Pain Management Conditions We Treat

At Grossinger NeuroPain Specialists, we offer proven, effective treatments for a wide variety of conditions that require pain management. Whether you’re dealing with chronic pain on a daily basis, intermittent pain, traumatic injury, or another type of pain, our team of experienced doctors can help you overcome debilitating pain and reclaim your life.


Osteoarthritis (“OA”), also called degenerative arthritis, is the most common type of arthritis. OA frequently strikes the joints in your arms and legs, especially the fingers, wrists, knees, and hips. Aging is the primary contributor to OA, but family history, being overweight, having a pre-existing condition like diabetes, and repeated trauma can all raise the chances of developing it.

You may be developing OA if you’re experiencing any of the following symptoms:

  • Pain when using the joint

  • Tenderness when pressing on the joint

  • Stiffness in the joint

  • Clicking or cracking in the joint

  • Loss of functionality in the joint

There are a wide variety of ways to address chronic arthritis pain, including steroid injections, nerve blocks, and physical therapy. We can help you find the right course of treatment for you.

Back Pain

If you suffer from back pain, you’re not alone; fully half of working Americans experience back pain symptoms every year, according to the American Chiropractic Association. It’s the single leading cause of disability worldwide.

Back pain comes in many different forms. These are the common types we treat in our practice:


When the sciatic nerve--which runs from your lower back through your hips and buttocks and down each leg--becomes compressed, discomfort from mild aches to sharp pains can result. You may also experience muscle weakness, tingling, or numbness on one lower side. This is known as sciatica, or lumbar radiculopathy.

Many cases of sciatica can be fully treated non-surgically within a matter of weeks, although severe cases may require surgical intervention.

Facet Dysfunction

When the joints at the juncture of two vertebrae degenerate through aging or injury, they can wear down and become inflamed. This can cause pain, soreness, and stiffness, especially in the morning or after long periods of sitting or standing. This pain can be located anywhere from the skull (as headaches or ringing in the ears) to the back, shoulders, or neck.

Depending on the location of your pain, we may treat facet dysfunction with injections, nerve blocks, or lumbar radiofrequency, which “turns off” the specific nerve that carries the facet pain information. This treatment persists for about a year but in some cases may last much longer.

Disc Abnormalities

Herniated discs and bulging discs are two common types of disc abnormalities we treat. While they’re similar, a herniated or ruptured disc is much more likely to result in pain as the spinal nerve becomes inflamed or compressed. We can diagnose a herniated disc through a combination of physical examination, X-ray, and/or an electromyograph (EMG).

Conservative treatments such as home exercises, physical therapy, and steroid injections are the first treatment methods we employ. If your pain doesn’t respond to any of these, we can discuss more extensive options with you.

Nerve Damage

Nerve damage comes in more than 100 different varieties. Depending on the type, it can cause everything from pain and numbness to muscle weakness and sexual dysfunction. Some 20 million Americans suffer from peripheral nerve damage, which can cause severe pain in arms, legs, hands, feet, and other areas.

We use a state-of-the-art electromyograph (EMG) to diagnose a number of diseases and conditions, such as muscular dystrophy, pinched nerves, amyotrophic lateral sclerosis (ALS), myasthenia gravis, and more. We can also use selective nerve root blocks to determine if specific nerves are the source of your pain, and also to treat many cases of arm and leg pain.  

Tendon and Ligament Injuries

Ligament sprains are very common conditions, especially for active people; in fact, twisted ankles are the most common injury in the U.S. Such maladies can typically be treated with home remedies such as ice, over-the-counter medication, and rest.

However, severe sprains and tears to ligaments such as the anterior cruciate ligament (ACL) and lateral collateral ligament (LCL) in the knee can require complicated treatment at the hands of a professional. Likewise, muscle or tendon strains or tears can cause serious pain, either acute or chronic, that require pain management attention.

Swelling and inflammation typify these types of injuries, as well as weakness and instability in the affected area. PRP is often a helpful treatment for mild-to-moderate tendon and ligament injuries, while complete tears may call for surgery and/or physical therapy.


Brain trauma is an all-too-often side effect of contact sports, car collisions, and workplace accidents. Concussions are particularly sinister because a person may experience one without knowing it and expose themselves to the same circumstances that caused it without first taking time to heal.

Signs that you may need to seek treatment for a blow to the head include:

  • Headache

  • Nausea

  • Balance problems

  • Dizziness, confusion, or disorientation

  • Blurred vision

  • Sensitivity to light or noise

  • Sluggishness

  • Trouble sleeping

  • Rambling or mumbling words

  • Difficulty concentrating or remembering things

  • Loss of consciousness

These symptoms may appear up to six weeks after the initial event and last for several months, and rest is extremely important in recovery. We can advise you as to the extent you should rest, including possible shortened school or work days and breaks from certain sports and physical activities.  

Treatments We Use

At Grossinger NueroPain Specialists we take a multidimensional approach to pain management. Using state-of-the-art technology for both diagnostic and therapeutic purposes, including electromyography (EMG) and fluoroscopy, we use interventional procedures such as epidural injections and facet blocks, platelet-rich plasma (PRP) and, if your condition calls for it, we are happy to refer you to a specialist for alternative treatments such as physical therapy or surgery.

Insurance Accepted

We accept virtually all major health insurance plans. For more payment information, please call us at (610) 521-6063.