• 145, Riverstone Terrace, Suite 101, Canton, GA - 30114
  • 3905, Brookside Pkwy, Suite 203, Alpharetta, GA - 30022

“Our treatments are performed by experienced and well trained physicians under Fluoroscopy or Ultrasound guidance.”

Chronic Migraine headaches affect an estimated 2% of the global population. It is associated with cardiovascular disease, psychiatric co morbidities and sleep disorders. Cervical Dystonia is painful condition that causes involuntary muscle contractions causing the head to turn to one side. Cervicogenic headaches have a prevalence of 1-4% and is a common cause of chronic headaches that is often misdiagnosed. It usually starts after neck movement and accompanies reduced range of motion of neck. It can be confused with migraines. Trigeminal Neuralgia is typically caused by pressure on the trigeminal nerve resulting in intense pain on one side of the face causing significant disruption of everyday activities. Cervical Spondylosis is an age-related disease process that is associated with degenerative changes of all the components of the cervical spine. Typically occurs after the 5th decade of life. It presents as neck pain with stiffness and pain when side bending or hyperextending the neck. Pain can radiate to the back or behind the ears. Cervical Radiculopathy results from compression of the cervical nerve roots possibly from a disk herniation or bony osteophyte. The pain typically radiates down the upper arms and is associated with numbness and tingling.

Various treatments we perform for pain in the head and neck include :

  1. Botox for Chronic Migraine Headaches
  2. Botox for Cervical Dystonia
  3. Botox for Trigeminal Neuralgia 
  4. Cervical Epidural Injection
  5. Cervical Facet Injection
  6. Cervical Radio frequency Ablation
  7. Stellate Ganglion Block
  8. Sphenopalantine Block
  9. Trigeminal Nerve Block
  10. Occipital Nerve Block
  11. Supraorbital Nerve Block
  12. Supratrochlear Nerve Block
  13. Epidural Blood Patch

Shoulder pain can be caused by several different reasons including shoulder impingement, rotator cuff syndrome, osteoarthritis, subdeltoid subacromial bursitis and calcific tendinitis of the shoulder. Diagnosis is crucial in decision making when treating patients with shoulder pain. Pain can also radiated from eh cervical spine or possibly have a myofacial component to it. Suprascapular nerve entrapment is often an overlooked etiology to shoulder pain and weakness.

Various treatments we perform for pain in the head and neck include :

  1. Intra-articular Shoulder Injection
  2. Suprascapular Nerve Block
  3. Acromioclavicular Joint Injection
  4. Trigger Point Injections

A sore and stiff back interferes with daily functioning and can keep someone from  sleeping or enjoying usual quality of life. Mid Back pain can be caused by several conditions including herpes zoster and poorly controlled diabetes. Thoracic spondylosis is often an age-related condition. Thoracic Radiculopathy occurs from a pinched nerve in the thoracic spine that can cause severe pain, numbness and tingling across the chest wall. Muscle pain in the mid back can also cause severe pain.

Various treatments we perform for pain in the Mid Back include  :

  1. Thoracic Epidural Injection
  2. Thoracic Facet Block
  3. Thoracic Radio frequency Ablation
  4. Trigger Point Injections
  5. Spinal cord Stimulation

Approximately 84% of adults will experience low back pain at some point in their
lives. The risks of low back pain increases in patients over the age of 30,
morbidly obese, weak abdominal muscles, heavy lifting or bending, conditions
like scoliosis, family history of osteoarthritis and in patients who have depression
and anxiety. For most of these individuals, episodes of back pain are self-limited.
Patients who continue to have back pain beyond the acute period (four weeks)
have subacute back pain (lasting between 4 and 12 weeks), and some may go
on to develop chronic back pain (lasting >12 weeks). It is important to continue
activity as tolerated and avoid bed rest. Conservative measure to treat low back
pain include heat, massage, acupuncture, spinal manipulation, exercise and
physical therapy. Medication management includes acetaminophen, anti-inflammatories like ibuprofen, naproxen, muscle relaxers and nerve pain
medications. If all conservative measure fail, we offer several interventional pain
procedures based on the cause of your back pain. For the minority of low back
pain patients with severe weakness and pain, urgent evaluation by a
neurosurgeon or orthopedic surgeon with experience in back surgery is indicated

Various treatments we perform for pain in the low back include 

  1. Lumbar Interlaminar Epidural Injection
  2. Lumbar Transforaminal Epidural Injection
  3. Caudal Epidural Injection
  4. Lumbar Facet Block
  5. Lumbar Radio frequency Ablation
  6. Trigger Point Injections
  7. Sacroiliac Joint Injection
  8. Piriformis Injections
  9. Lumbar Sympathetic Nerve Block
  10. Spinal Cord Stimulation
Chest wall pain is frequently due to pectoralis major muscle injury, related to
repetitive activities such as water skiing, raking, rowing, or shoveling. Chest wall
pain can also arise from costochondritis, Tietze syndrome, slipping and clicking
ribs and arthritis. Radicular chest wall pain may be due to cervical arthritis.
Paraspinal muscle spasm and other impingements on the free course of the
sensory nerves from the neck and upper thorax can cause a radiculopathy. Pain
can also be caused by intercostal neuralgia due to a respiratory infection or
pleuritic lesions. Additionally, gallbladder disease or ischemic heart disease may
present as intermittent chest pain attributed to the breast. Post-thoracotomy
syndrome is a disorder in which a healing chest wound causes persistent pain.

Various treatments we perform for pain in the Chest/Breast include :
Intercostal Nerve Block
Costochondral Nerve Block
Interscalene Nerve Block
Knee and Hip Treatments:

Knee pain affects 25 percent of adults and has a deleterious effect on daily
function and quality of life. For most musculoskeletal conditions, pain of less than
six weeks duration is classified as acute or subacute, while pain lasting longer
than six weeks is classified as chronic. Adults may experience pain from acute
falls or trauma to the knee. Non-contact trauma, such as running, jumping,
squatting or abruptly twisting their knee can also cause pain. Osteoarthritis (OA)
involves degradation and thinning of the articular cartilage, and OA of the knee
and hip is a leading cause of pain and disability worldwide. OA can present as
diffuse or localized knee and hip pain, with or without an effusion. Strongly
associated risk factors can help to identify patients in whom OA is the most likely
diagnosis, these include: age over 50 years, female gender, higher body mass
index, previous knee injury or knee surgery, mal-alignment, joint laxity,
occupational or recreational activities that place stress on the knee/hip , family
history, and the presence of Heberden’s nodes. Nonpharmacologic interventions
are the mainstay of OA management and should be tried first, followed by or in
concert with medications to relieve pain when necessary. Nonpharmacologic
therapies including weight management and exercises, braces and foot orthoses
for patients suitable to these interventions, education, and use of assistive
devices when required.The main medications used in the pharmacologic
management of OA include oral and topical nonsteroidal antiinflammatory drugs
(NSAIDs). Other options include topical capsaicin, duloxetine, and intraarticular
glucocorticoids. Surgical treatment is dominated by total joint replacement, which
is highly effective in patients with advanced knee and hip OA when conservative
therapies have failed to provide adequate pain relief. 

 Various treatments we perform for pain in the Knee/Hip include: 

Intraarticular Knee Injections
Intraarticular Hip Injections
Synvisc Injections
Genicular Nerve Radio frequency Ablation
Chronic Abdominal pain is a common complaint, and the vast majority of patients will have a functional disorder, most commonly irritable bowel syndrome. Other causes of chronic abdominal pain include pancreatitis, inflammatory bowel disease, GI cancers, scarring from previous surgeries, anterior cutaneous entrapment syndrome, lumbar radiculopathy and ilio-inguinal neuralgia. Typically Chronic Pelvic pain is pain localized to the pelvis of three to six months duration or longer. Women with CPP may also have pain that radiates beyond the pelvis, urinary or gastrointestinal symptoms, impaired quality of life (eg, no longer taking part in certain activities), and mental health changes (eg, depression. Many women with CPP will ultimately undergo surgery (eg, hysterectomy) to improve their symptoms. However, CPP often persists despite removal of all pelvic organs. CPP practitioners need to reassure patients when enough procedural treatments have been done and direct the treatment focus to pain education and desensitization of these abnormal pathways. Mediation treatments include anti-inflammatories, topical agents, muscle relaxants and hormonal therapy. Targeted therapies include pelvic physical therapy, interventional pain procedures and surgical options. 

Various treatments we perform for pain in the Abdomen/Pelvis include :

  • Celiac Plexus Block 
  • Superior Hypogastric Block 
  • Ganglion Impar Block 
  • Coccygeal Nerve Block

Complex regional pain syndrome (CRPS) is a disorder of a body region, usually
of the distal limbs, which is characterized by pain, swelling, limited range of
motion, vasomotor instability, skin changes, and patchy bone demineralization. It
frequently begins following a fracture, soft tissue injury, or surgery. Other causes
of extremity pain include lumbar radiculopathy, cervical radiculopathy, peripheral
neuropathy, peripheral vascular disease, chronic venous insufficiency, thoracic
outlet syndrome, compartment syndrome, deep vein thrombosis, erythromelalgia
and Raynaud phenomenon

Various treatments we perform for pain in the Upper and Lower extremities include:
Stellate Ganglion Block
Lumbar Sympathetic Nerve Block
Botox of Spasticity of Extremities