Pain that affects the neck and back is very common in people of all ages and can profoundly impact quality of life and overall well-being. Ideally, pain should be controlled and managed with the least invasive and least sedating medications as possible so that people can continue to lead productive and meaningful lives.

Our providers offer comprehensive, high level care for patients who may be dealing with back or neck pain as well as the numbness, tingling, or weakness that may accompany.  Our providers have a wide range of experience in treating pain and we offer a conservative and multidisciplinary approach to its diagnosis and treatment. 

Comprehensive Pain Management Options

At Rehab Medicine of the Carolinas, we understand that pain—whether acute or chronic—can significantly impact your quality of life. That’s why we offer a multimodal and personalized approach to pain management that blends advanced medical treatments with hands-on therapeutic techniques to target the root of your discomfort and restore function.

Injection Therapy

We provide trigger point injections, which are highly effective for treating painful muscle knots, especially in the neck, shoulders, back, and extremities. These injections help relax tight muscle bands, improve circulation, and reduce inflammation, offering fast and targeted relief.

We also offer ketorolac (Toradol) injections, a powerful non-steroidal anti-inflammatory drug (NSAID) administered intramuscularly. Toradol is particularly helpful for patients experiencing acute pain, inflammation, or musculoskeletal flare-ups, and can be a safe alternative for those who may not tolerate oral NSAIDs.

Dry Needling

In addition to traditional injection therapies, we utilize dry needling, a specialized technique performed by trained professionals that involves the insertion of thin filiform needles into trigger points and dysfunctional muscle tissue. This approach helps release muscle tension, enhance blood flow, and promote natural healing responses. It’s commonly used for myofascial pain, sports injuries, and chronic musculoskeletal conditions.

Topical and Oral Medications

Pain management often requires more than one approach. For ongoing or diffuse pain, we incorporate:

• Oral medications, tailored to each patient’s specific diagnosis and medical history. These may include anti-inflammatories, muscle relaxants, nerve pain agents, or other medications.
• Compounded topical medications, which are custom-formulated creams or gels that deliver pain relief directly to the affected area with fewer systemic side effects. These topicals can be an excellent choice for patients with sensitive stomachs or those who wish to avoid oral medication interactions.