Welcome To Portland Pain And Spine (503) 238-7246

Treatments Available

Osteoarthritis Of The Knee

  The most advanced OsteoArthritis treatment in Portland uses an innovative approach to reduce or eliminate knee pain swiftly. Portland Pain & Spine is available to treat you.

Neuro-Stim System For Opioid Reduction

   Neuro-Stim System is a non-pharmacological option that uses electrical current to stimulate neurovascular bundles in the ear and possibly the autonomic nervous system, to treat pain and improve sleep. NSS is a Federal Drug Administration (FDA) approved device intended to be used for chronic and acute pain.

Spinal Cord Stimulation

   Also known as a dorsal cord stimulator, is a treatment for pain that blocks nerve impulses to the spine. SCS is a device placed under the skin and works by sending a mild electric current to the spinal cord.

Endoscopic Lumbar Decompression

   The concept of Endoscopic Laser Decompression & Foraminoplasty is the reduction of lumbar segmental pain by removal of causal pain sources whilst preserving motion at the segment.

Diagnostic Spine Injections

  Injections comprise another nonsurgical treatment option for low back pain. They are typically considered as an option to treat low back pain after a course of medications and/or physical therapy is completed, but before surgery is considered. Injections can be useful both for providing pain relief and as a diagnostic tool to help identify the source of the patient's back pain. Diagnostically, injections can be used to help determine which structure in the back is generating pain.

Platelet Rich Plasma Injections

   The use of platelet rich plasma (PRP), a portion of the patient's own blood having a platelet concentration above baseline, to promote healing of injured tendons, ligaments, muscles, and joints, can be applied to various musculoskeletal problems. PRP injections are prepared from tubes of the patient’s own blood with strict aseptic technique. After being centrifuged, the activated platelets are injected into the abnormal tissue, releasing growth factors that recruit and increase the proliferation of reparative cells.

Kyphoplasty / Vertebroplasty

   Vertebroplasty and kyphoplasty are minimally invasive procedures performed to treat vertebral compression fractures (VCF) of the spine. In a vertebroplasty, bone cement is injected into back bones that have cracked or broken. The cement hardens with the goal of relieving spinal pain and restoring mobility. Kyphoplasty differs from vertebroplasty in that a balloon is first inflated in the vertebral body to create a cavity into which cement is then injected under lower pressure.

Our practice is special. We are a private pain management specialty practice which listens to the patient, then offers state-of-the art solutions. We use an interdisciplinary approach to pain management, not emphasizing one modality over another. Of course we will have an opinion, but that will vary with the individual needs of the patient. We treat everything from back pain to cancer pain. The mainstay of this specialty uses your functional level as a measure of success. This is achieved with any combination of interventions, medications, physical and behavioral therapy, as well as appropriate referrals for further diagnostic evaluation when deemed necessary.

Our toolbox includes medication management, minimally invasive procedures for chronic back or neck pain, ultrasound-guided platelet-rich plasma (PRP) and Botox injections; as well as more advanced therapies such as Spinal Cord Stimulation, Vertebroplasty/Kyphoplasty, Minimally Invasive Lumbar Decompression (MILD) procedures, and Percutaneous Endoscopic Lumbar Transforaminal Decompression . Balancing these techniques with evidence-based medicine explains our high level of success.

Portland Pain And Spine Providers

Dr. Carl Balog Physician

Dr. Carl Balog is Board-certified in anesthesiology, interventional pain management, and addiction medicine with substantial clinical management and consultative experience. He is the CEO/Medical Director of Cornell Surgery Center and has been on the Board of Managers since its inception. In his off time, Dr. Balog enjoys classical music, local cuisine, Dragonboating, and travel.

As the son of a judge and a registered nurse, Joseph Knaus has had a lifelong passion for helping people. After becoming a Gerontological Nurse Practitioner in 1998 and later a Family Nurse Practitioner in 1999 in Missouri, Joseph relocated to Oregon in 2000, and has been practicing in the field of pain management for the past 14 years. An eternal student, when Joseph is not helping his patients, he is often studying new and alternative healing methods from the typical healthcare model.

Joe Knaus
Nurse Practitioner

12672 NW Barnes Rd #100
Portland, OR 97229
Phone:(503) 238-7246
Fax: (503) 238-7248