Pain Management in California | Spinal Pain Management
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Pain Management

Live Free. Hurt Less. Move with Confidence.

Pain management at Total Spine Institute helps you:

  • Reduce chronic or acute pain without unnecessary surgery
  • Improve mobility and function for everyday movement and long-term health
  • Treat spine, joint, and nerve pain at the source with targeted solutions
  • Restore quality of life with advanced therapies like PRP and nerve blocks
  • Support healing and recovery with a personalized, whole-body approach
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Pain Management
Feel Stronger. Move Better. Live Healthier.

Live Free.
Hurt Less.
Move with Confidence.

Pain Management at Total Spine Institute helps you:

  • Reduce chronic or acute pain without unnecessary surgery
  • Improve mobility and function for everyday movement and long-term health
  • Treat spine, joint, and nerve pain at the source with targeted solutions
  • Restore quality of life with advanced therapies like PRP and nerve blocks
  • Support healing and recovery with a personalized, whole-body approach
BOOK NOW

Pain Management

Locations in Oakland, Calabasas, Sacramento, Bay Area, and Arizona

Most people experience back or neck pain at some point in their lifetime. In many cases, the pain comes from minor injuries or inflammation and may be relatively mild. In other cases, spinal pain may be severe and long-lasting. In the latter case, patients may need professional pain management services to help them get by.

Andrew Fox, M.D., and Ryan Mattie, M.D., of Total Spine Institute offer highly effective pain management services in Oakland and surrounding areas. Effective pain management can restore hope and quality of life for patients with chronic or acute pain. To learn more about the pain management services we offer, please call us at (818) 616-4429. We’ll help you schedule a consultation at one of our locations in Northern California, Southern California and Arizona.

Schedule a Consultation

Pain Management

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What Conditions Require Pain Management?

Many different health conditions may benefit from pain management services. We frequently provide personalized pain management programs to people with:

  • Scoliosis
  • Sacroiliitis
  • Spinal stenosis
  • Degenerative disc disease
  • Failed back surgery syndrome
  • Radiculopathy
  • Spondylolisthesis
  • Herniated discs
  • Joint pains
  • Head or facial pain
  • Nerve pain

All of these conditions can cause significant discomfort on a day-to-day basis. Pain management, especially when combined with treatments that correct the root of the problem, can make a huge difference in people’s lives.

What Are Pain Management Treatment Options at Total Spine Institute?

We offer a wide variety of pain management treatments at Total Spine Institute. Here are some of our most notable:

Anti-Inflammatory Medications

Anti-inflammatory medications are frequently recommended for sufferers of chronic pain. They reduce discomfort by blocking an enzyme called cyclooxygenase. This enzyme produces prostaglandins, which are chemicals in the body that can cause pain and inflammation. We often recommend physical therapy in combination with anti-inflammatory medications.

Physical Therapy

Physical therapy is a broad category of treatments intended to improve mobility, decrease pain, and support health. It’s often prescribed after an injury, health condition, or surgery to facilitate optimal recovery. In many cases, physical therapy can reduce chronic pain by improving flexibility, strengthening supporting muscles, and reducing inflammation.

Epidural Steroid Injections

Epidural steroid injections (ESIs) temporarily reduce pain by delivering anti-inflammatory medication into the epidural space. This is the space that surrounds the spine.

Nerve Blocks

Like steroid injections, nerve block injections also temporarily reduce pain levels. They contain a local anesthetic for rapid pain relief. We frequently recommend nerve blocks for acute pain. The effects usually last between 24 and 72 hours.

Platelet-Rich Plasma Injections

Platelet-rich plasma (PRP) contains platelets (a healing type of blood cell) and plasma (the liquid component of blood). PRP injections also contain growth factors that stimulate healing and thus can reduce the source of discomfort. Patients may need several treatments to experience the full, long-lasting benefits of PRP injections.

Facet Joint Injections

Facet joints connect the spinal vertebrae to each other. When these joints become stiff and inflamed, it’s known as facet joint syndrome. Facet joint injections can relieve discomfort from this condition.

Image of Total Spine Institute Team

Why Choose Total Spine Institute

Our spine specialists are highly respected, skilled, and eager to help you live a pain-free life. Andrew Fox, M.D., is our neurological and spinal surgeon. He specializes in all types of neck and back issues. Ryan Mattie, M.D., is our interventional spine and pain management specialist. He knows how to treat both chronic and acute spinal pain. He’s also an experienced sports medicine specialist. Cheri Geist, PA-C, MPAP, FAAPA, is our skilled board-certified physician assistant.
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Our
Providers

With over 50 years of experience, our team includes specialists in pain management, physical medicine and rehabilitation, minimally invasive procedures, and complex spine surgery. Each provider is committed to working collaboratively to deliver personalized, effective treatment plans tailored to your unique needs.

Andrew Fox, M.D.

Neuro Spine Surgeon

Ryan Derby, M.D.

Pain Medicine Physician

Ryan Mattie, M.D.

Pain Management

Cheri Geist, PA-C, MPAP, FAAPA

Physician Assistant

Dr. John Michael Holmes

Pain Management

Dr. James Silverthorn

Neuro Spine Surgeon

David Pilkington, DO

Interventional Pain Management Physician

what our patients say

Just want to say thank you to Total Spine Institute for all your care that I have received. Dr Mattie and Dr Fox are real heroes that really help and listen to their patients. That is the service that I received and would definitely recommend them to anyone and everyone.
– Steve L.
Dr. Fox truly made my visits a breeze! From calming my nerves before surgery to providing comforting reassurance afterward, he went above and beyond to ensure I felt at ease throughout the entire process. Along with his incredibly accommodating staff, scheduling appointments was a breeze. The best part? I experienced minimal pain post-surgery and I’m absolutely thrilled to share that my procedure was an outstanding success. A heartfelt thank you to you, Dr. Fox!
– Nicole P.
Dr. Fox and his Team of Friendly, Courteous Professionals are the very best you can get! I am a critical care RN, so I am always censoring the care I receive and can easily see the difference.
– Yvonne
Foot numbness and leg and back pain had been increasingly limiting my mobility, and activity level. Dr. Fox cleaned up scar tissue that was putting pressure on the spinal nerve. I’ve regained feeling and am working on re-strengthening the leg. I was in and out of surgery the same day and the surgical site has healed well with no complication. Should have done this sooner!
– Claudio C.
Dr. Fox and his team are extremely professional and caring. They had our total and complete trust from day 1. We are so grateful!
– Amanda B.
Highly recommend this office and Dr.Fox! Everyone I ever spoke with was very polite and kind. Dr.Fox has a great bedside manner. He feels more like a caring, trustworthy, friend. Being in pain is horrible, but knowing your Dr. Has your best interest at heart makes you feel more at ease. I trust and respect Dr.Fox and his colleagues very much!
– Vanessa M.

Request a Pain Management Appointment

No one should have to spend their lives burdened with chronic pain. If you’re ready to finally kick neck and back pain to the curb, contact Total Spine Institute at (818) 616-4429. We have several practice locations in Northern California, Southern California and Arizona. We’ll help you schedule a consultation at the location of your choice.
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Pain Management FAQs

If you have back pain, you should temporarily limit certain stressful movements. However, you don’t want to become completely sedentary unless a healthcare professional advises you to do so. Generally, you should engage in slow, easy movements and avoid anything that strains your back while you heal.

Back pain sometimes resolves on its own, especially if it is caused by a minor injury or inflammation. However, more complex spinal problems may require advanced treatments and comprehensive pain management approaches.

If you have acute or chronic back pain that doesn’t respond to over-the-counter pain medications, you may qualify for pain management treatments. Schedule a consultation with Total Spine Institute, and we’ll give you personalized treatment recommendations after a comprehensive consultation.

Schedule a Consultation

Pain Management

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SOURCES

1 High intensity focused electromagnetic therapy evaluated by magnetic resonance imaging: Safety and efficacy study of a dual tissue effect based non‐invasive abdominal body shaping. Lasers in Surgery and Medicine. Wiley Online Library.