Interventional Pain Medicine

When conservative treatments have not provided relief, our interventional pain medicine team can help to reduce or alleviate your chronic or acute pain, leading to improved quality of life.

Conditions we Treat

Back Pain / Neck Pain
Sciatica (leg pain)
Radiculopathy – Cervical, Thoracic, Lumbar
Degenerative Disc Disease (DDD), Bulging Discs
Disc Herniation – Cervical, Thoracic, Lumbar
Spinal Stenosis
Facet Arthropathy
Post-Laminectomy Syndrome
Chronic Tendonosis, Bursitis – various
Joint Osteoarthritis
Cancer Pain
Carpal Tunnel Syndrome
Complex Regional Pain Syndrome
Meralgia Paresthetica
Diabetic Peripheral Neuropathy
Peripheral Neuropathy
Post-Herpetic Neuralgia
Cervicogenic Headaches
Joint Pain / Tendon Pain / Bursa Pain
Knee Pain
Hip Pain
Piriformis Syndrome
Plantar Fasciitis
Shoulder Pain, Shoulder Bursitis, Shoulder Tendonitis (Rotator Cuff Syndrome)
Sacroiliac Joint (SI) Pain
Coccydynia (Tail bone pain)
Occipital Neuralgia

Procedures We Offer

Our team performs the following minimally-invasive procedures in the clinic or at Skagit Valley Hospital as outpatient procedures. Patients are able to return home immediately after their procedure. IV conscious sedation during procedures is available to help patients with anxiety and discomfort, even though most procedures are not painful.

Epidural Steroid Injections – Cervical, Thoracic, Lumbar, Caudal; Interlaminar & Transforaminal
Diagnostic Facet Joint Medial Branch Block (MBB) – Cervical, Thoracic, Lumbar
Radiofrequency Ablation (RFA) (aka Neurotomy or Rhizotomy) - Cervical, Thoracic, Lumbar
Sacroiliac Joint (SI) injections
Ultrasound-guided joints/bursas/tendons injections – knee (steroids and viscosupplementation), hip, shoulder, elbow, ankle, wrist (carpal tunnel)
Spinal Cord Stimulation (SCS)
Peripheral Nerve Stimulation (PNS)
Diagnostic Genicular Nerves Block at the Knee
Radiofrequency Ablation (RFA) of the Genicular Nerves at the Knee
Occipital Nerve Block
Peripheral Nerve Blocks – Ilioinguinal, Iliohypogastric, Lateral Femoral Cutaneous
Intercostal Nerve Block
Sympathetic Blocks - Stellate Ganglion, Lumbar Sympathetic, Ganglion Impar
Piriformis Muscle injection
Trigger Point Injections
IV Conscious Sedation (if needed)