Services Offered

PPM 0001Palmetto Pain Management offers comprehensive evaluation and treatment of challenging pain issues as follows:

Consultation: A comprehensive evaluation is the key to determining the cause of pain and best course of treatment

Medical Management: For patients who are not candidates for intervention or surgery

Interventional Treatment & Procedures: The majority of treatments can be performed safely and comfortably in the office with mild sedation if preferred. These procedures are performed under fluoroscopy or ultrasound guidance for exact delivery of medication to the appropriate area.

  • Radiofrequency for potentially prolonging the duration of pain relief.
  • Spinal cord stimulation for treating the most challenging chronic pain conditions.
  • Discography for determining which discs are causing pain.
  • Electrodiagnostic Testing to confirm neuropathy.
  • Greater Occipital Nerve Blocks.
  • Trigeminal Nerve Blocks.
  • Sphenopalatine Ganglion Blocks for headaches and facial pain.
  • Epidural Steroid Injections (Cervical, Thoracic and Lumbar regions).
  • Selective Transformaminal Epidural Injections.
  • Peripheral Nerve Blocks (Face, Arms, Legs, Chest Wall).
  • Facet Joint Injections.
  • Medial Branch Facet Nerve Injections.
  • Sympathetic Nerve Block for different body regions.
  • Major Joint Injections (Shoulders, Hips, Wrist, Knees and Ankles).
  • Small Joint Injections (Hands, Feet)

Referrals within our network of expert colleagues include the following specialties:

  • Spine surgeons
  • Orthopaedic surgeons
  • Neurologists
  • Psychologists
  • Physical therapists
  • Acupuncturists
  • Chiropractic physicians


Patient Praises

20 Minutes Made All The Difference

After 10 months of going from one specialist to another and feeling no better, a dear friend who had been a
patient of Dr. Riber for years suggested that we see him.  She spoke with him and with the severe pain my
husband was enduring he made a special arrangement to see us very quickly. He and his wonderful staff spent
about 20 minutes with us looking at all the blood work, MRI's etc. we had with us. Then he asked the question,
Itwhere are the X-Rays?" Well all the specialist and no one had ever ordered x-rays! He x-rayed my husband
immediately and announceq to us that he was in dire need of hip replacement, and was in a bone on bone
condition. We immediately made an appointment with an Orthoped~c Surgeon. When we told the Orthopedic
Surgeon this story, his remark was "Dr. Riber was your Guardian Angel". We agreed. - Marsha and Ben Bird