Specialties & services

Pain Management

Back and neck pain, sciatica, arthritis, nerve pain and post-surgical pain — treated by board-certified specialists using image-guided, minimally invasive procedures. The goal is function restored and less reliance on medication, not a prescription that never ends.

Image-guided pain procedure at MISH
What we treat

Conditions and procedures

If your condition isn't listed, call — we'll tell you honestly whether we're the right place.

Conditions we treat

  • Back and neck pain
  • Sciatica and pinched nerves
  • Herniated discs and spinal stenosis
  • Arthritis-related joint pain
  • Work-related injuries
  • Post-surgical pain
  • Neuropathic pain
  • Complex regional pain syndrome (CRPS)
  • Fibromyalgia and myofascial pain
  • Cancer-related pain

Procedures we perform

  • Epidural steroid injections
  • Facet joint and medial branch blocks
  • Sacroiliac (SI) joint injections
  • Radiofrequency ablation (RFA)
  • Trigger point injections
  • Peripheral nerve blocks
  • Spinal cord stimulation trials
  • EMG and nerve conduction studies
  • Medication management, where appropriate
  • Physical therapy referral and coordination
Illustration of lower back pain
Our approach

Find the source, then treat it

Chronic pain is rarely one problem with one answer. Our physiatrists, anesthesiologists and spine specialists work alongside your primary care provider, surgeon and physical therapist so the plan holds together instead of pulling in different directions.

Most patients do best with a combination — an interventional procedure to interrupt the pain, then therapy and rehabilitation to keep it from coming back. We'll explain what each step is meant to achieve and how we'll know whether it worked.

Why here

Diagnostics, procedure and therapy in one building

Board-certified pain specialists with decades of combined experience
Minimally invasive first, to reduce downtime and recovery
Imaging onsite, so the diagnosis doesn't wait on another appointment
Coordinated directly with our surgical and therapy teams
Streamlined referrals for work comp, post-operative and chronic care
A plan built around what you need to get back to doing
Before you come in

Common questions

Will I be put on long-term opioids?

That is not the goal. Our approach leads with interventional procedures and therapy aimed at treating the source of the pain and restoring function. Medication is used where it is clinically appropriate, as part of a plan with a defined purpose — not as the plan itself. Your physician will discuss the reasoning with you directly.

Do I need a referral?

Many patients come to us by referral from a primary care provider, surgeon or employer. You can also schedule a consultation directly. Check with your insurance provider for any referral or prior-authorization requirements before you book.

What happens at the first appointment?

A history, a physical examination and a review of any imaging you already have. If we need our own imaging or nerve studies, those are onsite. You should leave with an explanation of what we think is causing the pain and what we would propose doing about it.

How long before I feel a difference?

It depends on the condition and the procedure. Some injections give relief within days; radiofrequency ablation can take a couple of weeks to take full effect. Your physician will tell you what to expect for your specific treatment and when to call if it isn't tracking.

Do you take work comp patients?

Yes. Work-related injuries are a significant part of what we treat, and referrals from employers and carriers are handled through our Work Comp Total Care program, which coordinates imaging, procedures and therapy in one place.

Stop working around the pain

Tell us what hurts and what it's stopping you doing. We'll tell you whether we can help and what it would involve.

or call 913-322-7408