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Rediscover Life Without Pain

If you are experiencing chronic pain that will not subside (pain lasting more than three months), taking medications to manage pain but finding them ineffective, trying to avoid surgery, or unable to pinpoint the true source of your pain, then it’s time to see a pain management specialist.
Pain management services are specialized healthcare offerings designed to assess, diagnose, and treat various types of pain. These services aim to improve a patient’s quality of life by reducing pain levels and enhancing daily functioning through a combination of medical and interventional approaches.
Our mission is to provide compassionate, patient-centered care using advanced interventional techniques to effectively diagnose and treat chronic pain. We are committed to improving our patients’ quality of life by reducing pain, restoring function, and promoting overall well-being through minimally invasive procedures, cutting-edge technology, and a multidisciplinary approach. With a focus on safety, innovation, and personalized treatment plans, we empower our patients to regain control of their lives and achieve long-term relief.
Our pain physicians have extensive experience in treating a wide range of pain conditions. We specialize in non-opioid interventional pain management and will work with you to identify the source of your pain and explore various management strategies. Additionally, we collaborate closely with your physical therapists and primary care physician to develop a personalized treatment plan.
  • Improved quality of life and daily function
  • Reduced dependence on medication (especially opioids)
  • Enhanced mobility and physical activity
  • Better mental health and emotional well-being
  • Prevention of long-term disability

Some of the Common conditions treated include:

  • Back pain
  • Neck pain
  • Joint pain
  • Headaches
  • Musculoskeletal pain
  • Pain related to cancer
  • Spinal compression fractures
  • Spinal arthritis
  • CRPS
  • Peripheral Nerve Injuries
  • Pelvic Pain

Injection-based treatments for pain management include several options tailored to specific conditions.

Epidural Steroid Injections (ESI)
Epidural steroid injections (ESI) involve the administration of corticosteroids into the epidural space of the spine to reduce inflammation and pain, commonly used for sciatica, herniated discs, spinal stenosis, and chronic back pain.

Facet Joint Injections
Facet joint injections, which deliver a local anesthetic and steroid into the spine’s facet joints, are effective for arthritis-related back and neck pain, offering immediate relief and helping to identify the source of discomfort.

Sacroiliac (SI) Joint Injections
A sacroiliac (SI) joint injection is a minimally invasive procedure used to diagnose and treat pain originating from the sacroiliac joint, which connects the lower spine to the pelvis. This injection consists of a combination of a local anesthetic and a corticosteroid, which helps reduce inflammation and alleviate pain. It is commonly recommended for patients experiencing lower back pain, buttock pain, or leg pain caused by conditions such as sacroiliitis or SI joint dysfunction.

Trigger Point Injections
Trigger point injections, involving a local anesthetic or steroid injected into muscle knots, are used for conditions such as myofascial pain syndrome, fibromyalgia, and muscle spasms, providing immediate pain relief and improved muscle function.

Nerve Blocks
Nerve blocks, which temporarily numb pain pathways, are beneficial for chronic regional pain syndrome (CRPS), migraines, and post-surgical pain, offering fast relief and diagnostic value.

Radiofrequency Ablation (RFA)
Radiofrequency ablation (RFA) uses heat to destroy pain-causing nerve fibers and is commonly used for chronic back, neck, and joint pain, offering relief that can last six to twelve months or longer.

Minimally Invasive Lumbar Decompression (MILD) Procedure
The Minimally Invasive Lumbar Decompression (MILD) procedure is a safe, outpatient treatment designed to relieve pain caused by lumbar spinal stenosis (LSS). It effectively reduces pressure on the spinal nerves by removing excess ligament tissue through a tiny incision, restoring space within the spinal canal. Patients with lumbar spinal stenosis who experience persistent lower back and leg pain, difficulty standing or walking for extended periods, limited relief from physical therapy or medications, or a desire to avoid major surgery may benefit from this procedure.

The MILD procedure works through a minimally invasive approach. A small, image-guided incision is made in the lower back, and specialized tools remove small portions of thickened ligament, relieving pressure on the nerves. The procedure requires no implants or sutures, allowing natural healing to occur. Most patients resume normal activities within days, making it a convenient alternative to major surgery.

There are several benefits of the MILD procedure. It is minimally invasive, requiring no general anesthesia or hospital stay. It has been FDA-cleared and has a low complication rate, making it a proven safe option. Studies show that patients experience long-lasting relief from pain and improved mobility. Additionally, patients can walk within hours of the procedure and return to their normal activities much faster than with traditional surgery.

After the procedure, patients can expect a same-day discharge and return home after a short recovery period. Most individuals experience minimal downtime, resuming light activities within a few days, with gradual improvement in symptoms over the following weeks.

Spinal Cord Stimulation (SCS)
Spinal cord stimulation (SCS) involves implanting a small device near the spine that delivers electrical pulses to block pain signals, commonly used for neuropathic pain, failed back surgery syndrome, and CRPS, reducing pain without the need for medication.

Intrathecal Pain Pumps
Intrathecal pain pumps, which deliver pain medication directly to the spinal fluid through a small implanted device, are beneficial for severe chronic pain and cancer pain, significantly reducing the need for oral medications.

Kyphoplasty and Vertebroplasty
Kyphoplasty and vertebroplasty, which involve injecting bone cement into fractured vertebrae, are highly effective for osteoporosis-related spinal fractures, providing immediate pain relief and restoring spinal stability.

Other Advanced Treatments
Other advanced treatments include sympathetic nerve blocks, which target pain originating from the sympathetic nervous system, and peripheral nerve stimulation (PNS), an implantable device that delivers electrical signals to targeted nerves to alleviate chronic pain. Each of these treatments offers unique benefits and is selected based on the patient’s specific pain condition, ensuring a comprehensive and personalized approach to pain management.

Cancer pain is discomfort or distress caused by cancer itself or its treatments. It can result from the tumor pressing on nerves, bones, or organs, or from inflammation and damage to tissues. Cancer-related pain can be acute or chronic, mild to severe, and may present as dull, sharp, burning, or aching sensations. Nerve damage from chemotherapy, radiation, or surgery can also lead to neuropathic pain, which may persist even after treatment. Effective pain management often requires a combination of medications, interventional procedures, and supportive therapies tailored to the patient’s needs to improve their quality of life.

For more targeted pain relief, interventional pain management techniques may be used. Nerve blocks, such as celiac plexus blocks for abdominal cancer pain or lumbar sympathetic blocks for lower body pain, can provide significant relief by numbing pain pathways. Epidural and intrathecal pain pumps offer another option by delivering pain medication directly to the spinal fluid, reducing the need for high doses of oral opioids. Radiofrequency ablation (RFA) can also be beneficial for long-term relief by using heat to destroy pain-causing nerves, particularly in cases of bone cancer or nerve-related pain. Spinal cord stimulation (SCS) and peripheral nerve stimulation (PNS) use electrical impulses to block pain signals before they reach the brain, helping reduce opioid dependency and providing adjustable pain relief.

Rengarajan Janakiraman M.D.​
Rengarajan Janakiraman M.D.
Erin Migliaro, APRN
Erin Migliaro, APRN​