Treatment Plans for Chronic Pain

Because chronic pain often exists in the absence of any obvious root biological cause and can be very difficult to resolve, our care teams focus on identifying several modalities that together can safely alleviate pain.

Individuals with significant mental health issues may be referred to our psychiatric pain specialty program.

Healthy Living

Healthy living can reduce pain. It also positions patients for success if a more invasive procedure, such as surgery, is eventually needed.

Our patients are generally encouraged to:

  • Exercise regularly 
  • Eat a healthy diet
  • Maintain or attain mental well-being

For many fibromyalgia patients, aerobic exercise is the cornerstone of our treatment approach. We will work with patients to find an activity that does not trigger pain.

Complementary or Alternative Medicine 

Non-traditional approaches can provide some relief for some individuals, and may become a helpful part of a person's care plan. We currently offer:

  • Acupressure
  • Osteopathic manipulation
  • Referral to UC San Diego Health's mindfulness training and stress reduction programs

Medications for Pain

Medications can help reduce pain in some patients. They may also help patients cope with the mental toll of chronic pain, including sleep problems. Depending on your situation, your treatment plan may include: 

  • Anti-depressants
  • Anti-anxiety medications
  • Sleep medications
  • Medical marijuana

Opioid use is discouraged or minimized in most but not all situations. We offer an opioid detoxification program, as well.

Fluoroscopy and Image-Guided Injections

We offer a range of injections to treat different kinds of pain, including:

  • Steroid injections
  • Epidurals
  • Nerve blocks
  • High-temperature or pulsed radio-frequency nerve ablations
  • Ultrasound-guided injections for musculoskeletal pain
  • Botulinum toxin injections 
  • Hyaluronic joint injections

Implantable Therapies

We offer implantable therapies to deliver pain medications or stimulate nerves to reduce pain, including:

  • Intrathecal “pain” pumps, in which medications are delivered directly to the spinal cord
  • Spinal cord stimulation implants, which use electrical currents to control or relieve pain
  • Intrathecal baclofen (a muscle relaxer) for severe spasticity

Candidates for these more invasive procedures are carefully screened.

Clinical Trials

Please contact our clinic or ask your pain doctor for information on our pain-related clinical trials or research studies.

Appointments & Referrals

To be seen at our center, you must get a referral from another physician. Self-referral is not allowed.

Clinic Location

La Jolla

Our Physicians

Related Services