Treatments built to get you back to healed.
No matter what has brought you to North American Spine & Pain, we aim to have you leave the same way — healed. From image-guided injections to advanced interventional procedures, here are the treatments our board-certified pain physicians use to find the source of your pain and relieve it.
How we work
Treating the pain — and its cause.
A pain management doctor specializes in diagnosing, evaluating, and treating pain — from acute discomfort after an injury to long-standing chronic pain. The goal is always the same: reduce the pain and restore how you live.
A plan built around your pain
Every patient's pain is unique. We consider the cause, intensity, duration, and any underlying health issues, then build a treatment plan that fits — often combining medication, procedures, and therapies so we treat the problem from more than one angle.
- Acute pain — a sharp alarm from an injury, surgery, or fracture
- Chronic pain — pain that lingers for weeks, months, or years
- Neuropathic pain — burning or shooting pain from damaged nerves
Multimodal, interventional care
Our physicians complete a residency in anesthesiology, neurology, or physical medicine and rehabilitation, plus a fellowship in pain management. We pair medical management with image-guided interventional procedures and coordinate with physical therapists, neurologists, and other specialists for comprehensive care.
- Prescription anti-inflammatories and nerve-stabilizing medications
- Epidural, facet, joint, and nerve-block injections
- Regenerative therapies and advanced interventional options
Targeted relief,
delivered precisely.
Injections deliver medication directly to the source of pain under live imaging. Several of these have their own detailed page — follow the links to learn more about each.
Epidural steroid injections
Lumbar and cervical epidural injections reduce inflammation around irritated nerve roots, easing lower-back, neck, and radiating arm or leg pain. See the transforaminal epidural steroid injection page.
Facet & medial branch blocks
Injections into the small facet joints — and diagnostic medial branch blocks — help locate and relieve back and neck pain from arthritis or degeneration.
Joint & sacroiliac injections
Steroid injections into the SI joint or joints like the knee, shoulder, and hip reduce inflammation and improve mobility.
Nerve blocks
Targeted blocks — sympathetic, stellate ganglion, occipital, and more — interrupt pain signals along specific nerves. See the sympathetic nerve block page.
When pain needs
more than an injection.
For pain that hasn't responded to first-line treatment, we offer minimally invasive procedures that target the nerves carrying the pain signal — several with dedicated pages.
Radiofrequency ablation
Also called a rhizotomy, RFA 'turns off' nerve endings connected to arthritic facet joints for long-term relief. The nerves heal over time, and the procedure can be repeated as needed. See the radiofrequency ablation page.
Dorsal root ganglion stimulation
DRG stimulation targets the sensory nerves of the dorsal root ganglion for greater precision when treating focal lower-body pain. See the DRG stimulation page.
Spinal cord stimulation
An implanted device sends electrical impulses to where you'd typically receive an epidural, letting you control your pain relief with a remote.
Minimally invasive spine procedures
Options such as MILD decompression, kyphoplasty, Vertiflex, and microdiscectomy relieve pressure on compressed nerves and stabilize the spine.
What to expect when you come in.
Come prepared
Bring your medical records, a list of medications, and any prior imaging like X-rays or MRIs. A short pain diary helps too.
Talk it through
Your doctor reviews your history and asks about your pain — how it began, how it feels, and what makes it better or worse.
Get examined
A targeted physical exam assesses pain points and mobility. Further tests like an MRI or nerve study may be ordered to pinpoint the cause.
Build your plan
We develop a personalized treatment plan and explain what to expect — plus how to manage your condition at home.
Common questions
How do I know if I need to see a pain management doctor?
Consider a visit if you have ongoing pain that doesn't improve with standard or over-the-counter treatments, a chronic condition like arthritis, back pain, or neuropathic pain that affects daily life, or pain that persists beyond the expected recovery period after surgery.
What qualifications should I look for in a pain management doctor?
Look for board certification in pain medicine or a related specialty, additional training in interventional pain management techniques, and experience with your specific pain condition.
Are there any risks associated with pain management treatments?
As with any medical care, there can be risks — possible side effects from medications, and risks like infection, nerve damage, or bleeding with interventional procedures. Certain medications also carry a risk of dependency or tolerance. Your doctor will discuss these with you.
How long does it typically take to find relief?
It varies by treatment and by individual. Some treatments, like medication adjustments, may offer quicker relief, while physical therapy or interventional procedures can take longer to reach their full effect.
Will I need to keep seeing a pain management doctor long-term?
It depends on your condition. Some chronic conditions need ongoing management, while acute pain may only need short-term care. Plans are adjusted over time as you respond.
Ready to find real relief?
Book with a board-certified pain physician at a location near you. Our team will help you find the most effective treatment plan to improve your quality of life.