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Pain Management in Rochester, NY

At Boev Clinic we treat patients from Rochester, Canandaigua, Geneva and surrounding cities to come up with the best individualized treatment protocol available, and offer a number of non-surgical pain care techniques to treat neck and back pain.

Non-surgical Pain Care

We use methods to alleviate pain without the need for surgery. These techniques include physical therapy, injections, and other forms of interventional pain management. They are often used as a first line of treatment for pain conditions, before considering surgical options.

These techniques can be highly effective in reducing pain, improving mobility, and helping patients return to their normal daily activities. Additionally, non-surgical pain care techniques typically have fewer risks and side effects compared to surgical procedures.

pain management


An Epidural Steroid Injection is a minimally invasive procedure performed under live x-Ray guidance that is used to treat pain in the neck, shoulders, arms, upper and lower back, buttocks, and legs that results from irritation of spinal nerve roots.

A variety of conditions such as herniated disc, degenerative disc disease, and arthritis can cause stenosis (narrowing) of the openings through which nerves exit the spine, which can be irritating to the nerves.

By injecting low doses of long-lasting corticosteroids(potent anti-inflammatory pain medications) targeted directly to the source of the pain (instead of much larger oral or intravenous doses) this inflammation can be decreased, providing pain relief.

Fluoroscopy is an x-ray-guided viewing method. Fluoroscopy is often used to assist the doctor in precisely locating the injection so that the medication reaches the appropriate spot and only the appropriate spot.


Medial Branch Blocks and Facet Joint Injections are minimally invasive procedures performed under live X-Ray guidance that are used to diagnose and treat pain arising from the small joints of the spine (facet joints).

Diseases of these joints can produce pain in the neck, upper and lower back, and buttocks. Just like any other joint in the body (such as the knee or elbow) these joints may be acutely injured or produce chronic pain due to conditions such as arthritis.

Medial Branch Blocks and Facet Joint Injections deliver low doses of long-lasting corticosteroids and local anesthetics directly to the source of the pain to alleviate discomfort.


Radiofrequency Nerve Ablation is a minimally invasive procedure performed under live X-Ray guidance to treat back and neck pain by using precisely controlled heat to temporarily and selectively disable nerves responsible for pain.

The procedure involves inserting a specialized needle with a heated tip near the problematic nerve, where the heat interrupts the nerve’s ability to send pain signals.


Trigger point injection (TPI) may be an option for treating pain in some patients. TPI is a procedure used to treat painful areas of muscle that contain trigger points, or knots of muscle that form when muscles do not relax.

Many times, such knots can be felt under the skin. Trigger points may irritate the nerves around them and cause referred pain, or pain that is felt in another part of the body.

What Happens During a Trigger Point Injection?

In the TPI procedure, a health care professional inserts a small needle into the patient’s trigger point. The injection contains a local anesthetic or saline and may include a corticosteroid. With the injection, the trigger point is made inactive and the pain is alleviated. Often, a brief course of treatment will result in sustained relief.

Schedule a pain management appointment

If you are experiencing chronic pain, don’t wait any longer to seek treatment. At Boev Clinic, we offer a range of non-surgical pain care techniques to help alleviate your pain and improve your quality of life. Our team of expert physicians will work with you to develop a personalized treatment plan that addresses your specific needs. Don’t let pain control your life any longer. Take the first step towards relief and schedule an appointment with us today.

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