Pain Management

Sensing pain is a part of human nature, but identifying and treating the source of pain can be much more complex than one may realize. As trailblazers in pain management, we focus on using various methods of treatment, including physical rehabilitation and the use of the latest technology for the best results.

Whether you suffer from chronic headaches, back pain, joint pain, or sciatica, we have a treatment plan for you. We can help alleviate pain through a multitude of modalities, ranging from medication management and injection therapy to interventional procedures and aquatic therapy. We are able to offer what no other pain management clinic can because we are a part of a larger institution with neurosurgery, MRI, physical therapy, chiropractic, spa, and fitness facilities all under one roof. We pride ourselves in making the patient experience and satisfaction our top priority.

Back Pain Treatment

In order to understand back pain treatment options, you should know a little about the structure of your spine.

Your spine is comprised of 24 ring-like bones called vertebrae. The “rings” of each vertebra align to form a column in your back, which is referred to as your spinal column.

Your “spinal cord” extends from the base of your brain and runs down the length of your spinal column, ending at the top of your lumbar spine where it continues farther down your spinal column as a bundle of nerves.

Your spinal cord is protected by a thin membrane called dura mater, and the epidural space is a small space that surrounds the dura mater.

Nerve roots branch off your spinal cord and exit your spinal column through an opening called the neural foramen. These nerves extend into your arms, back, and legs. If something is irritating your nerve roots, such as a bulging or herniated disc, pain can be felt along the entirety of the nerve.
 
 

Medication Management & Pain Management Methods

Our team can help you manage your pain with both prescription and non-prescription methods. Together with your physician, we will determine a medication regimen that appropriately manages your pain. Our primary goal is to get you out of pain and do so as effectively as possible while keeping you safe. Therefore, we follow applicable federal and state guidelines in our prescribing practices, and each patient is subject to a urine drug screen at each visit.

We understand that undergoing an injection can be a nerve-racking experience. In an effort to relieve any anxiety and discomfort, we have an on-duty certified registered nurse anesthetist (CRNA) to provide sedation for almost every procedure.

Depending on recommendations by your doctor, options for pain management may include:

Transforaminal Epidural Steroid Injections

Transforaminal epidural steroid injections are a diagnostic and therapeutic method of offering pain relief by targeting specific nerve roots that if damaged can cause radiating or shooting pain down an extremity.
Epidural Steroid Injections

A diagnostic and therapeutic injection of local anesthetic and steroid into the epidural space of your neck and/or back may alleviate pain in your neck, arms, back, and legs.
Facet Blocks

A facet is a joint between two vertebrae. These joints can become arthritic and cause localized back pain. Pain relief can be brought about by performing a facet block, which is an injection of local anesthetic and/or steroid into these joints.
Rhizotomoy/Radio Frequency Ablation

Commonly referred to as an RFA, a rhizotomoy is a therapeutic procedure that uses radiofrequency waves to desensitize the nerve and stop the transmission of pain signals.
Botox Injections

Deep wrinkles form around the eyes and forehead over time due to muscle movement. Botox can reduce muscle activity at the injection site, working to smooth out those fine lines.
Trigger Point Injections

A trigger point is a focal area of muscle spasm that can be relieved by injecting a local anesthetic and/or an anti-inflammatory directly into the trigger point.
Intra-Articular Joint Injections (Hip/Knee/Shoulder)

If you suffer from pain in your joints, such as in your shoulder, hip, or knee, we are able to inject medication directly into the joint to help alleviate your pain. We can inject anesthetics, steroids, and a specialized medication specifically formulated for joint pain called sodium hyaluronate.
Discogram

A discogram is a diagnostic procedure used to identify if a specific intervertebral disc is the source of your back pain.
Treatment for Shingles

There is no cure for shingles, but treatment may shorten the length of illness and prevent complications. Treatment options include antiviral medicines, pain medicines, antidepressants, and topical creams.
Kyphoplasty

Your vertebral body can become fractured and compressed as a result of trauma, osteoporosis, and certain cancers. In this case, we can relieve your pain by performing a kyphoplasty, which stabilizes the fracture by injecting a cement-like substance and restores some or all of the height loss due to the compression fracture.
Spinal Cord Stimulator

If you suffer from chronic, intractable pain, a spinal cord stimulator might be an option for you. A spinal cord stimulator sends signals to mask the pain signal from reaching your brain.

Meet Our Pain Management Team

Siva K. Sripada, D.O.

Anesthesiology & Pain Management

Dr. Siva Sripada is board-certified in anesthesiology as well as in pain management. He completed his medical training at the University of North Texas HSC in Fort Worth, Texas. He then went on to complete his anesthesia residency at Parkland Hospital in Dallas, Texas.

After working as an anesthesiologist in the greater Dallas area, he went back to receive his subspecialty training in pain management from Texas Tech University in Lubbock, Texas. Dr. Sripada has been working exclusively as a pain management specialist in the southeast Michigan area for over 10 years. He is dedicated to providing a variety of treatment options for his patients to help them manage chronic pain.

Vincent Rampersaud, M.D.

Orthopedic Surgery & Pain Management

Dr. Vincent Rampersaud has been practicing orthopedics and pain management since 1998. He trained in orthopedics at Wayne State University and has had extensive training in pain, spine, joints and hand injuries. He has been focused on pain management in private practice since 2009. Dr. Rampersaud provides a variety of medical, interventional and surgical treatment options for the treatment of chronic pain along with bone and joint injuries.

Salah Eldohiri, M.D.

Anesthesiology & Pain Management

Dr. Salah Eldohiri is board-certified in anesthesiology and pain management and finished medical school at Mansoura, Egypt in 1996. He later completed his residency at State Suny New York, New York in 2003. Dr. Eldohiri is part of the Genesys PHO, and today he is proud to care for his past, present, and future patients at the Insight Pain Management Center.

Sushruth Shenava, M.D.

Pain Management

Dr. Sushruth Shenava is skilled in anesthesiology and pain management and has been in practice since 2011. After anesthesiology training, he began focusing solely on pain management. Dr. Shenava offers a variety of procedural, behavioral, and medical options for the treatment of chronic pain, with an emphasis on improved functionality and daily living.

Ayman Tarabishy, M.D.

Physical Medicine & Rehabilitation and Pain Medicine

Dr. Ayman Tarabishy is board-certified in interventional pain and physical medicine and rehabilitation.

He finished residency training at Wayne State University and continued with an ACGME-accredited anesthesiology pain fellowship with Henry Ford Health System. Dr. Tarabishy sees his patients at his Livonia office, Associated Surgery Center of Dearborn, Insight Surgical Center in Warren, and the Insight Pain Management Center.

Dr. Tarabishy’s focus is minimally invasive spine, tendon, and nerve interventions to offer great relief and very low risk to conditions like spinal stenosis, CRPS, tendonitis, spinal fractures, vertebrogenic back pain, and spasticity.

He is one of few interventionalists in Michigan certified and experienced in DRG stimulation, minimally invasive lumbar decompression, bone cancer ablation, Intracept, percutaneous tenotomy, and management of severe spasticity with baclofen pumps and botox injections.

Allison Piatt, ACNP-BC

Nurse Practitioner

Allison Piatt, ACNP-BC, is a board-certified nurse practitioner with a specialty in acute care. She completed her nurse practitioner degree with honors from Saint Louis University in St. Louis, Missouri. She completed her nursing degree at the University of Michigan in Flint, Michigan.

Allison had six years of experience as a registered nurse taking care of step-down and ICU surgical patients at area hospitals before pursuing a career as a nurse practitioner. She also worked in general surgery as a nurse practitioner prior to joining Insight in July 2014. Allison sees her patients at Hurley Medical Center, Genesys Regional Medical Center, and McLaren Regional Medical Center and is an integral part of the Insight team. She will on occasion also see patients at Insight Pain Management.

Joe Danko, AGACNP-BC

Nurse Practitioner

Joe Danko, AGACNP-BC, is a board-certified nurse practitioner with a specialty in acute care gerontology. He earned his bachelor’s degree as a registered nurse at Oakland University in Rochester, Michigan. He went on to complete his master’s degree at Madonna University in Livonia, Michigan.

Joe worked in the medical ICU, pre-op, and recovery room at St. John Hospital in Detroit for 11 years before joining Insight in February 2016. Joe sees patients in the Insight Pain Management Center as well as Hurley Medical Center, Genesys Regional Medical Center, and McLaren Regional Medical Center.

Racheal Smith

Pain Management Manager

Racheal Smith earned her bachelor’s degree in health care administration from the University of Michigan-Flint in May 2014. She joined Insight in May 2014 as the front desk medical assistant at Insight Imaging. She later began working as Dr. Shah’s medical assistant in the Neurosurgery Clinic and then was promoted into management.

Kris Swanson

Corporate Director of Outpatient Services

Kris Swanson earned his bachelor’s degree in business administration from Alma College in May 2001 and later earned his master’s in business administration from Central Michigan University in May 2002. Since then he has been a manager for 13 years and has been a part of Insight Pain Management since it began in January 2012.

Make an Appointment

To schedule an appointment, contact our office at (810) 275-9152 or fill out the form below.

Hours of

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Monday – Friday
8 a.m. to 5 p.m.

“Our relationships with our patients are second to none.”

Next Lecture Series

Topic: “Occupational Therapy and Therapeutic Use of Self”
Speaker: Rachel Malouf
Date: Thursday, March 12, 2020

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Patient Experiences

The staff is very professional. The building is nice and modern. Dr. Tarabishy is very understanding and cares about your well being!  -Deisheha
Dr. Shah saved my son’s life.  -Anonymous Reviewer
An amazing experience! The staff was so caring and understanding. Dr Tarabishy's patience and compassion helped me through my procedure. I'm so blessed to be their patient!  -Kevin