Click here for patient referrals.
APICO Pain and WellnessAPICO Pain and Wellness
I know what treatment I am interested in

Treatments & Services

At APICO Pain and Wellness, we believe that effective pain management begins with understanding the whole patient, not simply treating a symptom. Our comprehensive approach combines conservative therapies, rehabilitation, medication management, advanced image-guided interventions, regenerative medicine, neuromodulation, minimally invasive procedures, infusion therapies, and wellness-focused care.

54 treatment pages · 7 groups
019 treatments

Foundational & Conservative Care

Physical therapist guiding a man through a resistance-band exercisePhysical Therapy, Rehabilitation & Functional RestorationPhysical therapy and rehabilitation help patients improve movement, strength, flexibility, endurance, balance, and confidence with activity.Patient in conversation with a clinician taking notesPain Psychology, Behavioral Strategies & Mind-Body CareChronic pain affects more than the painful body part.Clinician assessing a woman's balance and arm reachFunctional, Mobility & Wellness AssessmentA wellness and functional assessment looks beyond a single painful diagnosis to evaluate how a person moves, functions, recovers, and maintains independence.Doctor reviewing a meal plan with a patient, fruit and a tape measure on the deskWeight & Metabolic Health OptimizationBody weight and metabolic health can influence joint loading, inflammation, energy, sleep, cardiovascular health, and the ability to exercise comfortably.Older woman smiling beside a bowl of fruit during a nutrition consultationNutrition & Healthy Aging StrategiesNutrition supports muscle, bone, metabolic health, recovery, and overall well-being.Woman sleeping peacefully in a bright bedroomSleep & Recovery OptimizationRestorative sleep is essential for physical recovery, concentration, mood, and pain regulation.Doctor explaining a spine model and an X-ray to a patientBone Health, Balance & Fall PreventionBone strength, muscle strength, and balance become increasingly important with age.Nurse adjusting an IV drip for a patient resting in an infusion chairHydration, Nutrient Replacement & Medically Supervised Infusion ServicesInfusion services can be used for selected medical indications when oral intake is inadequate, rapid replacement is appropriate, or a physician-directed treatment is best delivered intravenously.Chiropractor adjusting a patient's lower back on a treatment tableChiropractic CareAt APICO Pain and Wellness, Dr. Rany Abdallah offers comprehensive Chiropractic Care as part of an integrated approach to managing musculoskeletal pain.
0212 treatments

Spine & Image-Guided Procedures

Illustration of a needle delivering medication into the epidural space beside the spinal nervesEpidural Steroid InjectionsEpidural steroid injections are image-guided procedures used to place anti-inflammatory medication near irritated spinal nerves.Illustration of a needle at a single spinal nerve root as it exits the spineSelective Nerve Root BlocksA selective nerve root block targets a specific spinal nerve as it exits the spine.Illustration of needles at the facet joints and medial branch nerves of the spineFacet Joint & Medial Branch BlocksFacet joints are small joints at the back of the spine that help guide movement.Illustration of a radiofrequency probe heating a spinal nerveRadiofrequency Ablation of the SpineRadiofrequency ablation (RFA) uses controlled thermal energy to interrupt pain signals carried by selected sensory nerves.Illustration of a needle in the sacroiliac jointSacroiliac Joint Injections & Diagnostic ProceduresThe sacroiliac (SI) joints connect the pelvis to the lower spine.Illustration of a probe ablating the basivertebral nerve inside a vertebraBasivertebral Nerve Ablation (BVNA)Basivertebral nerve ablation is a minimally invasive treatment for a specific form of chronic low back pain called vertebrogenic pain.Illustration of a small instrument removing thickened ligament in the lumbar spineMinimally Invasive Lumbar Decompression (MILD)Minimally invasive lumbar decompression is designed for selected patients with lumbar spinal stenosis and neurogenic claudication, particularly when thickened ligament contributes to narrowing of the spinal canal.Illustration of ReActiv8 stimulation leads along the lower spine connected to an implanted generatorRestorative Neurostimulation (ReActiv8)ReActiv8 is a restorative neurostimulation therapy for carefully selected patients with chronic mechanical low back pain associated with impaired control or function of the multifidus muscles.Illustration of implants placed across the sacroiliac jointMinimally Invasive SI Joint FusionMinimally invasive sacroiliac joint fusion is an option for selected patients with persistent SI joint pain that has been carefully confirmed and has not responded adequately to conservative and interventional care.Illustration of a balloon restoring a fractured vertebra, then bone cement filling itKyphoplasty/VertebroplastyMinimally invasive procedures that relieve pain from spinal compression fractures caused by osteoporosis or trauma.Illustration of an interspinous spacer placed between two spinous processesInterspinous StabilizationAt APICO Pain and Wellness, Dr. Rany Abdallah offers Interspinous Stabilization as a minimally invasive solution for patients suffering from lumbar spinal stenosis and…Illustration of a radiofrequency probe at the sacroiliac jointSacroiliac Joint AblationAt APICO Pain and Wellness, Dr. Rany Abdallah offers Sacroiliac (SI) Joint Ablation for patients with chronic lower back or pelvic pain caused by inflammation or…
036 treatments

Peripheral Nerve, Joint & Soft-Tissue Procedures

Illustration of an ultrasound probe guiding a needle to a nerveUltrasound-Guided Peripheral Nerve BlocksPeripheral nerve blocks place medication around a specific nerve outside the spine.Illustration of a needle injecting into the knee jointJoint InjectionsImage-guided joint injections can be used to treat pain arising from joints such as the shoulder, hip, knee, ankle, or other articulations.Illustration of an injection into the shoulder bursaBursa, Tendon & Soft-Tissue InjectionsPain can arise from bursae, tendons, tendon sheaths, ligaments, entheses, and other soft tissues around a joint.Illustration of a needle at a trigger point in the shoulder muscleTrigger Point & Myofascial InjectionsTrigger points are focal areas of tight, painful muscle that can produce local discomfort or referred pain.Illustration of a radiofrequency probe at the sensory nerves of the kneeLarge-Joint Sensory Nerve Blocks & Radiofrequency AblationSome chronic shoulder, hip, and knee pain is carried by sensory nerves around the joint.Illustration of a regenerative injection into the knee jointRegenerative Medicine & Orthobiologics (PRP, BMAC & Fat Aspirate)Orthobiologic treatments use autologous materials obtained from the patient with the goal of supporting the body’s biologic healing environment. BMAC & fat aspirate: Coming Soon
046 treatments

Neuromodulation & Advanced Pain Therapies

Illustration of a spinal cord stimulator lead along the spine with its implanted generatorSpinal Cord Stimulation (SCS)Spinal cord stimulation is an implantable neuromodulation therapy used for selected chronic pain conditions, particularly persistent neuropathic pain that has not responded adequately to more conservative treatment.Illustration of stimulation leads at the dorsal root ganglion beside a vertebraDorsal Root Ganglion (DRG) StimulationDRG stimulation is a targeted form of neuromodulation that delivers electrical stimulation near the dorsal root ganglion, an important structure involved in sensory signaling.Illustration of a stimulation lead along a peripheral nerve in the armPeripheral Nerve Stimulation (PNS)Peripheral nerve stimulation delivers electrical stimulation directly to a selected peripheral nerve or nerve region.Clinician holding an Axon Therapy device over a patient's thighNeuralace Axon TherapyNeuralace Axon Therapy is a minimally invasive neuromodulation treatment designed for patients with certain forms of chronic neuropathic and peripheral nerve pain.Illustration of an intrathecal catheter in the spine connected to an implanted pumpIntrathecal Drug DeliveryIntrathecal drug delivery uses an implanted pump to deliver very small amounts of medication directly into the fluid surrounding the spinal cord.Infusion pump and IV line in a treatment roomKetamine & Advanced Pain Infusion TherapyInfusion therapy may be considered for selected refractory pain conditions, particularly when neuropathic pain or complex pain has not responded adequately to standard approaches.
056 treatments

Headache & Craniofacial Procedures

Clinician giving a forehead injection for chronic migraineBotox for Chronic MigraineBotox is an established preventive treatment for appropriately selected adults with chronic migraine.Injection at the back of a patient's head for an occipital nerve blockOccipital Nerve Blocks & Radiofrequency ProceduresThe greater and lesser occipital nerves provide sensation to much of the back and top of the scalp.Injection beside the face with the trigeminal nerve branches highlightedTrigeminal Nerve & Branch BlocksThe trigeminal nerve provides sensation to much of the face and can be involved in trigeminal neuralgia and other craniofacial pain syndromes.Image-guided trigeminal procedure, X-ray views on the monitorsTrigeminal Radiofrequency ProceduresFor selected patients with refractory trigeminal or facial pain, radiofrequency techniques may be considered to alter pain transmission through a targeted trigeminal nerve structure or branch.Sphenopalatine ganglion block through the nose, nerves highlightedSphenopalatine Ganglion Blocks & Ablative ProceduresThe sphenopalatine ganglion is a collection of nerve cells deep within the face that participates in autonomic and pain pathways associated with certain headache and facial pain disorders.Neuromodulation device held to the side of a patient's head, nerves highlightedHeadache & Craniofacial NeuromodulationNeuromodulation can sometimes be used for severe, persistent headache or facial pain that has not responded to conventional treatment.
069 treatments

Sympathetic, Plexus, Pelvic & Chest Wall Procedures

Illustration of a needle at the sympathetic nerves beside the neck vertebraeSympathetic Nerve BlocksThe sympathetic nervous system helps regulate blood flow, sweating, temperature, and other automatic functions.Illustration of a needle at the superior hypogastric plexus in the pelvisSuperior Hypogastric Plexus BlockThe superior hypogastric plexus carries pain signals from pelvic organs and structures.Illustration of a needle at the ganglion impar near the tailboneGanglion Impar BlockThe ganglion impar is a small sympathetic structure located near the front of the sacrum and coccyx.Illustration of a needle at the celiac plexus among the abdominal organsCeliac Plexus & Splanchnic Nerve BlocksThe celiac plexus and splanchnic nerves carry pain signals from many upper abdominal organs.Illustration of a needle at the nerves of the groinPelvic & Groin Peripheral Nerve BlocksNerves such as the ilioinguinal, iliohypogastric, genitofemoral, and pudendal nerves can become irritated or injured after surgery, hernia repair, trauma, entrapment, or other pelvic conditions.Illustration of a needle at the coccyxCoccygeal InterventionsCoccyx pain, or coccydynia, can follow a fall, prolonged sitting, childbirth, repetitive pressure, or develop without a clear injury.Illustration of a needle at an intercostal nerve between the ribsIntercostal Nerve BlocksIntercostal nerves travel beneath each rib and carry sensation from the chest and abdominal wall.Illustration of a needle in the erector spinae plane beside the spineErector Spinae Plane (ESP) BlockThe erector spinae plane block is an ultrasound-guided fascial plane block used to treat pain involving the chest wall, ribs, thorax, and selected postoperative conditions.Illustration of a needle in the serratus anterior plane over the ribsSerratus Anterior & Other Fascial Plane BlocksFascial plane blocks place local anesthetic within tissue planes where sensory nerves travel.
076 treatments

Hospital, Cancer, Vascular & Specialized Care

Doctor consulting with a patient in a hospital bedInpatient Pain Consultation & Acute Pain ManagementHospitalized patients may have severe pain after surgery, trauma, fractures, acute illness, or worsening of a chronic pain condition.Ultrasound-guided regional anesthesia injectionRegional Anesthesia for Acute & Postoperative PainRegional anesthesia uses targeted nerve or fascial plane blocks to reduce pain in a specific part of the body.Patient in a head scarf resting during an infusionCancer & Treatment-Related Pain ProceduresCancer pain may arise from tumor involvement, bone disease, nerve compression, surgery, radiation, chemotherapy, or treatment-related nerve injury.Ultrasound scan of the varicose veins on a patient's legVaricose Vein Treatment & AblationVaricose veins and chronic venous insufficiency can cause aching, heaviness, swelling, throbbing, skin changes, and discomfort that worsens with prolonged standing. Coming SoonDoctor examining a patient's footPain Management for Ischemic & Vascular PainIschemic pain occurs when tissues do not receive adequate blood flow and oxygen.Therapist guiding a man through a shoulder exercise with a resistance bandWork Injury Evaluation, Rehabilitation & Return-to-Work PlanningWork-related injuries often involve several overlapping issues: identifying the injured structure, controlling pain, restoring function, documenting progress, and determining safe work capacity.
The full list

Every service we offer

The complete service list. Services with their own page link to it.

Comprehensive Pain Evaluation & Personalized Treatment Planning

  • Comprehensive pain consultation
  • Acute pain evaluation
  • Chronic pain evaluation
  • Complex pain consultation
  • Musculoskeletal evaluation
  • Neurologic evaluation
  • Spine evaluation
  • Second opinions
  • Review of previous treatments and procedures
  • Review of prior spine surgery
  • Review of imaging and diagnostic studies
  • Functional assessment
  • Mobility assessment
  • Medication review
  • Polypharmacy assessment
  • Multimodal pain treatment planning
  • Treatment of difficult-to-manage pain
  • Coordination with primary care physicians
  • Coordination with surgeons and specialists
  • Multidisciplinary care planning
  • Return-to-function planning
  • Return-to-work planning
  • Long-term pain management strategies
  • Wellness and functional optimization planning

Medication Management

  • Acetaminophen
  • Nonsteroidal anti-inflammatory medications
  • Topical anti-inflammatory medications
  • Topical analgesics
  • Neuropathic pain medications
  • Anticonvulsant medications for neuropathic pain
  • Antidepressant medications used for pain modulation
  • Muscle relaxants
  • Antispasmodic medications
  • Migraine preventive medications
  • Migraine rescue medications
  • Local anesthetic preparations
  • Selected compounded medications when appropriate

Medical Cannabis

  • Medical cannabis evaluation
  • Medical marijuana recommendations when clinically appropriate
  • Assessment of potential risks and benefits
  • Integration of medical cannabis into multimodal pain management when appropriate
  • Ongoing reassessment of therapeutic response, function, and safety

Medication Optimization

  • Medication reconciliation
  • Polypharmacy review
  • Medication interaction assessment
  • Reduction of unnecessary medications
  • Conversion to safer medication regimens
  • Medication tapering strategies
  • Coordination with other prescribing clinicians

Physical Therapy & Rehabilitation

Lifestyle & Multimodal Pain Management

Image-Guided Spine Injections

Epidural & Nerve Root Procedures

Facet & Medial Branch Procedures

Sacroiliac Procedures

Radiofrequency Ablation & Advanced Ablative Procedures

Spine & Sacroiliac Radiofrequency Ablation

Large-Joint Radiofrequency Ablation

Craniofacial Radiofrequency Procedures

Basivertebral Nerve Ablation

Minimally Invasive Spine & Sacroiliac Procedures

Minimally Invasive Lumbar Decompression

Basivertebral Nerve Ablation

Sacroiliac Joint Fusion

Restorative Neurostimulation

Additional Minimally Invasive Procedures

  • Percutaneous spine procedures
  • Minimally invasive decompressive procedures
  • Minimally invasive treatments designed to avoid, postpone, or provide alternatives to major spine surgery when appropriate

Peripheral Nerve Blocks & Treatments

Regional Anesthesia & Fascial Plane Blocks

Joint & Musculoskeletal Procedures

Joint Injections

Bursa & Soft-Tissue Injections

Foot & Ankle Procedures

  • Plantar fascia injections
  • Morton's neuroma injections
  • Tarsal tunnel injections
  • Peripheral nerve injections
  • Ultrasound-guided foot and ankle procedures

Sympathetic, Autonomic & Plexus Blocks

Neuromodulation

Spinal Cord Stimulation

Dorsal Root Ganglion Stimulation

Peripheral Nerve Stimulation

Restorative Neurostimulation

Craniofacial & Headache Neuromodulation

Intrathecal Drug Delivery

Regenerative Medicine & Orthobiologics

Platelet-Rich Plasma

Bone Marrow Aspirate Concentrate

Adipose-Derived Orthobiologics

Potential Treatment Areas

Orthobiologic Consultation

Headache, Migraine & Craniofacial Pain Treatments

Trigeminal Nerve Procedures

Sphenopalatine Ganglion Procedures

Headache & Craniofacial Neuromodulation

Infusion Therapy

Pain Infusion Therapy

Hydration & Medically Directed Infusion Therapy

Acute, Postoperative & Hospital-Based Pain Management

Cancer & Treatment-Related Pain Management

Physical Wellness & Functional Optimization

Metabolic Health & Weight Wellness

Nutrition & Nutritional Wellness

Sleep, Stress & Recovery Optimization

Hormonal & Metabolic Wellness

Bone Health & Healthy Aging

Mind-Body & Behavioral Wellness

Recovery, Performance & Longevity

  • Recovery assessments
  • Mobility optimization
  • Strength and conditioning guidance
  • Sports injury prevention
  • Return-to-exercise planning
  • Musculoskeletal performance assessment
  • Nutrition strategies
  • Recovery planning after injury or surgery
  • Functional longevity programs
  • Maintenance of strength and mobility with aging
  • Performance and recovery optimization

Diagnostic & Image-Guided Services

The big picture

A continuum of care

However you arrive — a diagnosis, a symptom, or a treatment you already know you need — care moves along the same continuum.

EvaluateTreatRestoreOptimize
Conservative CareInterventional TreatmentMinimally Invasive TreatmentAdvanced Neuromodulation

Reducing pain. Restoring function. Optimizing health. Improving quality of life.

Get in touch

Questions? Call 855-932-7426

A member of our team will answer all your questions and help you find relief.

Request an appointment855-932-7426
CallRequest appointment