How We Treat: Our Interventional Pain Management Approach

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

Corticosteroid medication delivered into the epidural space of the spine.

Downloads: Cervical – English, Cervical Spanish, Lumbar English, Lumbar Spanish

Facet Joint and Medial Branch Nerve Blocks

Diagnostic injections that target the small facet joints of the spine and the nerves supplying them.

Facet Radiofrequency Ablation

A heat-based technique applied to the medial branch nerves of the facet joints.

Learn more → (Lumbar · Cervical)

Joint Injections

Injections administered into peripheral joints such as the shoulder, hip, or knee.

Sacroiliac Joint Injections

Injections that target the sacroiliac joint connecting the spine to the pelvis.

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Peripheral Nerve Blocks

Injections that block pain signals from specific peripheral nerves.

Provocative Discography

A diagnostic test used to identify disc-mediated pain.

Spinal Cord Stimulation

Trial and implantation of a device that modulates pain signals in the spinal cord.

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Intrathecal Pumps

Implanted pumps that deliver medication directly to the spinal fluid; maintenance only.

Sympathetic Nerve Blocks

Injections targeting sympathetic nerves, including stellate ganglion and lumbar sympathetic blocks.

Botox Injections for Pain

Botulinum toxin injections used for chronic migraine and spasticity.

Platelet-Rich Plasma (PRP) Injections

An injection of concentrated platelets from your own blood; not covered under insurance.

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Ready to find relief?

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

Regenerative Medicine

Come explore the new treatments available through Regenerative Medicine which enhances your body’s own ability to heal itself.