Both Dr. Guiang and Dr. Pang are Board Certified in Pain Medicine by the American Board of Anesthesiology. Dr. Chen is Board Certified in Pain Medicine through the American Board of Physical Medicine and Rehabilitation. We believe in the academic approach to treating pain and have been past or present members of the teaching faculty at University based teaching programs.  Therefore we emphasize evidence based medicine.  This means that the treatments we offer are based upon peer reviewed studies and have been shown to offer efficacy regarding the specific syndrome being treated.  There are many health care providers who offer treatments without any scientific basis to substantiate their claim that the treatment can be beneficial.  

Medication optimization 

Pain medications are categorized by their mechanism of action. Therefore it is of utmost importance to determine the specific type of pain the patient is experiencing in order to prescribe the most appropriate medication or combination of medications.  For instance, some types of neuropathic pain syndromes do not respond at all to the opiate class of medications.

Interventional Procedures
Fluoroscopic or Ultrasound Guided:

• Epidural Steroid Injections
• Facet Joint and Medical Branch Nerve Blocks
• Facet Radiofrequency Ablation
• Joint Injections
• Peripheral Nerve Blocks
• Provocative Discography – diagnostic test for disc mediated pain
• Spinal Cord Stimulation – Trial and Implantion
• Intrathecal Pumps – maintenance only.
• Sympathetic Nerve Blocks
• Botox injections for pain – chronic migraine and spasticity
• Platelet rich plasma (PRP) injections – (not covered under insurance)

The importance of nutrition

• Many disease conditions can be directly linked to dietary habits.  During your visit, we may investigate whether or not your diet may be contributing to your disease process.  We have seen near miraculous improvements in some patients by making alterations to their diet.