# Pain Management - Link: https://carolinaona.com/pain-management/ - Published: 2026-05-11T07:11:21-04:00 - Author: jonfrye\_admin SPARTANBURG • DUNCAN • GREENVILLE, SC # Pain Management Doctor Pain Management Doctor in Spartanburg, Duncan, and Greenville, SC [Schedule An Appointment](https://carolinaona.radixhealth.com/dash/self2/provider-search) ![Board Certified Specialists 1](https://carolinaona.com/wp-content/uploads/2026/ 05/Board-Certified-Specialists-1.png "Pain Management") #### Board-Certified Specialists ![Rapid Appointments 1](https://carolinaona.com/wp-content/uploads/2026/05/Rapid- Appointments-1.png "Pain Management") #### Rapid Appointments ![Minimally Invasive Options 1](https://carolinaona.com/wp-content/uploads/2026/ 05/Minimally-Invasive-Options-1.png "Pain Management") #### Minimally Invasive Options ![247 Expert Access 1](https://carolinaona.com/wp-content/uploads/2026/05/247-Expert- Access-1.png "Pain Management") #### 24/7 Expert Access ##### OVERVIEW ## Physical Medicine & Rehabilitation Specialists in South Carolina [Carolina Orthopaedic & Neurological Associates](https://carolinaona.com/) provides expert pain management. Our program focuses on addressing pain caused by conditions related to nerves, muscles, and bones. Whether you are managing acute injuries or chronic conditions, our team’s goal is to deliver effective, non-surgical pain management solutions that help you regain function and improve your overall well-being. # Understanding Physical Medicine & Rehabilitation Physical Medicine and Rehabilitation is a specialized field of medicine that aims to reduce pain, improve mobility, and enhance daily performance without surgical intervention. Our pain management providers use state-of-the-art diagnostic and treatment techniques to create personalized plans tailored to each patient’s unique needs, allowing them to lead more active and fulfilling lives. [Schedule An Appointment](https://carolinaona.radixhealth.com/dash/self2/provider-search) ![occupational therapy](https://carolinaona.com/wp-content/uploads/2026/05/Why-Choose- CONA-for-Hand-and-Wrist-Care_-16.png "Why Choose CONA for Hand and Wrist Care_ ( 16)") ##### PAIN RELIEF OPTIONS ## **Non-Surgical Pain Management Treatments** Our approach to pain management includes a range of non-surgical treatments designed to target specific conditions and symptoms. [Epidural steroid injections ](https://carolinaona.com/epidural-steroid-injections/) are often used to reduce inflammation around spinal nerves and alleviate pain .  [Facet joint injections ](https://carolinaona.com/facet-joint-injections/)relieve discomfort in the spine’s small joints, while [hip joint injections ](https://carolinaona.com/orthopedic-hip-surgery/hip-joint-injections/) address pain caused by conditions such as arthritis or injury. [Medial branch blocks ](https://carolinaona.com/medial-branch-block/) are an effective method to manage pain originating from the facet joints, and [sacroiliac joint injections ](https://carolinaona.com/sacroiliac-joint-injections/) target lower back and pelvic pain, providing relief for conditions affecting these areas. ![syringe](https://carolinaona.com/wp-content/uploads/2026/05/syringe.png "Pain Management") #### Epidural Steroid Injections (ESI) An epidural steroid injection (ESI) is a minimally invasive procedure that can help relieve neck, arm, back, and leg pain caused by inflamed spinal nerves. Learn More About [Epidural Steroid Injection (ESI)](https://carolinaona.com/epidural-steroid-injections/) ![injection 1](https://carolinaona.com/wp-content/uploads/2026/05/injection-1.png" Pain Management") #### Hip Joint Injections Hip joint pain is a common complaint and is often related to hip joint osteoarthritis. Commonly hip joint pain is experienced as a deep aching sensation in the groin that is worse with walking or standing. Learn More About [Hip Joint Injections](https://carolinaona.com/hip-joint-injections/) ![syringe 1](https://carolinaona.com/wp-content/uploads/2026/05/syringe-1.png "Pain Management") #### Sacroiliac Joint Injections Sacroiliac Joint (SIJ) Disease is one of the major causes of low back pain. The sacroiliac joint is located at the junction between the spine and the pelvis. Learn more about [Sacroiliac Joint Injections](https://carolinaona.com/sacroiliac-joint-injections/) ![back](https://carolinaona.com/wp-content/uploads/2026/05/back.png "Pain Management") #### Facet Joint Injections A facet injection is a minimally invasive procedure that can temporarily relieve joint or nerve pain caused by inflamed facet joints. Learn more about [Facet Joint Injections](https://carolinaona.com/facet-joint-injections/) ![spine](https://carolinaona.com/wp-content/uploads/2026/05/spine.png "Pain Management") #### Medial Branch Blocks A medial branch block (MBB) is a minimally invasive diagnostic procedure that can be used to diagnose facet mediated back and neck. Learn more about [Medial Branch Blocks](https://carolinaona.com/medial-branch-block/) ##### OUR SPECIALISTS ## Meet the Team That Gets You Moving Again Our pain management specialists provide expert care to relieve pain, restore function, and help you get back to living life comfortably. ![bigham img](https://carolinaona.com/wp-content/uploads/2025/04/bigham-img.png " bigham-img") ##### INTERVENTIONAL PAIN MANAGEMENT PHYSICIAN ##  Joshua Bigham, MD Double Board-Certified Pain Management Specialist Interventional Pain Management Chronic Neck & Back Pain Sports Injuries Spartanburg Duncan Greenville [SCHEDULE WITH DR. BIGHAM](https://carolinaona.radixhealth.com/dash/self2/provider-search) ![Dr Dinicola](https://carolinaona.com/wp-content/uploads/2019/01/Dr-Dinicola.jpg" Dr-Dinicola") ##### INTERVENTIONAL PAIN MANAGEMENT PHYSICIAN ## Anthony DiNicola, MD Pain Management & Rehabilitation Specialist Back, Neck & Nerve Pain Muscle & Joint Conditions Worker Compensation Injuries Spartanburg Greenville [SCHEDULE WITH DR. DINICOLA](https://carolinaona.radixhealth.com/dash/self2/provider-search) ![Schiff CONA](https://carolinaona.com/wp-content/uploads/2019/08/Schiff-CONA.jpg" Schiff-CONA") ##### INTERVENTIONAL PAIN MANAGEMENT PHYSICIAN ## Keith Schiff, MD Fellowship-Trained Pain Management Specialist Interventional Pain Management Minimally Invasive Arthroplasty Robotic Assisted Surgery Spartanburg Greenville [SCHEDULE WITH DR. SCHIFF](https://carolinaona.radixhealth.com/dash/self2/provider-search) ![Dr Smith](https://carolinaona.com/wp-content/uploads/2019/01/Dr-Smith.jpg "Dr- Smith") ##### PHYSICAL MEDICINE & REHABILITATION PHYSICIAN ## Jeffrey Smith, MD Pain Management & Rehabilitation Specialist Pain Management Physical Medicine & Rehabilitation Electrodiagnostics Spartanburg Duncan Greenville [SCHEDULE WITH DR. SMITH](https://carolinaona.radixhealth.com/dash/self2/provider-search) ![Willoughby 1 1 scaled e1658151010436](https://carolinaona.com/wp-content/uploads/ 2022/07/Willoughby-1-1-scaled-e1658151010436.jpg "Willoughby 1") ##### INTERVENTIONAL PAIN MANAGEMENT PHYSICIAN ## Channing Willoughby, MD Fellowship-Trained Pain Management Specialist Interventional Pain Management Back, Neck & Nerve Pain Sports Injuries Spartanburg Greenville [SCHEDULE WITH DR. WILLOUGHBY](https://carolinaona.radixhealth.com/dash/self2/provider-search) ##### COMPREHENSIVE PAIN CARE ## Personalized Pain Management for Long-Term Relief ##### Who Can Benefit from Pain Management? Pain management is suitable for anyone experiencing discomfort, whether short-term pain following an injury or surgery or long-term pain stemming from chronic conditions like arthritis, nerve damage, or spinal disorders. Our team works with patients of all ages and conditions to develop treatment plans aligning with their health needs and goals. ##### Types of Pain and Their Causes Pain can vary significantly in its severity and underlying cause. Acute pain, which is often sharp and sudden, typically results from injuries or surgical procedures and resolves as the body heals. Chronic pain, on the other hand, persists for longer than six months and may stem from untreated injuries, diseases, or health conditions such as arthritis. Nociceptive pain occurs when injuries like fractures or muscle strains activate nerve cell endings called nociceptors, sending pain signals to the brain. Neuropathic pain arises from issues within the nervous system, often leading to sensations like burning, tingling, or shooting pain, even in the absence of injury. ##### The Benefits of Pain Management Pain management offers significant benefits for both physical and mental well-being. While total relief from pain is not always possible, effective treatments can reduce discomfort, enhance mobility, and improve overall quality of life. Many individuals find that even a tiny reduction in chronic pain allows them to resume activities they once enjoyed and fosters greater independence and satisfaction. ##### Why Choose Carolina Orthopaedic & Neurological Associates? Our pain management specialists at Carolina Orthopaedic & Neurological Associates are dedicated to delivering compassionate, patient-focused care. We prioritize understanding the root causes of your pain and tailoring treatment plans to your needs. Our team continually adjusts these plans to ensure optimal results, helping you achieve a better quality of life. # Schedule an Appointment Today If pain interferes with your life and impacts your sleep, our team is here to help. Contact us today to  [ schedule an appointment](https://carolinaona.com/appointment-request-form/) and take the first step toward living with less pain. With convenient locations in Spartanburg, Duncan, and Greenville, SC, expert care is always within reach. Let us help you find relief and regain control of your life. [Schedule Now](https://carolinaona.radixhealth.com/dash/self2/provider-search) [Chat Now](https://www.swellbox.com/carolina-ortho-wizard.html) ##### WHERE WE ARE ## Find a Location Near You ![Modern CONA Medical Campus Aerial View 1 e1792595870653](https://carolinaona.com/ wp-content/uploads/2026/10/Modern-CONA-Medical-Campus-Aerial-View-1-e1792595870653. png "Modern CONA Medical Campus Aerial View") Spartanburg 1347 Boiling Springs Rd Spartanburg, SC 29303 (864)583-CONA Mon-Fri 8:00am-5:00pm ![Duncan Office CONA](https://carolinaona.com/wp-content/uploads/2023/11/Duncan- Office-CONA.webp "Duncan-Office-CONA") Duncan 115 Deacon Tiller Ct. Duncan, SC 29334 (864) 583-CONA Mon-Fri 8:00am-5:00pm ![Greenville Office CONA](https://carolinaona.com/wp-content/uploads/2023/11/Greenville- Office-CONA.webp "Greenville-Office-CONA") Greenville 220 Roper Mountain Road Ext. Greenville, SC 29615 (864) 583-CONA Mon-Fri 8:00am-5:00pm ## Physical Therapy Exercises & Forms _(click to download)_ Dynamic Lumbar Stabilization Exercises [Download PDF](https://carolinaona.com/wp-content/uploads/2024/09/Dynamic-lumbar-stabilization-exercises.pdf) Sacroiliac Joint Injection (SIJ) [Download PDF](https://carolinaona.com/wp-content/uploads/2024/09/Sacrolliac-joint-injection.pdf) Greater Trochanteric Bursitis Exercises [Download PDF](https://carolinaona.com/wp-content/uploads/2024/09/Greater-trochanteric-bursitis.pdf) OST Form PM&R 2019 [Download PDF](https://carolinaona.com/wp-content/uploads/2019/02/OST-Form-PMR-2019.pdf) Pain Assesment Packet [Download PDF](https://carolinaona.com/wp-content/uploads/2019/02/CONA-Pain-Assessment-Form.pdf) Post-Procedure Pain Assessment Diary [Download PDF](https://carolinaona.com/wp-content/uploads/2019/02/Post-Procedure-Pain-Assessment-Diary.pdf)