Phone

(573) 332-7746

Fax

(573) 339-9709

Location

1723 Broadway, Suite 410
Cape Girardeau, MO 63701

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Pain Management

Pain Management & Procedure Information – Regional Brain & Spine

Comprehensive, Non-Surgical Solutions for pain

At Regional Brain & Spine, we understand that living with chronic pain—especially from conditions affecting the spine, nerves, joints or musculoskeletal system—can severely impact your quality of life. That’s why we offer a comprehensive, multi-disciplinary approach to pain management, using minimally invasive procedures, image-guided injections, and coordinated care to help patients experience relief without immediate need for surgery.

Our team works closely with board-certified Neurosurgeons, Physical Medicine & Rehabilitation and Obesity Medicine physicians to deliver personalized treatment plans tailored to each patient’s diagnosis, symptoms, and goals.

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Conditions Commonly Treated by Pain Management

We offer treatment options for a wide range of conditions that may cause acute or chronic pain, including:

  • Herniated or bulging discs
  • Spinal stenosis
  • Joint pain
  • Sciatica and nerve root compression
  • Degenerative disc disease
  • Facet joint arthritis
  • Sacroiliac (SI) joint dysfunction
  • Post-surgical pain
  • Spondylolisthesis
  • Peripheral nerve conditions such as carpal tunnel syndrome
  • Chronic neck, back, and lower extremity pain
  • Myofascial pain and trigger points
  • Cancer Pain

If conservative care such as medication or physical therapy hasn’t provided relief, interventional pain procedures may be a highly effective next step.

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Our Pain Management Services and Procedures

Our trusted pain management providers offer a wide array of non-surgical and minimally invasive procedures, often performed on an outpatient basis:

Targeted Epidural Steroid Injections (ESI)

Delivers corticosteroids directly into the epidural space to reduce inflammation and relieve nerve pain, especially for conditions like herniated discs, spinal stenosis, and sciatica.

Spinal Cord and Peripheral Nerve Stimulators

Advanced neuromodulation therapies that use mild electrical impulses to disrupt pain signals before they reach the brain, offering long-term relief for chronic pain conditions.

Targeted Drug Delivery

Involves the use of implantable pumps to deliver medication directly to the spinal fluid, providing effective pain control with lower systemic medication doses.

Facet Joint Injections

Targets small joints in the spine affected by arthritis or degeneration to alleviate localized neck or back pain.

Medial Branch Blocks

Diagnostic injections that help determine whether a specific facet joint is the source of pain. These are often followed by radiofrequency ablation if successful.

Radiofrequency Ablation (RFA)

Uses radio waves to generate heat that temporarily disrupts nerve function, providing long-term pain relief for patients with facet-related or sacroiliac joint pain.

Trigger Point Injections

Used to relieve knots of muscle tension (trigger points), typically in the neck, shoulders, and back.

Sacroiliac (SI) Joint Injections

Delivers anti-inflammatory medication to the SI joint, a common source of lower back and pelvic pain.

Selective Nerve Root Blocks

Targets individual spinal nerves to reduce inflammation and pain or confirm diagnosis of nerve root irritation.

These image-guided procedures are designed to reduce pain, restore mobility, and improve function—often without the need for surgical intervention.

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Preparing for Your Procedure: What to Expect

At Regional Brain & Spine, we want every patient to feel informed and confident before undergoing any procedure. Here’s what to expect throughout your pain management process:

Pre-Procedure Instructions

Procedures are typically scheduled in our clinic setting. You must arrange for a driver to accompany you, as most procedures requiring the use of a local anesthetic or numbing medication require a driver.

Pre-Op Guidelines

  • Please refer to the pre-procedure handout you were given for pre-procedure instructions.
  • Take your morning medications with a small sip of water unless told otherwise.
  • Patients taking blood thinners (e.g., Coumadin, Plavix, Eliquis, Pradaxa, Xarelto) will receive specific guidance on when and how to stop these medications before the procedure.

Day of Procedure

  • Arrive early with your insurance card and driver’s license.
  • Wear comfortable, loose-fitting clothing.
  • You will be asked to sign consent forms before the procedure begins.
  • Most procedures are performed with fluoroscopic (X-ray) guidance for accuracy.
  • Sedation or local anesthesia may be used depending on the type and location of the injection.

After the Procedure: Post-Operative Care

Immediate Recovery

  • You will be monitored in the recovery area for a short time after the procedure.
  • Expect mild soreness or tenderness at the injection site, which typically subsides within 24–48 hours.
  • Ice packs may help reduce discomfort during the first day.

Activity Restrictions

  • Avoid strenuous activity for the rest of the day.
  • You may return to work the next day unless instructed otherwise.
  • Resume normal medications unless otherwise directed.

When to Call Your Provider

  • If you experience fever, chills, redness or swelling at the injection site, or persistent severe pain, contact your provider immediately.
  • A follow-up appointment will be scheduled to discuss the results of your procedure and determine next steps.

Your Pain Management Team

At Regional Brain & Spine, your care may be coordinated between pain management, neurosurgery, physiatry and/or other specialist based on your individual condition. This team-based approach allows us to:
  • Accurately diagnose the source of your pain
  • Provide comprehensive treatment options tailored to your condition
  • Help you avoid unnecessary or premature surgery
  • Monitor your progress and adjust your care plan as needed
Our goal is to relieve your pain and help you return to the activities that matter most—safely, quickly, and with the highest level of care.
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Is Pain Management Right for You?

You may be a candidate for interventional pain procedures if:

  • Your pain has persisted for several weeks or months
  • Conservative treatments like rest, physical therapy, or medications have failed
  • You’re not yet a candidate for spine surgery, or prefer non-surgical options
  • You’re recovering from a spinal procedure and experiencing residual pain

Your provider at Regional Brain & Spine will help determine whether pain management is a suitable part of your care plan.

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Don’t let pain dictate your lifestyle. The expert team at Regional Brain & Spine offers cutting-edge pain management solutions designed to help you take control of your symptoms and get back to living fully.

Self Referrals

Regional Brain & Spine Pain Management clinic accepts self-referrals. Patients who have seen another provider in the past for Pain Management treatment will need to have copies of their medical records faxed to Regional Brain & Spine for review and approval prior to appointment scheduling.

 

Request an Appointment

Any patient type, new or established, may call to schedule an appointment. Established patients may also use our convenient online appointment request form.

Our Office Locations

Cape Girardeau, MO (For All Specialties)

Farmington, MO (Physiatry/Weight Management Only)

Dexter, MO (Pain Management Only)

Serving Patients Across the Region

Regional Brain & Spine proudly provides advanced neurosurgery, pain management, physiatry, and obesity medicine services to patients throughout:

  • Southeast Missouri
  • Western Kentucky
  • Southern Illinois
  • Northeast Arkansas
No matter which location is most convenient for you, our team is committed to delivering compassionate, specialized care close to home.
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Get in Touch Today

Have questions about your appointment, insurance, or services? Call our main office in Cape Girardeau at (573) 332-7746. Our friendly staff will be happy to help you schedule your visit or connect you to the right department.

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