Understanding pain management treatment options

At Bay State Pain Associates we usually follow a treatment plan that begins with basic general therapies and progresses to more definitive solutions. This is because simple options such as lifestyle changes, diet changes, or specific exercises may often suffice in reducing your pain.

  • Non-Interventional Pain Management Treatment
  • Interventional Pain Management Treatment
  • Regenerative Medicine Therapy
Noninterventional treatments

Noninterventional treatments

Pain Management and Spine Treatment

The most basic of these don’t require a prescription and can usually be done at home with or without help from a healthcare professional. These are treatments that do not include injections, implants, or other surgical procedures.

  • Rest and diet changes
  • Exercise and physical therapy
  • Acupuncture, massage, and spinal adjustment
  • Anti-inflammatory drugs (eg, ibuprofen)
  • Cognitive and behavioral modification
  • Transcutaneous electrical nerve stimulation (TENS)

Other noninterventional treatments are used as a first step when there are no improvements from basic treatments. These include:

  • Prescription opioid and non-opioid medications
  • Prescription painkillers, muscle relaxants, antiseizure drugs, and some antidepressants

Interventional pain treatments

Invasive Pain Management Techniques and Spine Treatment

Invasive techniques in pain management involve injections and/or placement of devices into the body. A multitude of invasive pain management therapies have been used to treat neck and back pain.

Some of the most popular interventional pain management techniques include:

  1. Injections : Epidural, Steriod, RFA
  2. Surgically implanted electrotherapy devices : SCS
  3. Vertiflex Procedure


Interventional treatments
  1. Injections (also known as blocks)

Injections provide direct delivery of steroids or anesthetic into joints, ligaments, muscles, or around nerves. These injections may provide relief of pain (often temporary) and can be used to confirm if the injected structure is the source of the pain, clarifying the diagnosis. 

These are typically outpatient treatment options that can provide long-term pain relief. They are less invasive and have a quicker recovery time than most surgical procedures and are often used when noninterventional treatments fail and invasive surgery is too aggressive.

    • Epidural steroid injections (ESI) or nerve blocks : Cervical Or Lumbar Spine
      Injection of an anesthetic, steroid, and/or anti-inflammatory into the pained area, can provide temporary relief for upper extremity or lower extremity pain due to a pinched nerve in the spine.
      • Cervical Disc Herniation
      • Cervical Facet Syndrome
      • Cervical Radiculopathy
      • Cervical Spondylosis
      • Cervical Sprain-Strain (Whiplash)
      • Cervical Stenosis
      • Lumbar Stenosis
      • Lumbar Spondylolisthesis
      • Lumbar Radiculopathy (Sciatica)
      • Lumbar Disc Herniation
      • Lumbar Degenerative Disc Disease
      • Low back Sprain-Strain
    • Radiofrequency ablation (RFA)
      RFA is a minimally invasive outpatient procedure that uses thermal energy to interrupt pain signals at their source. RFA can be used to treat pain in the back, hips, knees, shoulders, feet, and neck, and can provide months—or even years—of relief. This procedure involves deadening of painful nerves via heat administered through a small needle. In carefully selected patients, this helps in approximately 60% of patients and lasts for months to years. Learn about RFA
  1. Spinal cord stimulation (SCS)
    SCS and implantable peripheral nerve stimulators. In general they are more effective for arm and leg pain than they are for localized spine pain. SCS therapy can help manage chronic pain of the lower back and limbs by using mild electrical impulses to interrupt pain signals. Although a minimally invasive treatment, SCS may also be used to help manage pain that is unresolved—or even caused—by more invasive surgical procedures. Learn about SCS
  2. Vertiflex™ Procedure
    The Vertiflex Procedure is a unique treatment clinically proven to provide long-term relief from pain associated with lumbar spinal stenosis. Using a simple, safe, and minimally invasive technique, the small device helps relieve pressure on nerves that cause pain in the lower back and legs. Learn about Vertiflex Procedure

Regenerative Medicine Therapy

Pain Management Techniques and Spine Treatment

Regenerative medicine and stem therapies hold potential for significant improvement in pain and function for a select group of patients and conditions.   Full work up including imaging studies, detailed medical history and physical exam, and history of past treatments are needed to determine if regenerative medicine should be considered as a treatment option.

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call us at (508)436-2555

1. Fluid Flow Amniotic 

Regenerative Medicine

  • Naturally heal and regenerate tissue as needed
  • Activate your body’s healing response
  • Great for treating , Joint Pain, Tendonitis, Fasciitis and Muscle 
    Tears and Sports Injuires

knee pain

  • Proven for treating pain
  • Accelerates the healing process
  • Targeted injection site
  • PRP Therapy for Achilles Tendon Pain
  • PRP Therapy for Chronic Back Pain
  • PRP Therapy for Chronic Knee Pain
  • PRP Therapy for Hip Arthritis
  • PRP Therapy for Peroneal Tendonitis
  • PRP Therapy for Plantar Fasciitis
  • PRP Therapy for Shoulder Pain
  • PRP Therapy for Whiplash

3. Bone Marrow Aspirate (BMA)


  • Reducing the necessity for major surgery
  • A quicker healing process
  • No medication or hospital stays