Spine, Joint & Pain Care in Monterey

Our Physician-Led Pain Care Pathways

Explore our complete spectrum of interventional procedures, minimally invasive pathways, and supportive care below:

Spine, Joint & Pain Care Overview

We believe effective pain care begins with an accurate diagnosis. Through detailed physical examinations and in-office diagnostic imaging reviews (MRIs, CTs, X-rays), we identify the exact structural and nerve pain generators in your body. We then build a personalized roadmap combining insurance-covered interventional treatments with self-pay recovery and regenerative care options.

Comprehensive Pain Management

Our physician-led pain management care moves beyond short-term fixes. We offer clear diagnostic evaluations and multi-layered treatment plans for chronic back, neck, joint, and nerve conditions, guiding you through every step of your care journey.

Pain-Relieving & Diagnostic Procedures

We perform precise, image-guided interventional procedures using live fluoroscopy (real-time X-ray) and high-resolution ultrasound. These include:

• Epidural Steroid Injections (ESI): Reduces inflammation surrounding irritated spinal nerves causing radiating arm or leg pain (sciatica).
• Facet Joint Injections & Medial Branch Blocks: Targets localized neck and lower back arthritis pain while serving as a diagnostic step prior to ablation.
• Joint & Soft Tissue Injections: Delivers anti-inflammatory or regenerative agents into arthritic knees, hips, shoulders, and chronic trigger points.

Minimally Invasive Interventional Procedures

When conservative treatments are not enough, we offer surgery-sparing, outpatient procedure pathways requiring no major hospital stays or long recoveries:

• Kyphoplasty / Vertebral Augmentation: A balloon-assisted procedure that repairs painful vertebral compression fractures (VCFs) caused by osteoporosis or trauma, rapidly restoring spinal height and eliminating severe fracture pain.
• Radiofrequency Ablation (RFA): Uses precise thermal energy to temporarily disable pain-transmitting nerves coming from arthritic facet joints, providing 6 to 18 months or more of long-lasting neck or back pain relief.
• MILD® Procedure (Minimally Invasive Lumbar Decompression): Removes excess thickened ligament tissue in the lumbar spine through a pencil-eraser-sized incision to relieve nerve pressure from spinal stenosis, allowing you to walk farther and stand taller without implants or fusion.
• Spinal Cord Stimulation (SCS): Advanced neuromodulation technology that interrupts severe chronic nerve pain signals before they reach the brain—featuring a temporary 5-to-7-day “test drive” trial period before deciding on a permanent implant.
• Peripheral Nerve Stimulation (PNS): Delivers targeted, drug-free electrical pulses directly to isolated peripheral nerves, treating chronic focal pain in shoulders, knees, hips, or post-surgical incision sites.
• SI Joint Stabilization / Fusion: Minimally invasive placement of specialized structural implants across the sacroiliac joint to eliminate painful micro-motion and joint instability in the lower back and pelvis.

Conditions We Treat

Our integrated medical team provides targeted evaluation and treatment for a full range of musculoskeletal and nerve conditions:

• Back & Neck Pain: Lower back pain, cervical neck pain, degenerative disc disease, and spinal muscle spasms.
• Nerve Pain & Sciatica: Pinched nerves, lumbar/cervical radiculopathy, diabetic peripheral neuropathy, and post-surgical nerve pain.
• Joint Arthritis: Osteoarthritis and cartilage degeneration of the knees, hips, shoulders, ankles, and facet joints.
• Spinal Stenosis & Compression Fractures: Lumbar spinal stenosis, neurogenic claudication, and painful osteoporotic vertebral fractures.
• Sacroiliac Dysfunction: SI joint instability, pelvic girdle pain, and localized buttock pain.
• Myofascial Pain: Chronic muscle trigger points and soft tissue strain.

Post-Treatment Recovery Support

Your procedure is only the first step in your recovery. To maximize treatment outcomes, we integrate supportive post-procedure therapies directly within Majestic MD Spa:

• Hyperbaric Oxygen Therapy (HBOT): Enhances tissue oxygenation and accelerates cellular healing following procedures.
• Infrared Red Light Therapy Sauna: Relaxes surrounding muscular guarding and boosts mitochondrial repair.
• EPAT / Shockwave Therapy & Peptide Protocols: Breaks up surrounding scar tissue and provides biological signaling for soft tissue repair.

Reclaim Your Mobility and Comfort

Take the first step toward a clear diagnosis and a surgery-sparing care plan.