For patients
Understand your options.
Explore pain sources, treatment choices, and practical questions for your visit.
Patient guidesClinical care · Research · Education
Persistent spine pain deserves a deeper evaluation.
Care for overlapping pain sources, prior spine surgery, and symptoms that persist despite treatment.
Meet your physician
Reza S. Roghani, MD, PhD
Assistant Professor · Interventional Spine and Pain Medicine
A thoughtful approach to overlapping pain sources, previous spine surgery, and restoring everyday function.
Meet Dr. RoghaniDiagnosis before interventionConnect symptoms, examination, and imaging.
Care in thoughtful sequenceMatch the next step to the problem.
Function as the goalFocus on movement and everyday life.
For physicians & researchers
Explore the clinical questions.
Complexity assessment, treatment sequencing, research, and procedural education.
Academic platformThe complex spinal pain approach
More than one finding.
More than one possibility.
Spinal pain can involve joints, discs, vertebral endplates, nerves, muscles, or changes after surgery. Several may contribute at the same time. An imaging finding alone rarely tells the whole story.
Meet Dr. Roghani- Understand the pattern
Listen to symptoms, prior treatments, and the activities that matter most.
- Identify likely contributors
Bring examination and imaging together; use targeted testing when it can guide a decision.
- Choose the next step together
Consider rehabilitation, medication, procedures, and specialist collaboration.
- Reassess pain and function
Review what changed and adjust the plan.
Understanding your pain
Start with the condition.
Vertebrogenic pain
Pain associated with vertebral endplate changes. MRI findings must fit the clinical picture.
Explore vertebrogenic painFacet joint pain
Pain arising from the small joints at the back of the spine, evaluated with examination and selected diagnostic blocks.
Explore facet joint painRadicular pain
Arm or leg pain related to irritation of a spinal nerve root, sometimes with tingling or weakness.
Explore radicular painAdvanced care, individual decisions
Treatment follows diagnosis.
No single procedure is right for everyone. Selection, expectations, and a plan for recovery matter.
Basivertebral nerve ablation
A targeted option for carefully selected patients with chronic vertebrogenic low back pain.
Explore basivertebral nerve ablationFacet blocks & radiofrequency ablation
Diagnostic blocks help assess facet pain before a longer-lasting nerve treatment is considered.
Explore facet blocks & radiofrequency ablationEpidural injections
An image-guided option for selected patients with spinal nerve inflammation and radiating pain.
Explore epidural injectionsRestorative interventional care
The goal is a life with more movement.
Pain relief is one part of care. Walking, confidence, sleep, and participation in daily life help define meaningful improvement.
For physicians & researchers
Connecting clinical questions with academic work.
Explore areas of interest in complex spinal pain, neuropathic pain, neuromodulation, and procedural education.
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