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Improve Your Health With Our Help

Feel No More Pain

Advanced Pain & Spine Management in Arlington Heights, Illinois provides healthcare services. We have an interventional pain management doctor at our clinic who performs unique procedures, such as:

  • Spinal Cord Simulator Trial and Implantation
  • Dorsal Root Ganglion Trial and Implantation
  • Pain Pump Trial and Implantation
  • Baclofen Trial and Pump Implantation
  • Neurolytic Pain Blocks
  • All the Pain Block Procedures Available to Date

Dr. Macrinici George




Procedures Offered
Therapeutic Pain Injections

We have answers and options to relieve pain from Herniated Discs, Disc Bulges, Spinal Stenosis, Sciatica, Pinched Nerve, Annular Disc Tear, Degenerative Disc disease, Spondylosis/Spine Arthritis, Radiculopathy, Bone Spurs/Osteophytes and Facet Joint Syndrome and many other chronic pain disorders.

Whether the therapeutic pain injections are the best options, a non-surgical pain treatment or regenerative medicine, we are confident you are in the right place and we will take great care of you!

It is important to understand that our Pain Specialists take the first step in treating the chronic spine pain by making an accurate diagnosis, which starts by listening to our patient and reviewing the medical history.

Our specialists will then perform a physical examination and evaluate imaging studies before recommending treatments or performing procedures. MRI, CT, or other imaging studies in most cases help to make a diagnosis. While the results can provide important information, they do not always explain causes of chronic pain.

Many people with abnormalities showing in their imaging studies such as degenerative disc disease, arthritis, stenosis, disc bulges and herniated discs, do not have any pain, some people with normal imaging studies have severe pain. The medical history and physical examination are crucial in deciding whether things that we see on radiology studies are causing pain.

Pain Management Services – Conditions We Treat

Back Pain

The two types of back pain are acute, which typically occurs after a fall, injury or heavy lifting, and chronic, which persists for three months or longer.

Cancer Pain

Cancer pain can result from tests and treatments for cancer, such as chemotherapy, radiation therapy or biopsy. Cancer pain can also occur from the cancer itself: As a tumor grows, it can push on nerves, bones, organs or the spine. Cancer pain can be acute or chronic.

Chronic Pain

Chronic pain occurs when pain signals from the brain last for months, even years. Chronic pain can be caused by, or made worse by, many conditions, including headaches or migraines, back pain, arthritis and nerve damage (neuropathy). Because of its ongoing nature, chronic pain can also cause depression.

Complex Regional Pain Syndrome

Complex regional pain syndrome (CRPS) is a chronic condition that sometimes occurs following injury or surgery. CRPS causes intense pain that can become worse with time. CRPS typically affects the arms, hands, legs and feet. CRPS can cause a burning sensation and changes in skin color and temperature.

Diabetic Neuropathy

Diabetic neuropathy is nerve damage (neuropathy) caused by diabetes or poorly controlled blood sugar. Diabetes is the most common cause of neuropathy. Diabetic neuropathy symptoms include numbness, tingling, burning and/or pain in the feet, legs and hands.


Migraines are a common form of vascular headache. There are two main types: migraine with aura (previously called “classic migraine”) and migraine without aura.

Myofascial Pain Syndrome

Myofascial pain syndrome (also called chronic myofascial pain) is a condition in which connective tissue called fascia tightens and contracts. This is usually from an injury or overuse (repetitive motion).

Neck Pain

Neck pain is common and often results from strain or tension caused by everyday activities, such as routinely sleeping, working or watching TV in an uncomfortable position. Other, more serious possible causes include sprains, fractures and spinal stenosis.


Neuropathy refers to any disorder in which the body’s nerves are damaged and do not work properly. The damage may be to a single nerve or to several nerves. Examples of neuropathy symptoms are numbness, tingling, weakness and pain.

Chronic Abdominal or Pelvic Pain

Chronic abdominal or pelvic pain is pain that occurs in the upper or lowest part of the abdomen, below the belly button. It is a symptom and not a disease.

Sacroiliac Joint Pain

Sacroiliac joint pain, also known as SI joint pain, is pain caused by damage to the sacroiliac joint, which connects the hip to the spine. It is a common cause of lower back pain.


Sciatica occurs when there is damage to or pressure on the sciatic nerve, which causes nerve pain. The sciatic nerve starts in the low back and runs down the back or side of the leg.


Shingles is a painful skin rash with blisters. It affects people who have had chicken pox, usually over age 50. There is no cure for shingles, but a vaccine can prevent it or reduce its symptoms.

Trigeminal Neuralgia

Trigeminal neuralgia is a nerve disorder that causes excruciating pain frequently described as a lightning strike or electric shock to the face.

Once the diagnosis of the pain generators has been made, our specialists will move forward with the appropriate treatments.

These treatments may start with and include, but not limited to non-steroidal anti-inflammatory drugs (NSAIDS), gabapentin or Lyrica, muscle relaxant medications, opioids, exercise and physical therapy, and cognitive and behavioral modification. The goal of these therapies is to reduce pain and improve mobility.

Our goal is to change your life by reducing your pain and improving your daily functioning. We do this with safe and effective comprehensive treatment plans that reduce risks and maximize benefits. We go to great lengths to protect our patients from the significant risks that are associated with opioid therapy, which are also known as narcotic medications.

We stringently follow DEA recommendations regarding prescribing opioid medications. Further, we only prescribe opioid medications if we determine that a patient’s pathology warrants their use, the patient satisfies specific criteria, and the patient has failed other, lower risk treatment options.

When pain does not respond to conservative treatment options, your pain specialist can provide epidural steroid injections or nerve blocks. 

Our Blog

An ongoing series of informational entries

Botulinum Toxin Injections

March 15, 2019

Botulinum toxin is available as four brands: Botox, Myobloc, Dysport and Xeomin. Each is produced from the bacterium Clostridium botulinum. When eaten, the toxin causes a serious food poisoning called botulism. But when injected in very small amounts, it can be used safely to treat a number of medical and neurological conditions that includes migraine headaches, spasticity, dystonia etc.

Gel Knee Injection

March 15, 2019

A gel knee injection helps with the treatment of knee arthritis. It is used only after normal drug medication has failed to provide relief. During this treatment, the FDA approved gel is injected into the affected knee or knees several times over scheduled intervals.

Nerve Blocks

March 15, 2019

Nerve blocks are frequently used by pain management specialists to diagnose and treat different pain problems. Different types of blocks involve local anesthetics and steroids to block pain pathways and break the pain cycle. These medications are extremely effective in the proper patients.

Epidural Injections

March 15, 2019

Epidural injections use a variety of substances including local anesthetics (numbing medicines) and steroids (cortisone-type drugs) to block pain cycles and decrease inflammation around irritated discs and nerves in the spine.

They can be tremendously beneficial in patients with continuing spine pain and herniated disc disease. They at time provide only temporary benefit but can assist in a comprehensive program for managing spine-related pain. 

Our Blog

An ongoing series of informational entries

Dorsal Root Ganglion Stimulator

March 15, 2019

In February 2016, the U.S. Food and Drug Administration approved a novel treatment for patients with complex regional pain syndrome (CRPS I and II) in the lower extremities. Dorsal root ganglion (DRG) stimulation is an outpatient neuromodulation therapy, similar to traditional spinal cord (SCS) stimulation.

Rather than placing the electrodes over the posterior aspect of the spinal cord as in SCS, leads are implanted on the dorsal root ganglion, a cluster of neurons in the posterior root of spinal nerves that enervate specific parts of the body.

The dorsal root ganglion is considered an ideal target for delivering pain relief, as the electrical stimulation can be applied to a more targeted area. Previous findings show that this procedure results in many favorable outcomes for patients with chronic neuropathic pain.

Spinal Cord Stimulation

March 15, 2019

For the treatment of chronic, spinal cord stimulation includes the stimulation of the spinal cord or peripheral nerve by tiny electrical impulses. Spinal cord stimulation (SCS) uses electrical signals to mask the perception of pain traveling from the painful area to the brain. SCS can provide long-lasting pain relief and can be used in conjunction with other therapies.

Radiofrequency Ablation

March 15, 2019

Radiofrequency Ablation has been around for many years. The technique has been adapted to treat all types of pain, ranging from chronic neck pain to low back pain. The technique uses finely directed heat to ablate the painful nerves. Very little tissue damage is done, and the pain relief can last several months. Because the procedure is minimally invasive, it can be repeated if the pain returns.

Trigger Point Injections

March 15, 2019

Trigger point injections are used to relieve painful trigger points, areas of muscle that have become tight and inflamed. Often, a tender knot or tight band can be felt at the spot. If it is not possible to achieve acceptable pain relief with the above-mentioned therapies, our pain specialists will suggest considering more advanced treatment options:

Our Blog

An ongoing series of informational entries


March 15, 2019

Surgical procedures for pain can range from minor outpatient procedures to more invasive brain and spinal procedures. Surgery may be required when pain is caused by an injury, structural problems, or disease. It may also be prescribed in conjunction with other treatments. If our pain management specialists determine that you need surgery for your pain, we will refer you to a neurosurgeon.

Implantable Drug Pumps

March 15, 2019

Implantable drug pumps, also known as intrathecal drug pumps, deliver pain medication directly to the cerebrospinal fluid in the space surrounding the spinal cord. Direct application reduces the amount of opioids needed to relieve painful symptoms. Pain pumps are often used to treat cancer pain and other conditions that involve both nociceptive and neuropathic pain.


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What Our Patients Are Saying

“He is friendly, caring, and always seems so happy to see me. He is fully dedicated to his patients and greatly helping alleviate their pain. His office staff is incredible, helpful, and very patient.”

- Vicki L.

“He listens to his patients and staff is great, no long wait for your appointments, all around good doctor!”

- Michael S.

"Thank you so much for the extra time and care you provided to our father. It is a blessing that his pain is controlled after you placed the pain pump"

Magdalena R. and family

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