Our interventional practice is devoted to the diagnosis and targeted treatment of chronic pain, usually of spinal origin.  We are committed to providing accessible care throughout rural central, eastern, and northern Maine at your patients' convenience.

Philosophy:  It is our purpose to provide interventional services that would otherwise not be available in the communities we serve.  Our patients typically have chronic, consistent, focal pain which has not responded to conservative care (e.g. physical therapy, manual methods, medication).  We utilize history, physical examination, and imaging to develop one or several likely diagnoses.  If appropriate, targeted injections are performed for diagnostic and/or therapeutic purposes.  Depending upon results, injection or denervation can be repeated as needed.  Alternatively, patients can be returned to conservative care or referred to another specialist.

Conditions we commonly treat

  • Spinal Stenosis

  • Disc Herniation

  • Radiculopathy (including sciatica)

  • Spondylosis

  • Sacroiliitis

  • Coccygodynia

  • Post-laminectomy syndrome

  • Post spinal fusion pain

  • Hip arthropathy

  • Knee arthropathy

  • Shoulder pain

  • Greater trochanter bursitis

  • Spinous process bursitis

  • Piriformis syndrome

  • Muscular trigger points

  • Peripheral neuropathy (e.g. intercostal, occipital, ulnar, femoral, peroneal, meralgia paresthetica)

  • Complex Regional Pain Syndrome

  • Vertebral Compression Fracture

Procedure Commonly Performed - Under Fluroscopy

(Under X-ray guidance):


To treat vertebral compression fracture

Epidural Steroid Injection

Cervical, Thoracic, Lumbar, Caudal

Selective Spinal Nerve Injection

Cervical, Thoracic, Lumbar

Intercostal Nerve Injection

Facet Joint Injection

Cervical, Thoracic, Lumbar

Sacroiliac Joint Injection

Piriformis Muscle / Sciatic Nerve Injection

Lumbar Sympathetic Injection

Stellate Ganglion Injection

Hip Joint Injection

Glenohumeral (Shoulder) Joint Injection

Facet Joint Denervation

(Cervical, Thoracic, Lumbar)

Sacroiliac Joint Denervation

Spinal Cord Stimulation


Procedure Commonly Performed - withOUT Fluoroscopy

Muscular Trigger Points


(Subacromial, Acromioclavicular, Biceps Tendon)

Greater Trochanter Bursa

Knee Joint

Peripheral nerves

Occipital (greater, lesser)

Peripheral Nerves

Supraspinatus, Ulnar, ilioinguinal, genitofemoral, femoral, lateral femoral cutaneous, common peroneal

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Toll Free: 855 ZAP PAIN (927 7246)

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