Pain Treatment Options

Medications, Injections, Physical Therapy, and More 

Botox Therapy

To alleviate chronic daily migraine suffers.

High Frequency Spinal Cord Stimulation Neuromodulation

High frequency neuromodulation is a nondrug treatment option for painful diabetic neuropathy and other chronic pain such as failed laminectomy and lumbar radicular pain. It's a small device, placed in an outpatient procedure that safely works inside your body to quiet the pain signals. This provides significant long-term relief from painful diabetic neuropathy, back, and leg pain. A trial of the technology is first performed to determine if it is effective at relieving your pain. If effective, the system is implanted in a second procedure.

Implantable Techniques

Implantable techniques may be appropriate for you if you experience chronic pain related to cancer, failed back surgery or spasticity. These interventions include spinal cord stimulation, tunneled epidural or spinal catheters used for pain medication.

Injection Therapies

Injection therapies can often provide relief. Injected anesthetics (numbing) and anti-inflammatory medication are delivered, via injection, directly to the site's origin of pain.

Integrative Therapies

Referrals for Reiki, massage, behavioral counseling, chronic pain support groups, chronic disease management, and medication management may be made after you meet with your pain management specialist.

Intracept (Radiofrequency Basivertebral Nerve Ablation)

Intracept is a minimally invasive outpatient procedure that targets the basivertebral nerve for the relief of chronic vertebrogenic low back pain. The intracept procedure provides a treatment option for patients who have not responded to conservative therapy. It’s implant-free and preserves the structure of the spine.

Joint Injections

Joint injections of the shoulder and hip under ultrasound or fluoroscopy guidance are available.

Kyphoplasty

Kyphoplasty is a minimally invasive treatment that can repair spinal fractures caused by osteoporosis. A small pathway is made into the fractured bone, and an orthopedic balloon is inserted. The balloon is carefully inflated to raise the collapsed vertebra. The balloon is then deflated and removed, creating a cavity, or space, within the vertebral body. The cavity is filled with a special cement to support the surrounding bone and prevent further collapse.

Medication Therapy

Working with your primary care physician, we will review and optimize your pain medication therapy.

Minimally Invasive Lumbar Decompression (MILD)

MILD is a procedure in which a device the diameter of a paper hole punch is inserted down to the spine to decompress the nerves being pinched by lumbar spinal stenosis. Lumbar spinal stenosis is a narrowing of the spinal canal causing low back, buttock, and leg pain. Patients often feel numbness or heaviness with walking or standing. The symptoms usually resolve shortly after leaning forward or sitting. This is a procedure for those who have failed conservative and injection therapies. It’s a much less invasive step before considering a more involved spinal decompression surgery.

Physical and Occupational Therapy

Sometimes it is appropriate for us to refer you for physical and/ or occupational therapy. In addition to improving muscle strength and flexibility, physical and occupational therapies can offer pain-relieving techniques such as balance and gait training, , deep-tissue massage, acupressure, and heat and cold treatments.

Radio Frequency Nerve Ablation (RFNA)

Reduced pain is achieved with the use of an electrical current which heats up a small area of nerve tissue, thereby selectively destroying nerves that carry pain impulses. RFNA provides longer lasting pain relief than traditional nerve blocks. Our Coolief technology creates a radiofrequency lesion 8 times larger than the standard radiofrequency.

Synvisc Injections

Is for treatment of pain caused by osteoarthritis of the knee and can provide up to six months of knee pain relief.