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At Advanced Pain Management and Rehab, we take great pride in providing the finest conservative and minimally invasive treatments to our patients. Below is a sampling of the different pain management services we offer in our Williamsport office.

We offer a wide range of treatment options, from medication to interventional pain procedures, provided in the convenience of our onsite fluoroscopy suite.

Common Pain Management Treatments We Provide Include:

                                                • Epidural Steroid Injections: cervical, thoracic and lumbar
                                                • Facet Joint Injections and Medial Branch Blocks
                                                • Selective Nerve Root Injections
                                                • Botox Injections
                                                • Occipital Nerve Root Injections
                                                • Transforaminal Nerve Block
                                                • Sympathetic Nerve Blocks
                                                • Radiofrequency Ablation
                                                • Sacroiliac Joint Injections
                                                • Spinal Cord Stimulator Trials
                                                • Discography
                                                • Intercostal Nerve Blocks
                                                • Percutaneous Disc Decompression
                                                • Disc Biacuplasty
                                                • Vertebroplasty
                                                • Kyphoplasty
                                                • Spinal Cord Stimulator Trials
                                                • Ganglion Blocks
                                                • Trigger Point Injections
                                                • Bursa Injections
                                                • Viscosupplimentation for Arthritic Knees
                                                • Peripheral Nerve Injections


Physical Rehabilitation Modalities

Our physical rehabilitation services includes therapeutic exercises, manual therapy, therapeutic activities, electrical stimulation, ultrasound, mechanical traction, cold laser treatments and thermal modalities to increase range of motion, flexibility, strength, functional ability and to obtain proper stabilization of the back and joints.  We are committed to helping you maximize your independence by working together with you to set individualized goals for complete recovery from your injury. We hope to optimize the quality of your movement and improve performance and function while ensuring the development of skills that are of value to you in your everyday life.  Our therapy team will closely guide you with proper technique, intensity and safety while under our care. Our doctors are highly qualified and experienced to modify and adjust any exercise to meet your individual abilities, needs and goals.

We are also pleased to be one of the few offices in the area to offer Gaston Technique. Graston Technique is an instrument assisted soft tissue mobilization technique that enables our doctors to effective break down scar tissue and fascial restrictions to help reduce pain and increase motion in both acute and chronic injuries.


Chiropractic Spinal Manipulation

We provide advanced spinal correction utilizing "state of the art" chiropractic techniques. Never in the history of chiropractic have we been able to provide the level of help and expertise that now exists. These newer correction methods are even safer, more comfortable and more effective than ever before. As a Doctor of Chiropractic, Dr. Brian Tokach has over 17 years of training and experience in spinal manipulation.


Corrective Exercises

We teach our patients special "blueprint" exercises to help strengthen and correct their own unique problem. These exercises can be performed in the comfort of your own home and can improve the effectiveness of your spinal correction. In addition to skeletal misalignment, muscles and connective tissues can be out of place or strained by improper alignment and use. Specific exercises and stretches can help your body stay in balance and in health.


Lifestyle Advice

We often find it helpful to "coach" our patients on certain activities they should avoid or do differently to avoid aggravating their particular health challenge. Our goal is to help every patient achieve a fulfilling and happy lifestyle full of the activities they enjoy most. We recognize that each our patient is a whole person, and help them reach true health and wellness is a collaborate effort between our professionals and our patients.


Nutritional Counseling

We provide specific recommendations on nutritional supplements and healthy food choices to enhance our patient´s return to optimal health. Do you know which supplements and vitamins are good for you? Do you know how these supplements and vitamins interact with one another? Dr. Brian Tokach can provide a structured nutritional program based on your individual needs.


Massage Therapy

Massage therapy offers a natural conservative treatment approach that relieves musculoskeletal pain for many patients. Our licensed therapists provides specific massage and muscular therapy that is tailored to meet the patient's condition and injury. The benefits of massage therapy may include increasing blood circulation, reducing swelling, relaxing muscles, relieving muscle pain and spasms, and aid in recovery and range of motion.


Spinal & Postural Screenings

Posture and spinal screenings can reveal important health information and unlock the door to improved health and well-being. We provide screenings at area malls, community events, health fairs and places of employment. Contact us today to arrange a screening at your event or workplace.