Our Services

Finding Relief From Pain

Regency Pain offers a variety of services to help patients manage chronic pain. Our team includes Doctors, Physician Assistants, Nurse Practitioners and other professionals who work together to develop personalized treatment plans for every pain patient treated.  

 

Our pain management specialists offer non-surgical treatments for a variety of conditions, using advanced diagnostic techniques:

Conditions
Head, Neck & Spine
Adjacent Segment Disease (ASD)
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Adjacent Segment Disease (ASD)

This is a problem you can develop after spinal fusion. It happens when the vertebrae above and below the fusion become weak and damaged. We say they "degenerate." And as they degenerate, more vertebrae are at risk for harm.

Cervical Facet Joint Syndrome

Cervical Facet Joint Syndrome

This is a problem with the facet joints of the cervical spine. They are the joints found where one vertebra connects to another. Facet joints support your spine, while allowing it to bend and twist. With this syndrome, these joints become stiff and painful in the upper part of your spine.

Cervical Radiculopathy

Cervical Radiculopathy

This condition is an irritation or compression of one or more nerve roots in the cervical spine. Because these nerves travel to the shoulders, arms and hands, an injury in the cervical spine can cause symptoms in these areas. Cervical radiculopathy may result from a variety of problems with the bones and tissues of the cervical spinal column.

Coccydynia

Coccydynia

This condition is an inflammation of the tip of the tailbone, called the coccyx. It causes pain and tenderness between the buttocks.

Concussion

Concussion

This is a serious brain injury. It happens when your brain bumps back and forth violently inside your skull. A concussion can affect the way your brain functions. It can cause permanent problems.

Degenerative Disc Disease

Degenerative Disc Disease

This condition is a weakening of one or more vertebral discs, which normally act as a cushion between the vertebrae. This condition can develop as a natural part of the aging process, but it may also result from injury to the back.

Discogenic Pain

Discogenic Pain

This pain comes from one of your spinal discs. Those are the soft cushions that allow the bones of your spine to flex and twist. Discogenic pain is a common reason for chronic lower back pain.

Facet Joint Syndrome

Facet Joint Syndrome

This is a problem with the facet joints of the spine. These are the joints where one vertebra connects to another. They support your spine, while allowing it to bend and twist. With this syndrome, these joints become stiff and painful.

Herniated Disc

Herniated Disc

Between the vertebrae of your spine are soft discs. They let your spine twist and bend. They absorb shocks. But if damaged, the disc's soft center can push through the disc wall. That's a herniated disc. This bulge presses against nerves in your spine.

Herniated Disc (Cervical)

Herniated Disc (Cervical)

This condition is a rupture of one of the vertebral discs in your neck. A herniated disc can allow disc material to press harmfully against the spinal nerves.

Lumbar Radiculopathy (Sciatica)

Lumbar Radiculopathy (Sciatica)

This condition is an irritation or compression of one or more nerve roots in the lumbar spine. Because these nerves travel to the hips, buttocks, legs and feet, an injury in the lumbar spine can cause symptoms in these areas. Sciatica may result from a variety of problems with the bones and tissues of the lumbar spinal column.

Migraine Headaches

Migraine Headaches

A migraine is an intense, throbbing headache that may be accompanied by nausea or dizziness. A migraine can last from hours to days.

Occipital Neuralgia (Arnold's Neuralgia)

Occipital Neuralgia (Arnold's Neuralgia)

This condition is a distinct type of headache caused by irritation or injury of the occipital nerves. These nerves travel from the base of the skull through the scalp. This condition can result in severe pain and muscle spasms.

Post-Concussion Syndrome

Post-Concussion Syndrome

This is a set of symptoms that you may have after a concussion. That's when your head is hit so hard your brain is injured. You can have a concussion even if you don't lose consciousness.

Post-Laminectomy Syndrome

Post-Laminectomy Syndrome

This condition, also called "failed back surgery syndrome," is a type of chronic pain. It can develop in some people after spine surgery.

Sacroiliac Joint Pain

Sacroiliac Joint Pain

Your sacroiliac joints (we call them the "SI" joints) are the places where your hips meet your spine. These joints don't have a lot of flexibility, but they do move slightly as you move your body. And if SI joints become damaged or diseased, it can be painful.

Spinal Stenosis

Spinal Stenosis

Your spinal nerves travel through your spinal canal and exit through openings we call "foramen." If any of these spaces are too narrow, your nerves become compressed. We say you have "spinal stenosis." It's a problem that most often happens in the neck and lower back.

Spinal Stenosis (Cervical)

Spinal Stenosis (Cervical)

This problem affects the spinal nerves in your neck. It's a narrowing of the spinal canal. That's the space your spinal nerves travel through. In a healthy spine, the spinal canal protects these nerves. It keeps them free from injury. But with spinal stenosis, the spinal canal is too narrow, and your nerves get compressed.

Spondylolisthesis

Spondylolisthesis

This condition occurs when a lumbar vertebra slips out of place. It slides forward, distorting the shape of your spine. This may compress the nerves in the spinal canal. The nerves that exit the foramen (open spaces on the sides of your vertebrae) may also be compressed. These compressed nerves can cause pain and other problems.

Whiplash

Whiplash

This is a common neck injury. It happens when your neck jerks back and forth quickly and violently. Your spine bends past its normal range of motion. This can injure the vertebrae of your cervical spine. It can damage the supporting ligaments and muscles in your neck.

Shoulder
Anatomy of the Shoulder

Anatomy of the Shoulder

The shoulder is a complex structure made of three separate joints. They work together to give the shoulder a tremendous range of motion. Let's take a closer look at the main parts of the shoulder's anatomy.

Biceps Tendonitis

Biceps Tendonitis

This is a problem with a tendon in your shoulder. Most often, it's the "long head of biceps" tendon. It travels from the front of your upper arm to the top of your shoulder socket. With this condition, the tendon becomes painfully inflamed or irritated.

Rotator Cuff Tear

Rotator Cuff Tear

The rotator cuff is a group of muscles and tendons in each shoulder. It holds your upper arm bone in your shoulder socket. It keeps your arm stable while allowing it to lift and rotate. Too much stress on the rotator cuff can cause a tear. This can be a painful injury.

Shoulder Impingement Syndrome

Shoulder Impingement Syndrome

This is a painful pinching of soft tissues in your shoulder. It happens when these tissues rub and press against a part of your shoulder blade called the "acromion." This can irritate your rotator cuff tendons, and also a soft sac called the "subacromial bursa."

Arm & Elbow
Cubital Tunnel Syndrome

Cubital Tunnel Syndrome

This condition, also called "ulnar nerve entrapment," happens to the ulnar nerve in your elbow. This nerve travels along the inner side of your elbow and down to your hand. It's the nerve that makes the jolt you feel when you bump your "funny bone." With this condition, your ulnar nerve is compressed, stretched or irritated.

Lateral Epicondylitis (Tennis Elbow)

Lateral Epicondylitis (Tennis Elbow)

This condition, commonly called tennis elbow, is an inflammation of the tendons that connect the muscles of the forearm to the elbow. The pain is primarily felt at the lateral epicondyle, the bony bump on the outer side of the elbow.

Medial Epicondylitis (Golfer's Elbow)

Medial Epicondylitis (Golfer's Elbow)

This condition, commonly called golfer's elbow, is an inflammation of the tendons that connect the muscles of the forearm to the elbow. The pain is primarily felt at the medial epicondyle, the bony bump on the inner side of the elbow.

Hand & Wrist
Carpal Tunnel Syndrome

Carpal Tunnel Syndrome

Pain, numbness and tingling in your hand may be from carpal tunnel syndrome. It happens when the area around the main nerve to your hand is too tight. The nerve is called the median nerve. And the small space in your wrist where it passes is called the carpal tunnel.

De Quervain's Tenosynovitis

De Quervain’s Tenosynovitis

This condition, also called stenosing tenosynovitis of the first dorsal compartment of the wrist, is an inflammation of the sheath that wraps around the tendons at the thumb side of the wrist.

Osteoarthritis of the Hand

Osteoarthritis of the Hand

Osteoarthritis is the most common form of arthritis. It develops over time, often because of the wear and tear of daily activities.

Thumb Arthritis

Thumb Arthritis

This is arthritis that affects the joint at the base of the thumb. We call this the "basal," (or "carpometacarpal") joint. Arthritis here makes it hard for you to do tasks that require pinching or gripping.

Trigger Digit

Trigger Digit

This common condition, also known as stenosing tenosynovitis, is a narrowing of a portion of the tendon sheath in the finger or thumb that interferes with normal finger movement. This condition most commonly affects the ring finger, but can affect any digit. It is more common in middle-aged women, but anyone can be affected, even newborns.

Hip, Leg & Knee
Anatomy of the Hip Joint

Anatomy of the Hip Joint

The hip joint is one of the largest weight-bearing joints in the body. This ball-and-socket joint allows the leg to move and rotate while keeping the body stable and balanced. Let's take a closer look at the main parts of the hip joint's anatomy.

Bursitis of the Hip (Trochanteric Bursitis)

Bursitis of the Hip
(Trochanteric Bursitis)

This is an irritation or swelling of the trochanteric bursa. This small, fluid-filled sac is found on the outer side of the femur. It acts as a cushion for the iliotibial band, a thick tendon in your leg.

Osteoarthritis of the Hip

Osteoarthritis of the Hip

This type of arthritis, also called "degenerative joint disease," is a breakdown of the cartilage in your hip joint. As this protective cartilage wears away, bone rubs against bone. Bony growths called "bone spurs" may form in the joint. Pain from osteoarthritis can keep you from being as active as you like.

Coccydynia

Coccydynia

This condition is an inflammation of the tip of the tailbone, called the coccyx. It causes pain and tenderness between the buttocks.

Piriformis Syndrome

Piriformis Syndrome

This is a pain and numbness you feel in your buttock and down the back of your leg. It involves the sciatic nerve. That's a large nerve that travels from your lower spine down to your foot.

Anatomy of the Knee

Anatomy of the Knee

The knee is the body's largest joint. It's the place where three bones meet: the tibia, the femur and the patella. The knee is a "hinge" joint. It allows the leg to bend in one direction only. Let's take a closer look at the main parts of the knee's anatomy.

Complex Regional Pain Syndrome (CRPS)

Complex Regional Pain Syndrome (CRPS)

This is a type of chronic, long-lasting, pain. In most cases, it develops in an arm or a leg that you have previously injured. With CRPS, you may have unexplained pain that won't go away. It may be severe, and it may spread.

Meniscus Tear

Meniscus Tear

This is a common injury of the knee. Your knee joint is cushioned by two c-shaped wedges of cartilage called the "menisci." Each individual cushion is called a "meniscus." This injury is a tear of one of these cushions.

Osteoarthritis of the Knee

Osteoarthritis of the Knee

Knee pain may keep you from being as active as you like. And it may come from a gradual breakdown of your knee's cartilage. That's a protective tissue on the ends of your bones. In a healthy knee, the bones glide smoothly against each other. But in a knee with osteoarthritis, cartilage begins to wear away. Bone rubs against bone. Bony bumps we call "bone spurs" may form.

Foot & Ankle
Plantar Fasciitis

Plantar Fasciitis

Plantar fasciitis is an irritation of the plantar fascia. This thick band of connective tissue travels across the bottom of the foot between the toes and the heel. It supports the foot's natural arch. It stretches and becomes taut whenever the foot bears weight.

General Body
Complex Regional Pain Syndrome (CRPS)

Complex Regional Pain Syndrome (CRPS)

This is a type of chronic, long-lasting, pain. In most cases, it develops in an arm or a leg that you have previously injured. With CRPS, you may have unexplained pain that won't go away. It may be severe, and it may spread.

Fibromyalgia

Fibromyalgia

This chronic condition is believed to be a type of interference with the way your brain processes pain signals. It leaves you highly sensitive to pain. If you have this condition, you may feel long-lasting pain throughout your body.

Myofascial Pain Syndrome

Myofascial Pain Syndrome

This is a chronic pain disorder. It affects the muscles and the connective tissue (called the "fascia") that surrounds them. With this syndrome, you may develop sensitive areas on your body called "trigger points." When these places are pressed or stressed, you feel pain. This condition can affect muscles throughout your body.

Peripheral Neuropathy

Peripheral Neuropathy

This condition is a problem with the peripheral nervous system. These are the nerves that branch out from your brain and spinal cord and travel to all of the other parts of your body.

Treatments
Head, Neck & Spine
Caudal Epidural Steroid Injection

Caudal Epidural Steroid Injection

This outpatient procedure is an injection of a steroid-anesthetic medication through an opening in the sacrum. The medication can reduce swelling and inflammation of irritated spinal nerves. The injection takes only a few minutes to complete.

Cervical Epidural Steroid Injection (without contrast)

Cervical Epidural Steroid Injection (without contrast)

This injection relieves pain in the neck, shoulders, and arms caused by a pinched nerve (or nerves) in the cervical spine. Conditions such as herniated discs, spinal stenosis, or radiculopathy can compress nerves, causing inflammation and pain. The medication injected helps decrease the swelling of nerves.

Cervical Facet Radiofrequency Neurotomy

Cervical Facet Radiofrequency Neurotomy

This procedure uses heat from radio waves to treat painful facet joints in your neck. It eases pain that isn't helped by medications or physical therapy.

Discography (Lumbar)

Discography (Lumbar)

This procedure, also called a "discogram," helps your doctor find painful spinal discs. It can show the source of pain in your back. To see how it works, let's watch a discography done in the lumbar spine.

Epidural Steroid Injection (ESI) in the Cervical Spine

Epidural Steroid Injection (ESI) in the Cervical Spine

This injection treats the pain of an inflamed nerve in your cervical spine. It relieves nerve swelling. If you have a herniated disc, spinal stenosis or some other problem that's pressing on a nerve, it may help you.

Facet Joint Injections

Facet Joint Injections

The facet joints, found on both sides of the back of the spine, can become painfully irritated or inflamed. A facet joint injection may help diagnose the source of a patient's pain. It can also relieve pain and inflammation.

Facet Joint Injections (Cervical)

Facet Joint Injections (Cervical)

These injections help your doctor find or treat pain in the facet joints of your neck. Facet joints are found on both sides of your spine. Your vertebrae connect at these joints.

Greater Occipital Nerve Block

Greater Occipital Nerve Block

This injection treats one or both greater occipital nerves. These nerves branch out from the spine in your neck. They supply feeling to your scalp at the top of your head and over your ears. A greater occipital nerve block manages pain and some types of headaches linked to these nerves.

Intrathecal Pump Implant

Intrathecal Pump Implant

This is a device put inside your body to relieve long-lasting pain. It sends medicine into an area around your spinal cord. We call this the "intrathecal space." The medicine blocks pain signals. It can work even when other treatments don't.

Kyphoplasty (Balloon Vertebroplasty)

Kyphoplasty (Balloon Vertebroplasty)

This minimally-invasive procedure repairs a vertebral compression fracture. It helps restore the spine's natural shape. Some patients experience rapid pain relief after the procedure.

Lumbar Epidural Steroid Injection

Lumbar Epidural Steroid Injection

This injection procedure is performed to relieve low back and radiating leg pain. Steroid medication can reduce the swelling and inflammation caused by spinal conditions.

Lumbar Epidural Steroid Injection (without contrast)

Lumbar Epidural Steroid Injection (without contrast)

This injection procedure is performed to relieve low back and radiating leg pain. Steroid medication can reduce the swelling and inflammation caused by spinal conditions.

Lumbar Sympathetic Block

Lumbar Sympathetic Block

This procedure is an injection that numbs branches of nerves in your lower back. It helps doctors find and treat a number of problems linked to these nerves. Usually, a series of injections is needed to treat a problem.

Lumbar Transforminal Epidural Steroid Injection

Lumbar Transforaminal Epidural Steroid Injection

This outpatient procedure is an injection of a steroid-anesthetic medication. The medication can reduce swelling and inflammation of irritated spinal nerves. This procedure is performed to relieve pain in the lower back and pain that radiates from the back to the legs. The injection takes only a few minutes to complete.

Medial Branch Block

Medial Branch Block

This is an injection of numbing medicine. It bathes the medial branch nerves, which attach to the facet joints of your spine. These nerves hurt when facet joints are injured or diseased. The injection helps find the source of your pain. And it may relieve your pain for a brief time.

Medial Branch Block (Cervical)

Medial Branch Block (Cervical)

This is an injection of numbing medicine that bathes the medial branch nerves. These nerves are attached to the facet joints of the spine. Disease or injury of these joints can cause pain in the medial branch nerves. This pain may travel through the neck, shoulders, upper back and head. A medial branch block can help your physician find the source of your pain. It may also provide temporary pain relief.

Radiofrequency Neurotomy of the Cervical Facets

Radiofrequency Neurotomy of the Cervical Facets

This procedure uses heat from radio waves to treat painful facet joints in your neck. It eases pain that isn't helped by medications or physical therapy.

Radiofrequency Neurotomy of the Lumbar Facets

Radiofrequency Neurotomy of the Lumbar Facets

This procedure uses heat from radio waves to treat painful facet joints in your lower back. It eases pain that isn't helped by medications or physical therapy.

Radiofrequency Neurotomy of the Thoracic Facets

Radiofrequency Neurotomy of the Thoracic Facets

This procedure uses heat from radio waves to treat painful facet joints in your upper back. It eases pain that isn't helped by medications or physical therapy.

Sacroiliac Joint Steroid Injection

Sacroiliac Joint Steroid Injection

This injection procedure is performed to relieve pain caused by arthritis in the sacroiliac joint where the spine and hip bone meet. The steroid medication can reduce swelling and inflammation in the joint.

Selective Nerve Root Block (SNRB) in the Lumbar Spine

Selective Nerve Root Block (SNRB) in the Lumbar Spine

This injection targets a painful nerve in your lumbar spine. It helps your doctor find which nerve is hurt by a herniated disc, spinal stenosis or some other problem. It may give you pain relief.

Spinal Cord Stimulator Implant

Spinal Cord Stimulator Implant

Spinal cord stimulation (also called SCS) uses electrical impulses to relieve chronic pain of the back, arms and legs. It is believed that electrical pulses prevent pain signals from being received by the brain. SCS candidates include people who suffer from neuropathic pain and for whom conservative treatments have failed.

Spinal Cord Stimulator Implant (Trial Procedure)

Spinal Cord Stimulator Implant (Trial Procedure)

Spinal cord stimulation (also called SCS) uses electrical impulses to relieve chronic pain of the back, arms and legs. It is believed that electrical pulses prevent pain signals from being received by the brain. SCS candidates include people who suffer from neuropathic pain and for whom conservative treatments have failed.

Thoracic Epidural Steroid Injection

Thoracic Epidural Steroid Injection

This outpatient procedure is an injection performed to relieve pain in the upper back.

Shoulder
Joint Injection (Therapeutic, Shoulder)

Joint Injection (Therapeutic, Shoulder)

This outpatient injection procedure relieves pain in the shoulder and arm caused by arthritis, injury or disorder.

Subacromial Injection

Subacromial Injection

This injection goes into your shoulder. It can help reduce your shoulder pain. We use it to treat many conditions. It's used for adhesive capsulitis, rotator cuff tendinosis and impingement syndrome.

Trigger Point Injections

Trigger Point Injections

This outpatient procedure is designed to reduce or relieve the pain of trigger points. These small, tender knots can form in muscles or in the fascia (the soft, stretchy connective tissue that surrounds muscles and organs). The trigger point injection procedure takes only a few minutes to complete.

Hip, Leg & Knee
Fluoroscopic Guided Piriformis Injection

Fluoroscopic Guided Piriformis Injection

This injection procedure is performed to diagnose and relieve the pain of piriformis syndrome, an irritation of the sciatic nerve caused by a contraction of the piriformis muscle in the buttocks.

Genicular Nerve Ablation (RF Neurotomy)

Genicular Nerve Ablation (RF Neurotomy)

During this outpatient procedure, the physician uses a radiofrequency device to heat up and disrupt the genicular nerves. These are the sensory nerves that transmit pain signals from the knee to the brain. Disrupting these pathways can provide long term relief from knee pain.

Genicular Nerve Block (G Block)

Genicular Nerve Block (G Block)

This outpatient procedure is an injection of anesthetic to the genicular nerves. These are the sensory nerves that transmit pain signals from the knee to the brain. Anesthetizing these nerves can disrupt the pain signals caused by degeneration of the knee. A genicular nerve block can provide temporary pain relief. It may help determine if a patient is a candidate for nerve ablation, which can provide long-term pain relief.

Hip Joint Injection

Hip Joint Injection

This is an injection of medicine that goes into your hip joint. We use it to treat pain and inflammation. We can also use it to find the source of your pain.