About Us

Feelings of pain can range from mild and occasional to severe and constant. Acute pain begins suddenly and is usually sharp in quality. It serves as a warning of disease or a threat to the body. Acute pain may be caused by many events or circumstances, including surgery, broken bones, etc. Unrelieved acute pain may lead to chronic pain, which may persist even after the original injury has healed. Pain signals remain active in the nervous system for weeks, months, or years and can have lasting physical effects. Tense muscles, limited mobility, a lack of energy, and changes in appetite can occur, in addition to emotional effects, such as depression, anger, anxiety, and fear of re-injury. Such effects may hinder a person's ability to return to normal work or leisure activities. We feel each individual is the best judge of his or her own pain. Our medical staff takes a multidisciplinary approach in addressing your pain management concerns, and we work with you to determine the best treatment options. Depending upon your diagnosis, pain may be treated in a number of ways. After a comprehensive review of the patient's history and current health, a care plan is developed that may include a wide array of interventional pain management procedures & techniques such as: See our Patient Education page.
man massaging his wrist

If you suffer from carpal tunnel syndrome, you know the pain it brings and the frustration when your body doesn’t respond to treatment. Prolotherapy may provide the pain relief you are seeking. Carpal tunnel syndrome is a common condition that occurs when one of the main nerves to the hand – the median nerve –

How We Can Help

Please watch this informative video animation to learn more about cervical epidural steroid injections:    

David L. Spivey, MD, is excited to offer a minimally invasive procedure to safely and effectively treat acute and sub-acute vertebral compression fractures in the elderly or osteopenic patient – within a matter of days. Dr. Spivey completed additional training and earned certification in balloon-assisted vertebroplasty, also known as kyphoplasty. When employed early, balloon-assisted kyphoplasty

Rotator Cuff Injuries

Monday, 15 February 2016

Find out more about rotator cuff injuries by watching this informative patient education animation.

What is a discography?

Monday, 28 December 2015

When a patient presents with certain types of back pain, a lumbar discogram is a diagnostic tool that can be used to determine whether discs in the spinal column are responsible for the pain the patient is feeling and, if so, which disc or discs in particular are contributing to the pain. The minimally invasive

What Is Radiofrequency Nerve Ablation?

Tuesday, 15 December 2015

Radiofrequency nerve ablation is the term used when radio waves are used to produce heat. This exciting procedure offered by Preferred Pain Management is often a successful solution for patients with neck, back and muscle pain. Radiofrequency nerve ablation is used to stun the nerves that supply the facet joints in the spine (the posterior

Joint and nerve injections are commonly used for both diagnostic and therapeutic purposes. When applied diagnostically, joint and nerve injections consist of a local anesthetic that is applied to different areas in the body that could be causing the pain. By monitoring whether the patient experiences a decrease in pain when an area is injected,

When are epidural steroid injections used?

Saturday, 28 November 2015

Epidural steroid injections are used to address any conditions that cause the spinal passage to narrow, such as disc herniation, bone spurs, thickening of the ligaments in the spine, joint cysts, and spondylolisthesis. Usually, Preferred Pain Management uses epidural steroid injections to temporarily relieve a patient’s pain while the underlying cause of the pain is

If you have leg pain, there must be something wrong with your leg, right? Not always! Many times patients with back and lumbar spine conditions feel pain and discomfort in their legs. Because your back bears more weight and is under stresses and forces every day – and also prone to conditions that affect the

Spinal Cord Stimulation Candidates

Thursday, 25 June 2015
spinal cord, back pain, orthopedic, preferred, pain management, spivey, doctor, winston salem, medical, surgery

A spinal cord stimulator is not right for everybody. However, people who struggle with severe, chronic pain and have not experienced relief through medication and exercise are strong candidates for spinal cord stimulation. Additionally, individuals who have failed back surgery, experience severe nerve-related pain or numbness, have a chronic pain syndrome (for example, complex regional

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