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)