Mazama Spine Summit

Patient Portal

Make A Payment


Referral Forms:  Spine   |   Pain Management

Pain Management

About Pain Management

Our doctors and staff offer advanced pain management for patients who are dealing with chronic pain. We seek to find the right option for your situation and get you pack to full health as quickly as possible.

Pain Management

It’s important to note that we do far more than spinal surgeries at the Microsurgical Spine Center. Not everyone will need spine surgery or even be considered a candidate. Many of our treatment options focus on physical therapy and rehabilitation. Others use targeted injections to attack specific pain sites. Surgery is an option we turn to when less-invasive treatments are not effective. This model of integrated pain management looks at all parts of your health and your body to devise treatments that will hopefully eliminate or minimize the root causes of your pain rather than just soothing the symptoms.

We offer a wide variety of pain management services. They can be generally divided into two areas: spine treatment and non-spine treatment.

Spine Treatments for Pain Management

Epidural Injections

Many of our female patients may remember epidurals as a common option for pain management during childbirth. There is a wide-variety of epidural procedures that can be performed to help mitigate chronic pain. Thoracis epidural anesthesia, for example, can help reduce chronic pain in the intestines and is often used in conjunction with surgeries in the thoracic cavity (the main body cavity where your major organs such as the heart, lungs and liver are located.

Lumbar Epidural

These injections have been used since the 1950s and remain a key part of the treatment of non-surgical treatments of sciatica and lower-back pain. These epidural treatments help alleviate chronic pain, which is of course of great value to the patient. But they can also become part of an integrated rehabilitation program that focuses on strengthening and rebuilding damaged, painful muscles.

Nerve Root blocks

Nerve blocks are anti-inflammatory injections that target a specific nerve or group of nerves that are inflamed and causing pain. The injection can “turn off” the pain signal, which helps decrease inflammation. Again, this treatment can reduce pain while also allowing for exercise, surgery or rehabilitation of a painful part of the body.

Joint Injections

The good news about improving health standards is that we’re living longer. The bad news is that our joints wear out over time from life’s ordinary strains. Joint pain can also be caused by exercise or sports injuries. Joint injections target painful points by reducing inflammation and offering some necessary lubrication. Just like the Tin Man, we all need some oiling from time to time.

Trigger Point Injections

These injections can be an effective treatment to “turn off” or inactivate pain points, especially in patients suffering from myofascial pain syndrome. They can also be used to treat tension headaches and target muscles that are failing to properly relax.

Radiofrequency Denervation

This minimally-invasive surgical procedure targets the facet joints, small joints at the back of the spine that help keep it straight. The joints cause pain by pressing on nearby nerves. The RFD procedure helps stop pain signals, allowing a patient to start a physical therapy program.

Spinal Cord Stimulation

A temporary external device is used to send pulsed electrical signals to the spinal cord, usually near the lumbar region of the back. These electrical impulses help control chronic pain. If the trial is successful, a permanent implant will be performed.

Non-Spine Treatment for Pain Management

Medication for cancer pain – Cancer – and treatment therapies designed to drive out that cancer – can both cause pain. Spine care and pain management medications can help control that pain during treatment.

Sympathetic Blocks

A sympathetic block is an injection of anesthetic into or around your sympathetic nerves, which are located on either side of the spine in your lower back. The anesthetic can help relieve leg pain, especially after injury to a joint or limb.

Peripheral Nerve Blocks

These nerve blocks can shut off sensation to a limb or specific part of the body, preventing the body from feeling pain sensations from that part of the body.

Ganglion Block for Headache

This type of nerve block focuses on the ganglia, a nerve sell cluster that is a part of the central nervous system that helps internal organs function.

Botox Injections for Pain and Headache

Botox is far more than a cosmetic drug. Because botox helps immobilize tissue, it can be used to stock muscle spasms and can relax muscles, reducing or eliminating tension and migraine headaches.

As you can see, we are well prepared to offer advanced pain management to patients with a wide variety of issues. We hope to be a center for pain management that can help you keep your pain under control, allowing you to lead an active life.

Have Questions Or Need To Request An Appointment?

What Patients Say About NeoSpine.

I’ve been with NeoSpine for over 2 years. I have receive the absolute best care possible. Their staff, administrative as well as healthcare are knowledgeable, supportive, empathetic and understanding. As a retired Registered Nurse I’m able to understand their practice requirements and they adhere to them and, at the same time make me feel that my needs are important. Best care ever. Thank you to all staff.

Rebecca D.

Puyallup, WA

I highly recommend Neospine for back or neck surgery as I have had both procedures done there. I am now free of pain and able to do things I was able to do prior to needing the operations. I am so impressed with their staff and could never begin to thank them enough!

Malissa E.

Puyallup, WA

The entire staff at Neospine were tremendous .I was fortunate to be under the care of Dr. Nwosu. He was fantastic, professional, friendly and highly skilled at interpreting and discussing options. My specific surgery was fantastic start to finish. A huge thank you to Dr. Nwosu and all staff at Neospine for taking part in my path to wellness.

Brady H.

Puyallup, WA


Contact Us

Collective Experience for Comprehensive Spine Care


Phone: (425) 820-1221
Fax: (844) 821-9362
13115 121st Way NE Suite C,
Kirkland, WA 98034

Get Directions


Phone: (425) 820-1221
Fax: (425) 821-9362
1310 116th Ave NE Suite A,
Bellevue, WA 98004
Get Directions

Gig Harbor

Phone: (253) 841-0842
Fax: (253) 442-6149
4700 Point Fosdick Dr NW, Suite 205
Gig Harbor, WA 98335
Get Directions


Phone: (253) 841-8939
Fax: (253) 445-0756
1519 3rd St SE, Suite 101
Puyallup, Washington 98372
Get Directions


Phone: (253) 841-0842
Fax: (253) 442-6149
9615 Levin Rd, Suite 103
Silverdale, WA 98383
Get Directions

Bonney Lake

Phone: (253) 841-8939
Fax: (253) 445-0756
9812 205th Ave East Suite C
Bonney Lake, WA 98391
Get Directions
(Dr. Kathy Wang only)