and improve my quality of life. He is very knowledgeable in the science of pain medicine, and he is a highly skilled practitioner of both trigger point and epidural injections. Most importantly, though, Dr. McNamara works with his pain patients to find what works best for them, and to adjust their pain management plan when necessary. I highly recommend this excellent pain management physician." -S
"I’ve been seeing Dr. McNamara for pain management. He is one of the best doctors that I’ve ever seen. I have come such a long way under his care. Dr. McNamara is a great listener, so knowledgeable and experienced in his field." -Julie
"I have been seeing Dr. McNamara for 20+ years. He has been a lifesaver, helping me with Migraines & Hip pain. I am very lucky that I found him. He is kind and listens to what you are having lots of pain with. His office staff are kind and very helpful." -Kelly
"Dr MacNamara and his whole team have been taking great care of me for some years now. He has performed multiple procedures for my OA including one in 2024. The results are game changing for me because my symptoms are much less and my freedom of movement is much greater. Highly recommended!" -Matthew
"He listens well and performs appropriate treatments after discussion with you. It does take a while to get an appointment with him so you have to be patient but it is worth it. Once in you schedule it as suggested like every 3 months and then you are all set. He is definitely worth it!" -Sue
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"Great visit with Dr. McNamara! Friendly, understanding and extremely competent. Spent time with me and helped with my ankle situation. His guidance on next steps with my shoulder gave me the confidence to move forward with a treatment plan. Highly recommend Dr. McNamara." -Allen
"Dr. McNamara is an excellent pain doctor as well as a very thoughtful and caring person. From diagnosis to solution he is very persistent. He has helped me with everything from a problem within my spinal cord to lower back pain and other issues as well. He’s so fantastic he needs to be cloned!!" -Judith
"I have been a patient of Dr. McNamara for many years. He always takes the time to listen to me and to fully explain any procedures to be certain I understand the plan of care. I never feel rushed and I am very pleased with the care I receive. I would highly recommend Dr. McNamara." -Theresa
"Have you ever had so much back pain that you didn’t know what to do? Did you ever wish a doctor could help you deal with your unimaginable pain? I know I have, and I found the guy. No, I’m not talking some magic drug. I'm talking about an amazing orthopedic surgeon, Dr. Terrence McNamara in Peterborough, NH. Now I know what you’re thinking … after my initial back surgery, the last thing I wanted was for someone to open me back up again. But Dr. Mac uses this much less invasive technique that he’s perfected over a thousand times with incredible results. It’s not my place to explain how it works, but I am here to tell you that it really does work and that Dr. Mac truly has given my life back to me. Sounds too good to be true? I know that I sound like an infomercial, but you really have to meet him to find out what he can do for you. I hope he can do for you what he’s done for me." -Mark
"I am beyond thrilled with the care I've received over the last 2 years. He was happy to continue my care from my prior ortho and never rushes me. When I had a sudden flare he was quick to get me in and get a plan in place. Highly recommend!" -Laura