Through physical therapy, interventional procedures and pain-reducing strategies, the multidisciplinary team of pain management specialists are able to evaluate symptoms and provide treatment for many types of pain, including:

• Ankylosing spondylitis
• Neck and shoulder pain
• Arthritis
• Nerve pain
• Back pain
• Pain
• Amplification Syndrome
• Cancer pain
• Pelvic or abdominal pain
• Complex Regional Pain Syndrome (CRPS)
• Post-surgical pain
• Chronic Pain Syndrome
• Reflex sympathetic dystrophy
• Diabetic neuropathy
• Sacroiliac joint pain
• Fibromyalgia
• Sciatica
• Headaches and migraines
• Spinal stenosis
• Hypermobility Syndrome
• Tailbone pain (Coccydynia)
• Irritable bowel disease
• Trigeminal nerve pain
• Myofascial Pain Syndrome

The multidisciplinary pain management team includes specialists experienced in restoring health and wellness to those with chronic pain. These specialist include:

• Fred Nowroozi, M.D. - Board-certified, Rehabilitation and Physical Medicine
• Arthur Zepeda, M.D. - Board-certified, Interventional Anesthesiology and Pain Medicine
• Joe Kolb, Pharm. D - Licensed pharmacist
• Gary A. Baffa, Ph.D., M.S. - Licensed Clinical Psychologist
• Allison Bicksler, Psy.D. - Licensed Clinical Psychologist
• Vibhuti Dharia, OT - Licensed Occupational Therapist
• Andrea Romero, MOT - Licensed Occupational Therapist
• Marina Leontiev, DPT - Licensed Physical Therapist
• Brad Shumawy, DPT - Licensed Physical Therapist
• Michele Ledesma, PTA - Physical Therapy Assistant
• Lee Zambrana - Biofeedback Specialist
• Lenny Recinos - Support Staff

To relieve chronic pain and reactivate a more enjoyable quality of life, our program offers a full range of services customized to meet the specific needs of each patient. These medical management pain services include:

• Pain interventions
  • Epidurals
  • Facet injections
  • Trigger point injections
  • Nerve blocks
  • Intra-articular injections
  • Intrathecal drug delivery
  • Radiofrequency ablation
  • Implantable pain pumps
  • Spinal cord stimulation
• Medication management
  • Evidence-based techniques for helping patients avoid addiction and destructive patters of medication overuse
• Emotional and psychological support
  • Pain Lecture Series – weekly lectures on pain management topics
  • Happiness Over Pain Everyday (HOPE) Support Group
  • Mindful Relaxation – breathing exercises and mindfulness practices
• Physical and Aquatic Therapy
  • Therapeutic interventions designed to rebuild strength, endurance and balance
  • Transitional Fitness Class – physical therapy that includes gentle strengthening and stretching using weights, exercise bands, kettle bells and other fitness equipment
  • Pool Group/Aquatic Therapy – one-on-one warm water pool therapy for patients who have difficulty with traditional therapy
• Occupational Therapy
  • Simulated work, home, leisure and school experiences to increase activity tolerance, endurance and safety
  • Exercises include: pacing, energy conservation, time management, work simplification, posture and body mechanics, problem solving, stress management and relaxation
• Biofeedback
• Relaxation exercises and self-management techniques, which you will fine-tune to control your body’s reaction to pain.
  • Biofeedback therapy relaxation exercises include: deep breathing, progressive muscle relaxation, guided imagery and mindfulness meditation (focusing your thoughts and letting go of negative emotions)
• Recreation Therapy
  • Once-a-week class offers opportunities for self-expression and growth, reintroduces hobbies that may have been lost, and encourages new interests
• Classes and Support
  • Crafternoon: Activities and Recreation
  • Fitness Classes
  • Nutrition and Wellness Coaching

The length of the program is based on a patient's unique needs; however, the average program lasts eight to ten weeks, with three to five visits a week. Visits typically last two to five hours.