Introduction to Columbia Pain Management By Founder Dr Trey Rigert

Get your life back!

We offer compassionate care for people in pain.

Columbia Pain Management, P.C., provides a comprehensive range of services for patients with acute and chronic pain. Our knowledgeable and experienced team of pain specialists provide the most advanced treatment options available in a supportive, compassionate environment.

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What's New In The Treatment Of Back Pain?

New Therapies Gives Relief From Chronic Back Pain

Hi! I’m Doctor Rigert. I am the founder of Columbia Pain Management.

We have made such progress in the treatment of pain over the last decade.
As an example I would like to talk about people who have back surgery that hasn’t gone well.
Ten years ago these people would get medications, they would get injections, they would get additional surgery and you know what oftentimes their leg was still on fire.

We have now a new therapy. We can use electricity to block the pain signal from the leg to the brain. It works very well.
It is essentially like a heart pacemaker only we put the wire next to the spinal cord, to scrambled the pain signal before can get to the brain.
It works nicely.
You get to take it for a test drive before you actually have it installed
and we had really good luck with the therapy. So, instead of an additional second or third or fourth surgery or medications they have side effects
many of our patients are benefiting from this therapy.


More Videos to Watch:

Chronic Pain: I still hurt, do I need an other surgery?

Hip and Knee Pain: Does Jogging cause knee pain or damage the knee and hip joints?

More Videos to Watch:

Ankle and Foot Pain? Get Help At Columbia Pain Management

Read Video Transcript Here:

Arthritis Pain Suffer Can Find Help At Columbia Pain Management

What's New In Chronic Pain Care? Using Stem Cells to Treating Chronic Pain

Using Ultrasound we can deliver medicine to the injured joint.

Advancements In Technology Help Us Treat Shoulder and Elbow Pain Without Surgery

Hi! I’m doctor Rigert. I am the founder of Columbia Pain Management

I’ve been asked to discuss, what is different about treatment joint pain.
Knee pain, hip pain, elbow pain and you know what’s different?
We can see what we’re doing. Three years ago if you came in with pain in your elbow.
I could get an X-ray or I could get an MRI. There was no way in the office to see what was wrong.
The MRI would be done with you laying in a tube, not moving. And if you need to have something done to that
elbow, I had to guess where the problem was, if I was going to do an injection or administer a therapy.
In the last year,we have been able to bring into the practice high-resolution ultrasound. Which actually show structures better than MRI.
All we have to do is put gel over the area. We can actually examine the joint here in the office as you move.
Which is something we could not do with MRI.

And instead an x-ray which only shows bones, we can see nerves, blood vessels, cartilage, ligaments in real time and then if we need to deliver
small amount of medication to a structure that is injured. We can actually watch the pin go directly to the area where the problem is
and watch medicine bathe the injured area. This is a huge advancement and is changing the way we treat joint pain.

Don't Live With Migraine Pain, There Are Treatments Avalable.

Migraine Headache Relief From Pain Management Specialists

My name is doctor Russo I’m board-certified physical medicine and rehabilitation specialist or Physiatrist and pain management physician.
Migraine headaches are one the most common causes cephalgia or head pain. Migraine headaches belongs to a class of headaches called primary headaches. Migraine headaches are headaches that begin inside the brain but feel like they’re coming from areas outside the head. Patients typically described symptoms as throbbing, painful, achy or squeezing.

Sometimes migraine headaches may present with visual changes nausea or an abnormal feeling of dread with light or noise.

The first steps to managing your migraine headaches is is to get the right diagnosis to identify their triggers and learn to use medications in a manner to prevent the onset a migraine headache  and treat them quickly and rapidly when they do come on.
One of the most common triggers for migraine headaches are cervicogenic headaches or cervicogenic pain or pain coming from the neck. Nerves and muscles inside the neck can refer to structures in the head and cause or precipitate a migraine headache.


Several pharmacological strategies or drugs are FDA approved for the treatment of migraine headaches one very promising new alternative is the use of botulinum toxin or Botox for preventing the migraine headaches. If you meet certain diagnostic criteria a courses Botox injections performed by one other specialists at Columbia Pain Management into the forehead, sides to the head and some other structures in the back of the head. May be effected decreasing frequency and intensity of your headaches these injections are combined with the series other lifestyle modification
strategies to help decrease the burden, to decrease your burden of pain and suffering and help you live a fuller life despite your headache disorder.

What is a Pain Management Physician?

Why you need a Pain Management Physician on your Health Care Team

Why You need pain management physician

Columbia Pain Management Lobby

The Doctors at Columbia Pain Management are Physiatrist who specialize in function and pain relief.


Physiatrists, or rehabilitation physicians, are nerve, muscle, and bone experts who treat injuries or illnesses that affect how you move


The job of a rehabilitation physician is to treat any disability resulting from disease or injury, from sore shoulders to spinal cord injuries. The focus is on the development of a comprehensive program for putting the pieces of a person’s life back together after injury or disease – without surgery.

Rehabilitation physicians take the time needed to accurately pinpoint the source of an ailment. They then design a treatment plan that can be carried out by the patients themselves or with the help of the rehabilitation physician’s medical team. This medical team might include other physicians and health professionals, such as neurologists, orthopedic surgeons, and physical therapists. By providing an appropriate treatment plan, rehabilitation physicians help patients stay as active as possible at any age. Their broad medical expertise allows them to treat disabling conditions throughout a person’s lifetime.

Rehabilitation physicians are medical doctors who have completed training in the medical specialty of physical medicine and rehabilitation (PM&R). Specifically, rehabilitation physicians:

  • Diagnose and treat pain
  • Restore maximum function lost through injury, illness or disabling conditions
  • Treat the whole person, not just the problem area
  • Lead a team of medical professionals
  • Provide non-surgical treatments
  • Explain your medical problems and treatment/prevention plan

“What is a physiatrist?"

Why You Should See A Spine Specialist

The Neck and Back Pain Specialist at CPM Can Help

Hi! My name is Doctor Russo. I’m board-certified physical medicine and rehabilitation specialist or Physiatrist and pain management physician.

Neck and back pain is one of the most common reasons for referral to a Physiatrist or pain management specialist.

The sources of back and neck pain are similar but vary in their distribution of the spine.

In the low back or the lumbar spine among the most common sources back pain are the Intrevertbral Disk or the Lumbar Facet Joint or the overlying soft tissues or muscles.  By using a variety of diagnostic and therapeutic modalities, the specialists at Columbia Pain Management can help specify exactly which source or generator of your pain is the most important to target for treatment.

Moving up spines to your mid-back or Thoracic Spine the most common cause of pain in this region include, the vertbral body, the spinal nerve root, and the muscles overlying the Facet Joint of the Thoracic Spine.

In the cervical spine one of the most common pain generators are the Cervical Facet Joint, the Intrevertbral Disk and the Cervical Nerve Root. Pinpointing the source your pain of spinal origin is the first step in a rational and effective pain treatment prescription and that’s where specialist Colombian Pain Management can help you get your life back