Pain Management Center

At Carolina Orthopaedic & Neurosurgical Associates

About Our Awarded
Physical Medicine & Rehabilitation Program

Pain management is an important part of orthopaedic care. A Physical Medicine & Rehabilitation Physician (PM & R) treats injuries and illnesses related to nerves, muscles, and bones. PM&R physicians treat a wide range of problems and injuries from sore muscles to musculoskeletal injuries. Their goal is to decrease pain and improve performance without surgery.

Non-Surgical Treatments

Epidural Steroid Injections (ESI)
An epidural steroid injection (ESI) is a minimally invasive procedure that can help relieve neck, arm, back, and leg pain caused by inflamed spinal nerves. ESI may be performed to relieve pain caused by spinal stenosis, spondylolysis, or disc degeneration or herniation. The effects of ESI tend to be temporary. Pain relief may last for several days or even years. The goal is to reduce pain so that you may resume normal activities and a physical therapy program.

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Facet Joint Injections

A facet injection is a minimally invasive procedure that can temporarily relieve joint or nerve pain caused by inflamed facet joints. Facet joints are involved in carrying weight through your back/neck and allowing motion of the spine including flexion, extension, and twisting.

Facet mediated pain is often felt as a deep aching sensation in the back or neck that is worse with movement.

Facet joint pain can be caused by numerous factors including arthritis, degenerative disc disease, falls and car accidents. Pain from the facets cannot be diagnosed by x-ray, CT scan, MRI or Bone scan.
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Hip Joint Injections
Hip joint pain is a common complaint and is often related to hip joint osteoarthritis. Commonly hip joint pain is experienced as a deep aching sensation in the groin that is worse with walking or standing.

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Medial Brach Blocks

A medial branch block (MBB) is a minimally invasive diagnostic procedure that can be used to diagnose facet mediated back and neck. Facet joints are in involved in carrying weight through your back/neck and allowing motion of the spine including flexion, extension, and twisting. Facet mediated pain is often felt as a deep aching worse with movement. Facet joint pain can be caused by numerous factors including arthritis degenerative disc disease, falls and car accidents. Facet joints send pain signals through two medial branch nerves. Pain form the facet cannot be diagnosed by x-ray, CT scan, MRI, or Bone scan.

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Sacroiliac Joint Injections

Sacroiliac Joint (SIJ) Disease is one of the major causes of low back pain. The sacroiliac joint is located at the junction between the spine and the pelvis. The sacroiliac joint is a weight-bearing joint as the weight form the upper body transmitted down the spine, through the sacroiliac joint and into the pelvis, hips, and lower extremities. The sacroiliac joint is supported by many muscle groups and ligaments that are richly innervated by free nerve endings and spinal nerve roots. When there is inflammation to the sacroiliac joint the patient may experience intense low back pain. Patients typically complain that the pain associated with sacroiliac joint worsens when sitting for long periods of time or performing twisting motions.
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PT Exercises & Forms

(click to download) 

Dynamic Lumbar
Stabilization Exercises

Day of Procedure Packet

Greater Trochanteric
Bursitis Exercises

OST Form
PM&R 2019

Pain Assesment

Pain Assessment Diary


Arthritis Following An Injury

An injury can damage joint bone, cartilage, and soft tissues. When left untreated, damages cause joint wear and tear and early onset or postinjury arthritis. Postinjury arthritis treatment is always best—nonsurgical treatment options decrease symptoms and prevent the condition from becoming worse.

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Back Pain

Statistics show that 80 percent of all adults will experience low back pain at some point in their lives. Most back pain is short lived but over 40 percent of patients with low back pain will have complaints of pain for one and two years later. The experienced staff at CONA’s Pain Center work with pain management therapies in Spartanburg & Greenville SC to help reduce or eliminate back pain and help you get back to your normal daily activities. Our specialized physicians will diagnosis and prescribe the best treatment for the problem. Some of the treatments include epidural injections, facet joint injections, sacroiliac joint injections, trigger point injections, discography and radiofrequency ablation.

Neck Pain

Neck pain can come from many different causes, including arthritis, work-related injuries, auto accidents or just bad posture. The pain management staff of CONA Pain Center in Spartanburg will work with each patient to determine the type of pain they have and choose an appropriate treatment for their injury. Treatments may include medications, cervical epidural steroid injections, radiofrequency ablation or physical therapy.


Osteoarthritis is the most common type of arthritis. This type of arthritis can cause knee, hip, and other joint pain that many times is the result of repetitive motions. It’s important to accurately diagnose the source of the pain to determine the appropriate treatment, which may include medications, physical therapy, and peripheral joint injections. Surgical consultation is provided when necessary.


Osteoporosis is a disease of the bones that is characterized by a loss of bone density leaving bones at an increased risk of breaking or fracturing. Osteoporosis can be prevented with lifestyle changes such as exercise and a diet rich in calcium and vitamin D, as well as exercise and alcohol and smoking. CONA Pain Center near Greenville SC staff can help evaluate osteoporosis and prescribe appropriate treatment. Painful fractures that do not respond to bracing or medication may be treated with kyphoplasty. Kyphoplasty is a procedure that uses orthopaedic cement to stabilize the fracture, relieve pain and restore some vertebral height.

Rheumatoid Arthritis

Rheumatoid arthritis is an autoimmune disorder where the body mounts an immune attack on joint bone and cartilage. Rheumatoid arthritis symptoms can make it hard to perform many day-to-day movements without pain. Patients are encouraged to make an appointment with a Carolina Orthopaedic and Neurosurgical Associates’ (CONA) specialist as soon as symptoms present. Early treatment decreases symptoms and prevents rheumatoid arthritis from becoming worse.

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Sciatica refers to pain that radiates along the path of the sciatic nerve from your back down to your buttock and leg. The radiating pain of sciatica, also known as “pinched nerve,” signals a problem involving the nerve such as a herniated disk. The staff of CONA Pain Center in Spartanburg will thoroughly evaluate the patient and determine which particular nerve is causing the pain and treat appropriately. Treatment options may include medications, physical therapy, and nerve root blocks.

Peripheral Neuropathy

Peripheral neuropathy often causes numbness and pain in your hands and feet, which is the result of nerve damage. This nerve disorder is often described by patients as a tingling or burning sensation. Treatment options include prescribed medications or spinal cord stimulation.

Myofascial Pain

Myofascial pain is a chronic form of muscle pain that radiates from sensitive points in your muscles called trigger points. The trigger points can be painful when touched and the pain can spread throughout the affected areas. This painful condition can be treated with medications, physical therapy, exercise and trigger point injections.

Failed Back Surgery Syndrome

Failed Back Surgery Syndrome is a term that is used to describe a patient who continues to have pain following multiple surgeries. The term “failed back” does not mean that the surgery was done incorrectly. It is important to properly determine where the pain is originating from — which may include further degeneration of the spine or stress that is now produced in different areas of the spine. When dealing with pain management in Greenville & Spartanburg SC, CONA Pain Center will help determine the source of the pain and help find relief for the patient. Treatment options may include medications or diagnostic and therapeutic interventional procedures.

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5 Decades Of Premier Orthopaedic & NeuroSURGICAL Care

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