An Experienced Physician to Help You Understand Your Options

A pain management consultation is an opportunity to examine what has already been tried and consider what should happen next. Having a particular diagnosis does not automatically mean you need an injection, and persistent symptoms do not necessarily mean repeating the same treatment is the best approach.

Dr. Stephen A. Irwin is board certified in both Anesthesiology and Pain Medicine. He completed a Pain Medicine Fellowship at the University of Texas Southwestern after his Anesthesiology Residency at the University of South Florida. His professional background also includes serving as Medical Director of the Mercy Pain Clinic.

During your evaluation, explain what you most want help with. Perhaps sitting through a workday has become difficult, or pain interrupts your sleep. These details provide useful context alongside your medical records and examination.

For Siloam Springs patients considering a trip to Rogers, our staff can explain appointment requirements before you travel.

Care for Back, Neck, Muscle, and Nerve Pain

NWA Interventional Pain treats a variety of painful conditions. Tell the office about your main concern when requesting an appointment, including any diagnosis you have already received.

Lower Back Pain and Sciatica

Our practice evaluates lower back pain and sciatica, including symptoms associated with herniated discs and spinal stenosis. Information about where symptoms begin, how they change, and whether they extend into your leg can help guide the discussion.

Neck Pain and Persistent Spinal Pain

Dr. Irwin also sees patients with neck pain and those who continue to experience pain after spinal surgery. Bring available imaging and records from previous treatment so your evaluation can take that history into account.

Sacroiliac Joint, Muscle, and Other Pain Conditions

Conditions treated by our practice include sacroiliac joint pain, muscle pain, fibromyalgia, complex regional pain syndrome, shingles-related pain, and occipital neuralgia. An individual evaluation is needed to determine which services are appropriate for your circumstances.

Interventional Pain Treatments Available at Our Rogers Clinic

Interventional pain care includes procedures selected to address particular sources of pain. Our treatments page outlines the services available through NWA Interventional Pain.

Epidural Injections and Selective Nerve Root Blocks

Our services include epidural steroid injections, transforaminal epidural steroid injections, and selective nerve root blocks. If one of these procedures is recommended, Dr. Irwin can explain why it is being considered and which symptoms it is intended to address.

Medial Branch Blocks and Facet Joint Injections

Medial branch blocks and facet joint injections are also available. Ask about the purpose of the recommended procedure, how to describe your response afterward, and what the next step may be.

Radiofrequency Ablation

Radiofrequency ablation is among the procedures offered at NWA Interventional Pain. Whether it is an appropriate option depends on your evaluation and relevant treatment history. Dr. Irwin will discuss the proposed treatment before you decide whether to proceed.

Other Procedures and Medical Care

Additional options include joint injections, sacroiliac joint injections, trigger point injections, occipital nerve blocks, peripheral nerve blocks, and spinal cord stimulation. Medication management and conservative therapies may also be considered.

The availability of a treatment does not establish that it will be useful for your condition. Recommendations depend on the medical findings, potential benefits, risks, and alternatives.

Sedation and Comfort During Pain Procedures

Concern about a procedure is a reasonable topic to bring up before treatment. If you have had an uncomfortable experience in the past or are anxious about an injection, let the team know during your consultation.

Sedation is available at NWA Interventional Pain when appropriate. Its suitability depends on your health, the procedure, and the physician’s assessment.

Patients coming from Siloam Springs should ask about any preparation and transportation requirements before scheduling treatment with sedation. Confirm whether someone needs to accompany you and what instructions apply to your appointment.

Office-Based Treatment, Insurance, and Self-Pay Care

Many pain procedures can be performed at our Rogers office when medically appropriate. This allows suitable patients to receive treatment without a separate hospital or surgery center visit.

Office-based treatment is often more affordable than care at a hospital or surgery center. However, the difference depends on the procedure, the services involved, and your coverage. Facility-related charges and other billing arrangements can influence the total expense.

NWA Interventional Pain accepts most insurance and offers self-pay care. Our staff can discuss your particular plan or help you request self-pay pricing.

Before committing to treatment, ask what the estimate includes. If sedation is planned, ask whether it changes the anticipated cost. When comparing prices between facilities, make sure you are comparing the same services, not just one part of the bill.