Our office requires a physician referral for all new patients. 

We treat a variety of pain, including: 

Back Pain
Low Back Pain
Neck Pain
Head Pain
Leg Pain
Muscle Pain
Arm Pain
Abdominal Pain
Nerve Pain
Shoulder Pain
Knee Pain
Hand Pain

Many chronic pain conditions can be treated with injection type therapies. We perform these injections in our in-office suites, which contains C-arm flouroscopy, lead-lined walls, and patient monitoring equipment. Our experienced physicians are board-certified in anesthesia and pain medicine. This allows patients to recieve safe, appropriate sedation when needed.

Listed below are some of the procedures commonly preformed in our practice:

• anti-inflammatory steroid injected in the spine at or near the source of pain
• used to help neck, back and leg pain
• usually takes 5-10 days to reach maximum effect

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• used to treat arthritis of the SI joint, as well as referred pain in abdomen, hip, buttocks, and legs
• usually takes 5-10 days to reach maximum effect

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• concentrated anesthetic used to temporarily numb affected nerves
• used as a diagnostic test – tells about the location and possible source of pain
• patient must be in pain when they come in for this appointment

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• neurolytic technique used to destroy the nerve(s) causing pain
• only performed after a positive facet, medial, or lateral branch block
• expect maximum results in 1-3 weeks following procedure

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• freezing temperatures are used to deaden the nerves responsible for pain
• only performed after a positive block
• used in place of radiofrequency for certain nerves and areas of the body

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• injection in the neck area
• used to treat sympathetic disorders in upper extremities, head & neck – particularly RSD (reflex sympathetic dystrophy)

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• local anesthetic administered in the lumbar spine
• blocks the sympathetic nerves which innervate the lower extremities
• may help reduce pain, redness, swelling, as well as increase mobility

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• cement injected into vertebral body at fracture site
• used to stop pain caused by fractures
• post-procedural soreness may occur, but pain relief is often immediate

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• dextrose is injected at the site of attachment of a bone with a ligament or tendon
• used to treat many cases of musculoskeletal pain

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• anti-inflammatory medications injected into joint
• used to treat inflammatory or degenerative joint conditions
• performed on shoulder, hip and knee joints

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• an implantable medical device generates an electrical paresthesia (tingling) sensation that alters the perception of pain
• used to treat chronic pain of neuralgic origin
• a 3-7 day trial stimulator is used before the permanent unit to insure success

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• an implantable pump is placed in the abdomen, with a catheter that delivers small doses of medications directly to the cerebrospinal fluid
• a trial pump is done before the permanent pump to insure success
• both the trial and permanent IT pump procedures are performed at a local hospital

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• used to treat headaches

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• local anesthetic injected in myofascial trigger points
• used to treat pain caused by muscles tension, aka “knots” in neck, low back, arms and legs

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• steroid and/or local anesthetic as close to a specific nerve as possible
• usually not considered long-term treatment; more often used to determine which nerve is causing pain

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• medication is injected around the greater and lesser occipital nerves – located on the back of the head
• helps with migraine headaches
• a positive block may indicate a successful cryotherapy

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We also perform other pain management services, including:

• an “initial visit” is usually required before procedures will be performed
• this visit allows patients and our providers to meet each other and to decide together what will be the best treatment option
• we are only taking new patients on a referral basis

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• our psychologist does individual therapy to teach patients good coping strategies for dealing with their pain
• psychological evaluations are needed before the placement of both the Spinal Cord Stimulator and IT Pump
• this service only provided on Monday when Dr. Pennington comes in

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We understand that even with these methodologies, we may not have the total solution. Therefore, we also work to coordinate patient care in conjunction with other specialists such as physiatrists, physical therapists, neurosurgeons, rehabilitation facilities, and psychologists.

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