Conditions Commonly Evaluated/Treated:

  • Acute and chronic perispinal pain (cervical, thoracic, or lumbar)
  • Radiculopathy or myelopathy
  • Traumatic brain injury, concussion, post-concussive syndrome, etc.
  • Headache, post-traumatic and cervicogenic
  • Peripheral nerve injury (carpal tunnel syndrome, ulnar palsy, ilioinguinal neuropathy, meralgia paresthetica, etc.)
  • Complex Regional Pain Syndrome, type 1 and 2 (formerly RSD and causalgia)
  • Musculoskeletal pain conditions

Services and Procedures Available:

Neurosurgical and Pain Evaluation and Treatment

  • Evaluation and treatment of neurosurgical (brain, spine, and peripheral nerve) issues
  • Evaluation and treatment of other pain-related conditions (Complex Regional Pain Syndrome, RSD, causalgia, etc.)
  • Independent Medical Evaluations (IME)
  • "Second opinion" evaluations regarding proposed neurosurgical procedures or other evaluation/treatment recommendations
  • Impairment rating evaluations (utilizing state specific or AMA, 5th or 6th edition guidelines as appropriate)
  • FMLA or private disability insurance evaluations (not Social Security disability evaluations)
  • Records review and report

Psychological Assessment and Treatment(note that psychological treatment is not available in house at present due to the recent retirement of Dr. Webster)

  • Assessment of psychological conditions and psychosocial factors contributing to pain, distress and functional impairment
  • Cognitive behavioral therapy and other treatment methods to support rehabilitation and effective coping with pain and life changes associated with illness or injury
  • Interventions for reactive depression and anxiety, including posttraumatic stress from injury and illness
  • Psychological screenings to assist medical providers in gauging potential response to implantable pain control devices, spine surgery, and/or opiate medication regimens

Functional/Rehabilitative Therapy

  • Physical Therapy
  • Functional Restoration Therapy (Work Conditioning Therapy)
  • Functional Capacity Evaluations

Interventional Diagnostic/Therapeutic Procedures

  • Trigger point injections, myoneural injections
  • Spinal Epidural injections (interlaminar, transforaminal, and caudal)
  • Spinal facet injections and medial branch blocks
  • Spinal facet rhizotomy
  • Peripheral nerve blocks
  • Spinal cord stimulation--temporary trial and permanent implant
  • Minor surgical procedures--carpal tunnel release, lateral femoral cutaneous nerve decompression, neuroma excision, etc. (Dr. Curling can facilitate referral for major surgical procedures when appropriate)

(Note that while many services are presently available "in house", the list of services and procedures available is frequently evolving, and for any service not presently available within the practice, Dr. Curling will facilitate referral to another provider for that procedure while maintaining oversight and follow up of care).