Pain Management Overview

When you have a problem with your heart, you see a cardiologist. When you have cancer, you see an oncologist. What about when you have pain? Unfortunately, it is not so simple. You may start off with your primary care physician and then referred to an orthopedic surgeon. How did you go from ouch to under the knife?  Or perhaps you started with a physical therapist or chiropractor, but are not improving.  What do you do next?

History of Pain Management:

The treatment of pain as a disease truly requires the knowledge and expertise of a pain management specialist. The field of chronic pain management was formed in the 1980’s as a convergence between several different specialties (see table below). Each discipline contributes a unique perspective to the field; however, mastering the right combination is what separates a pain specialist from imposters. Many providers claim to be pain specialists, but few have undergone the necessary training and even less have the board certification to prove so. Often seeing one of those other physicians leads to poor care, no improvement, and lots of frustration!


Medical Skill/Treatment
Anesthesiology Acute, Chronic, Cancer Pain Needle skills, regional anesthesia, spinal anesthesia
Neurology Peripheral Neuropathy, Headaches Neuropathic Treatment, Headache Management
Neurosurgery Spine Pathology Implantable medical devices, Spine Repair
Orthopedic Surgery Musculoskeletal Pathology Spine and Joint Evaluation/Repair
Psychiatry Stress, Anxiety, Depression Psychologic evaluation, biopsychosocial evaluation
Radiology Imaging Modalities Diagnostic and procedural imaging
Rehab Medicine Physical Disability Physical Therapy

Why see our pain management doctors?

Before leaving your house every morning, do you know where you are headed and what you are doing? Shouldn’t your pain journey be the same? Our specialists will collect a detailed history, review all medical records and diagnostic tests, and perform a detailed physical exam to produce the correct diagnosis.  From there, we use a personalized, multi-disciplinary approach to create a treatment plan for our patients. Armed with an accurate diagnosis and early treatment using least-invasive therapeutic interventions and appropriate medications, we help our patients relieve their pain and revive their lives!

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