image1

Stages of Our Pain Program

  • Evaluate, identify, and understand the root cause of the pain.
  • Review and implement appropriate medication regimen.
  • Learn how to modify/address the environment  contributing to your pain whether it is physical, emotional, relational, spiritual, etc. 
  • Provide support on how to identify and cope with high-risk pain situations and related emotional challenges.

image2

Pain Evaluation and Treatments

  • Comprehensive Pain Assessment.
  • Implement appropriate pain injections.
  • Adjust medication alternatives.
  • Explore alternative modalities - Acupuncture/Meditation/Massage/Stretching.
  • Fitness Restoration - such as Aquatic/Chiropractic/Physical Therapy.
  • Awareness/Education - appropriate medication versus addictive pain medication.
  • Establish a Pain Counselor.

image3

Pain Program Goals

  • Understand the origin or cause of pain.
  • Recovery from dependency and addiction.
  • Maintain an agreed upon treatment plan.
  • Safe and effective medication management.
  • Restore physical activities by accepting your body's abilities.
  • Able to decrease stress and anxiety by increasing awareness of activities and/or triggers that cause pain and injury.       

List of Common Conditions We Treat

Low back pain

Neck pain
Herniated disks

Degenerative disc disease

Spinal stenosis

Vertebral compression fractures 

SI joint pain
Sciatica
Knee pain

Hip pain

Shoulder pain
Cancer pain

Headaches (tension, migraines, cluster) 

Osteoarthritis/Rheumatoid arthritis pain
Chronic regional pain syndrome (CRPS, RSD)
Fibromyalgia
Diabetic neuropathic pain

Postherpetic neuralgia
Phantom limb pain syndrome 

Opioid induced hyperalgesia

Opioid withdrawal management

Opioid induced mood disorders

Opioid drug seeking behaviors

image4
image5

Pain Injections

Many pain conditions improve with injections and nerve blocks. They help decrease local inflammation to help decrease pain. There are also minimally invasive nerve ablation procedures  that help relieve pain by destroying nerves in the spine, knee, hip, and other places.

  • Epidural steroid injections
  • Medial branch blocks
  • Lumbar sympathetic blocks
  • Joint Injections (Sacroiliac, Lumbar Facet, Shoulder, Hip, Knee)
  • Nerve Block Injections
  • Sympathetic ganglion blocks
  • Trigger Point Injections
  • Radio Frequency Ablation
  • Kyphoplasty/Vertebroplasty



Spinal Cord Stimulation

The Spinal Cord Stimulator is an implantable device that sends electrical impulses to the areas of the spinal cord causing the pain and interferes with the transmission of pain signals to the brain. It blocks the brain's ability to sense pain in the stimulated areas, thus relieving pain without the side effects that medications can cause. The electrical impulses can be targeted to specific locations and, as pain changes or improves, stimulation can be adjusted as necessary. 



Non-opioid Pain Medication

Non-opioid pain medications can often complement your existing pain management treatment.  There are several types of pain medications. Some of the medications listed are available over-the-counter (OTC). Others may be prescribed to you depending on the severity of the pain, its duration and your medical history. These non-opioid pain medications can be used to supplement your existing pain management regimen.


  • Non-steroidal anti-inflammotory (NSAIDs, Naproxen, Ibuprofen, etc.) 
  • Muscle relaxants (Tizanidine, Methocarbamol, etc.)
  • Anti-epileptics (Pregabalin, Gabapentin)
  • Anti-depressants (Trazadone, Amitriptyline)
  • Topical ointments or patches (Lidocaine)




Chronic Pain Anonymous - A 12 Step Program for Pain

 "Chronic Pain Anonymous (CPA) is a fellowship of men and women who share their experience, strength, and hope with each other so that they may solve their common problem and help others recover from the disabling effects of chronic pain and chronic illness.  The only requirement for membership is a desire to recover from the emotional and spiritual debilitation of chronic pain and chronic illness." 

                                                                                      from chronicpainanonymous.org