Pain Management Services — Naples, FL

At Advanced Pain & Spine Institute in Naples, Florida, we specialize in interventional pain management — a field dedicated to diagnosing and treating chronic pain through targeted, minimally invasive procedures. Led by Dr. Kerschner, our clinic combines advanced medical techniques with compassionate, patient-centered care.

Whether you're dealing with back and neck pain, joint discomfort, nerve-related conditions, or complex pain syndromes, we offer a wide range of evidence-based treatments designed to reduce pain, restore function, and improve your quality of life — without relying solely on medication or surgery.

All Services

• Caudal Steroid Injections (Epidural) — A caudal steroid injection delivers anti-inflammatory medication through the sacral hiatus into the epidural space at the base of the spine, providing relief from lower back and leg pain.
• Cervical Epidural Steroid Injection (Epidural) — A cervical epidural steroid injection delivers medication into the epidural space of the neck to reduce inflammation and pain caused by herniated discs, spinal stenosis, or degenerative conditions.
• Cervical Facet Radiofrequency Neurotomy (Radiofrequency) — Cervical facet radiofrequency neurotomy uses heat generated by radio waves to target specific nerves, interrupting pain signals from the facet joints in the neck.
• Discography (Diagnostic) — Discography is a diagnostic procedure that helps identify which spinal disc is causing pain by injecting contrast dye into the disc and evaluating the patient's pain response.
• Facet Joint Injections (Joint) — Facet joint injections deliver anti-inflammatory medication directly into the facet joints of the spine to reduce pain and inflammation caused by arthritis, injury, or degenerative changes.
• Intercostal Nerve Blocks (Nerve Block) — An intercostal nerve block involves injecting anesthetic and anti-inflammatory medication near the intercostal nerves beneath the ribs to relieve chest wall and upper abdominal pain.
• Knee Injections (Joint) — Knee injections deliver medication directly into the knee joint to reduce pain, inflammation, and stiffness caused by osteoarthritis, injury, or other degenerative conditions.
• Lumbar Epidural Steroid Injections (Epidural) — Lumbar epidural steroid injections deliver anti-inflammatory medication into the epidural space of the lower back to treat sciatica, herniated discs, and spinal stenosis.
• Lumbar Facet Radiofrequency Neurotomy (Radiofrequency) — Lumbar facet radiofrequency neurotomy uses controlled heat to disrupt pain-transmitting nerves from the facet joints in the lower back, providing long-lasting relief.
• Lumbar Sympathetic Block (Nerve Block) — A lumbar sympathetic block targets the sympathetic nerves along the lumbar spine to treat conditions such as complex regional pain syndrome (CRPS), peripheral vascular disease, and neuropathic leg pain.
• Transforaminal Epidural Steroid Injection (Epidural) — A transforaminal epidural steroid injection targets a specific nerve root by delivering medication through the neural foramen, providing precise relief for radicular pain.
• Medial Branch Block (Nerve Block) — A medial branch block is a diagnostic injection that numbs the small nerves supplying the facet joints to determine if they are the source of your back or neck pain.
• Medical Management (Management) — Medical management involves a comprehensive, non-interventional approach to pain treatment using medications, lifestyle modifications, and coordinated care.
• Sacroiliac Joint Steroid Injections (Joint) — Sacroiliac (SI) joint injections deliver corticosteroid and anesthetic medication into the SI joint to diagnose and treat pain originating from this commonly affected joint.
• Spinal Cord Stimulator Implant (Implant) — A spinal cord stimulator (SCS) is an implanted device that delivers mild electrical impulses to the spinal cord, interrupting pain signals before they reach the brain.
• Stellate Ganglion Block (Nerve Block) — A stellate ganglion block targets the sympathetic nerve cluster in the neck to treat conditions such as CRPS, phantom limb pain, and certain vascular conditions affecting the upper extremities.
• Sub Occipital Nerve Injections (Nerve Block) — Sub occipital nerve injections target the greater and lesser occipital nerves at the base of the skull to treat occipital neuralgia, migraines, and tension headaches.
• Suprascapular Nerve Injections (Nerve Block) — Suprascapular nerve injections block the suprascapular nerve at the shoulder to treat chronic shoulder pain from arthritis, rotator cuff injuries, frozen shoulder, and other conditions.
• Thoracic Epidural Steroid Injections (Epidural) — Thoracic epidural steroid injections deliver anti-inflammatory medication into the epidural space of the mid-back to treat pain from herniated discs, compression fractures, and post-herpetic neuralgia.
• Thoracic Facet Radiofrequency Neurotomy (Radiofrequency) — Thoracic facet radiofrequency neurotomy uses thermal energy to disrupt pain-transmitting nerves from the thoracic facet joints, providing long-lasting mid-back pain relief.
• Trigger Point Injections (Injection) — Trigger point injections deliver medication directly into painful muscle knots (trigger points) to relieve localized muscle pain, spasms, and referred pain patterns.
• TMJ Injections (Joint) — TMJ injections deliver medication directly into the temporomandibular joint to relieve jaw pain, clicking, stiffness, and dysfunction caused by TMJ disorders.