Chronic Pain Management 

Whether you are dealing with pain on a daily or intermittant basis or want to come off of opioid therapy altogether there are many modalities of pain management including medications that are not opioids that are exceptional at pain reduction. Using a multi-modal approach you can have more success with pain management than with opioids alone. Pain is experienced differently in each patient so your pain care plan will be tailored specifically to your needs and functional goals.
Contact us to set up an initial pain management consult, which costs $200 for a 75 minute visit (Prices effective October 1st). No opioids will be prescribed during your first visit so please plan accordingly. Please bring whatever documentation and imaging you may have OR have your records faxed ahead for me to better serve your pain needs in a timely manner. 

All first visits for Pain Management are 75 Minutes. No opioids will be prescribed during your first visit. IF you choose to continue care through our clinic, we require you to become a Pain Management Member...UNLESS you are on Medicare Part B, which we are able to bill. Unfortunately, we are NOT able to bill Medicare Advantage. 

 We do NOT stock opioids at the clinic. 
Suboxone patients will be enrolled in this membership option if NOT Original Medicare B

Your pain agreement with me will include:
  • Yearly comprehensive visit and agreement renewal. 
  • Follow-ups as often as needed
  • Maintaining functional goals
  • Use of multi-modal approach with goal of reducing need for strong medications. 
  • Random urine testing. Marijuana use will not be against policy but there will be general knowledge and consent. 
  • Use of standardized screening tools for opioid misuse risk. 
  • Participation in prescribed therapies including non-medication/integrative strategies
  • I MUST be your ONLY opioid prescriber including dental or other procedures or emergency room visits. 
Membership includes
  • Treating you as individual and not you as a pain patient
  • Text/email access to provider
  • Longer appointment times 
  • Steroid joint injections and trigger points at no extra cost

Forms for Pain Patients

​It is always in your best interest to use the lowest effective dose of opioids possible to remain functional and safe. This is ALWAYS my goal as a pain clinician. You and I will be a team to determine your individualized pain management plan. 

I am a Low-Dose Naltrexone (LDN) prescriber

Maker's Pharmacy in Mount Vernon is a compounding pharmacy where our LDN orders go to. It is not covered by insurance but isn't very expensive. Please visit Maker's Pharmacy to learn more about LDN. 

LDN is used in over 100 different diagnoses. It i