What is Pain Management?

How Pain Management & Treatment 

Can Help Your Quality of Life

Treating neck pain, back pain and other pain symptoms can help you improve day-to-day activities and overall wellness.


At Pain and Wellness Solutions of the Carolinas, Dr. Wunnava treats the whole patient by listening to your concerns and understanding your goals.

PWSC provides interventional therapy for neck and back pain, headaches, spine pain, foot, knee and lower leg pain.


Services Offered

Pharmacological Treatment

Interventional Pain Management 

  • Epidural Steroid Injection 

    • Cervical, Thoracic, and Lumbar interlaminar

    • Caudal Epidural 

    • Lumbar/ S1 transforminal/selective nerve root block 

  • Sacroiliac Joint Injection 

  • Intercostal nerve blocks for post mastectomy pain or post thoracotomy pain

  • Joint, Bursa, and Soft Tissue Injections, including:

    • Piriformis muscles

      • Coccyx injections for coccydynia

    • Knee

    • Hip (greater trochanteric bursa / gluteal tendinopathy)

    • Shoulder

    • Elbow

  • Peripheral Nerve Blocks, including:

    • Sciatic​

    • Femoral

    • Brachial Plexus

    • Saphenous

    • Lateral Femoral Cutaneous 

    • Suprascapular

    • Radial 

    • Ulnar

    • Ankle

    • Ilioinguinal / iliohypogastic

    • Transverse Abdominis Plane 

  • Head, Neck, Facial Blocks:

    • Occipital

    • Supraorbital and supratrochlear

    • Trigeminal Nerve Branches, select

    • Glossopharyngeal Nerve blocks

  • Paravertebral blocks for post mastectomy pain or post thoracotomy pain

  • Radiofrequency thermocoagulation/ ablation

    • Cervical, Thoracic, and Lumbar ​

    • Sacroiliac Joint

    • Peripheral nerves (genicular, occipital, saphenous, pudendal, ilioinguinal, lateral femoral cutaneous, etc.)

  • Sympathetic Nerve Blocks:

    • Stellate Ganglion ​

    • Celiac Plexus

    • Lumbar Sympathetic 

    • Superior Hypogastric Plexus 

    • Ganglion of Impar 

  • Medial Branch Blocks (Cervical, Throacic, and Lumbar)

  • Intra-articular Facet Injection (Cervical, Thoracic, and Lumbar​)

  • Trigger Point Injections 

  • Spinal Cord Stimulation 

Clinically Proven Alternatives

Post-Operative Pain and Pre-Operative Pain Planning

  • Ketamine, Lidocaine, and/or Magnesium Infusion therapy for:

    • Pain

    • Depression

    • OCD

    • Opioid Abuse or Withdrawal

    • Addiction

    • PTSD

    • Chronic Pain

    • Headaches 

  • Horizontal electrical therapy  (Hako-Med)

  • Spravato Treatments

  • Are you suffering from pain continuing after surgery, whether its weeks, months or years?  We specialize in post-operative pain management after the following types of surgery:

    • Spine

    • Mastectomy

    • Thoracotomy

    • Orthopedic trauma

    • Abdominal Surgery

    • Knee

    • Shoulder

    • Ankle

  • Do you suffer from chronic pain but are recommended to undergo major surgery and are worried about your pre-operative and post-operative pain?  Please call us and schedule an appointment to discuss your concerns. 


5322 Highgate Drive, Suite 143
Durham, NC 27713

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©2018 by Pain and Wellness Solutions of the Carolinas.