# Gateway Midwest Healthcare

> St. Louis Accident, Injury and Pain Specialist


## Posts

- [Same Injury, Different Pain Plan: Why We Treat You as We Find You](https://painstlouis.com/same-injury-different-pain-plan/): Two people with the same injury can need different pain plans. Why individualized pain care beats a protocol, and where opioid stewardship fits.
- [Diet for Joint Pain: What Changes When Your Metabolism Does](https://painstlouis.com/diet-for-joint-pain/): The best diet for joint pain is built from whole food: meat, fish, eggs, full-fat dairy and vegetables that grow above the ground, with bread, pasta, rice and sugar taken out.
- [What Happens to Your Prescription When the Pain Gets Treated](https://painstlouis.com/what-happens-to-your-prescription/): Your opioid prescription is not simply taken away when you come here for pain treatment. Find the structure causing the pain and treat it directly.
- [Exercising with neuropathy without making it worse](https://painstlouis.com/exercise-with-neuropathy/): Exercise acts on the cause of diabetic nerve pain rather than the sensation. The cautions are real and they are about the feet and falls, not about the nerve.
- [Alcohol and nerve pain](https://painstlouis.com/alcohol-and-nerve-pain/): Alcohol injures peripheral nerves directly and nutritionally at the same time, and in an existing neuropathy it is one of the few inputs that measurably changes the trajectory.
- [Supplements for nerve pain: what has evidence, and the one that causes it](https://painstlouis.com/supplements-for-nerve-pain/): Alpha-lipoic acid, acetyl-L-carnitine and B12 correction have evidence behind them. Vitamin B6, sold in most nerve formulas, is a recognized cause of the neuropathy people take it to treat.

## Pages

- [Metabolic and Lifestyle Care](https://painstlouis.com/treatments/metabolic-care/): Metabolic and Lifestyle Care at Gateway Midwest Healthcare, St. Louis — what it is, what it treats and what to expect.
- [Medication Management](https://painstlouis.com/treatments/medication-management/): Medication Management at Gateway Midwest Healthcare, St. Louis — what it is, what it treats and what to expect.
- [Physical Therapy](https://painstlouis.com/treatments/physical-therapy/): Physical Therapy at Gateway Midwest Healthcare, St. Louis — what it is, what it treats and what to expect.
- [Trigger Point Injection](https://painstlouis.com/treatments/trigger-point-injection/): Trigger Point Injection at Gateway Midwest Healthcare, St. Louis — what it is, what it treats and what to expect.
- [Stellate Ganglion Block](https://painstlouis.com/treatments/stellate-ganglion-block/): Stellate Ganglion Block at Gateway Midwest Healthcare, St. Louis — what it is, what it treats and what to expect.
- [Sacroiliac Joint Injection](https://painstlouis.com/treatments/sacroiliac-joint-injection/): Sacroiliac Joint Injection at Gateway Midwest Healthcare, St. Louis — what it is, what it treats and what to expect.
- [Facet Joint Injection](https://painstlouis.com/treatments/facet-joint-injection/): Facet Joint Injection at Gateway Midwest Healthcare, St. Louis — what it is, what it treats and what to expect.
- [Medial Branch Block](https://painstlouis.com/treatments/medial-branch-block/): Medial Branch Block at Gateway Midwest Healthcare, St. Louis — what it is, what it treats and what to expect.
- [EMG and Nerve Conduction Study](https://painstlouis.com/treatments/emg-nerve-conduction-study/): EMG and Nerve Conduction Study at Gateway Midwest Healthcare, St. Louis — what it is, what it treats and what to expect.
- [Radiofrequency Ablation](https://painstlouis.com/treatments/radiofrequency-ablation/): Radiofrequency Ablation at Gateway Midwest Healthcare, St. Louis — what it is, what it treats and what to expect.
- [Epidural Steroid Injection](https://painstlouis.com/treatments/epidural-steroid-injection/): Epidural Steroid Injection at Gateway Midwest Healthcare, St. Louis — what it is, what it treats and what to expect.
- [Peripheral Neuropathy](https://painstlouis.com/conditions/peripheral-neuropathy/): Peripheral Neuropathy — what it is, how it presents and how it is treated in St. Louis.
- [Sacroiliac Joint Pain](https://painstlouis.com/conditions/sacroiliac-joint-pain/): Sacroiliac Joint Pain — what it is, how it presents and how it is treated in St. Louis.
- [Facet Joint Pain](https://painstlouis.com/conditions/facet-joint-pain/): Facet Joint Pain — what it is, how it presents and how it is treated in St. Louis.
- [Spinal Stenosis](https://painstlouis.com/conditions/spinal-stenosis/): Spinal Stenosis — what it is, how it presents and how it is treated in St. Louis.
- [Cervical Radiculopathy](https://painstlouis.com/conditions/cervical-radiculopathy/): Cervical Radiculopathy — what it is, how it presents and how it is treated in St. Louis.
- [Herniated Disc](https://painstlouis.com/conditions/herniated-disc/): Herniated Disc — what it is, how it presents and how it is treated in St. Louis.
- [Sciatica](https://painstlouis.com/conditions/sciatica/): Sciatica — what it is, how it presents and how it is treated in St. Louis.
- [Low Back Pain](https://painstlouis.com/conditions/low-back-pain/): Low Back Pain — what it is, how it presents and how it is treated in St. Louis.
- [Neck Pain](https://painstlouis.com/conditions/neck-pain/): Neck Pain — what it is, how it presents and how it is treated in St. Louis.
- [Whiplash](https://painstlouis.com/conditions/whiplash/): Whiplash — what it is, how it presents and how it is treated in St. Louis.
- [Back Injections & Pain Procedures in St. Louis](https://painstlouis.com/treatments/): Treatments at Gateway Midwest Healthcare — image-guided injections, nerve blocks, radiofrequency ablation, EMG and physical therapy.
- [Conditions We Treat](https://painstlouis.com/conditions/): Conditions treated at Gateway Midwest Healthcare in St. Louis — neck, back, nerve, joint and post-accident pain.
- [Slip & Fall Injuries](https://painstlouis.com/accident-and-injury-care/slip-and-fall/): Slip & Fall Injuries in St. Louis — falls on ice, wet floors and uneven ground.
- [Work Injury & Workers' Compensation](https://painstlouis.com/accident-and-injury-care/work-injury/): Work Injury & Workers' Compensation in St. Louis — injuries on the job, treated under Missouri workers' compensation.
- [Rear-End Collision Injuries](https://painstlouis.com/accident-and-injury-care/rear-end-collision/): Rear-End Collision Injuries in St. Louis — the crash type that produces the most neck injury per mile per hour.
- [Car Accident Injury Care](https://painstlouis.com/accident-and-injury-care/car-accident-injury/): Car Accident Injury Care in St. Louis — the most common way people arrive here.
- [Nondiscrimination & Language Access](https://painstlouis.com/nondiscrimination/): Nondiscrimination notice and free language assistance at Gateway Midwest Healthcare.
- [Your Rights Under the No Surprises Act](https://painstlouis.com/no-surprises-act/): Your right to a good faith estimate of costs and protection from surprise medical bills.
- [Accessibility Statement](https://painstlouis.com/accessibility/): How Gateway Midwest Healthcare approaches web and physical accessibility.
- [Medical Disclaimer](https://painstlouis.com/medical-disclaimer/): This website is general health education and not medical advice.
- [SMS Policy](https://painstlouis.com/sms-policy/): How Gateway Midwest Healthcare uses text messaging, how to opt out, and what text is not suitable for.
- [Request an Appointment](https://painstlouis.com/request-an-appointment/): Request an appointment at Gateway Midwest Healthcare — call (314) 310-5577, Monday to Friday.
- [Insurance & Medicaid](https://painstlouis.com/insurance-and-medicaid/): Medicaid (MO HealthNet), Medicare, commercial plans, auto med-pay and workers' compensation accepted.
- [New Patients](https://painstlouis.com/new-patients/): What to bring to your first visit at Gateway Midwest Healthcare, and what to expect.
- [Contact & Directions](https://painstlouis.com/contact/): Contact Gateway Midwest Healthcare — 12174 Natural Bridge Rd, Suite 110, St. Louis, MO 63044. Call (314) 310-5577.
- [Dr. Gurpreet Singh Padda, MD, MBA, MHP](https://painstlouis.com/dr-padda/): Dr. Gurpreet Singh Padda, MD, MBA, MHP — interventional pain physician at Gateway Midwest Healthcare, St. Louis.
- [Opioid Stewardship](https://painstlouis.com/opioid-stewardship/): Our position on opioids: we reduce doses safely while treating the cause of the pain.
- [Accident & Injury Care](https://painstlouis.com/accident-and-injury-care/): Care after a car crash, a fall or a work injury in St. Louis — no referral or attorney required.
- [Gateway Midwest Healthcare](https://painstlouis.com/): If you were hurt in a crash, a fall or at work, you should not have to wait weeks to be believed.
- [Diabetic Neuropathy](https://painstlouis.com/conditions/diabetic-neuropathy/): Diabetic neuropathy treatment in St. Louis: treating the metabolic cause, nerve-specific medication, and temporary percutaneous nerve stimulation where medication has failed.
- [Trigeminal Neuralgia](https://painstlouis.com/conditions/trigeminal-neuralgia/): Trigeminal Neuralgia — what it is, how it presents and how it is treated in St. Louis.
- [Post-Herpetic Neuralgia](https://painstlouis.com/conditions/post-herpetic-neuralgia/): Post-Herpetic Neuralgia — what it is, how it presents and how it is treated in St. Louis.
- [Vertebral Compression Fracture](https://painstlouis.com/conditions/vertebral-compression-fracture/): Vertebral Compression Fracture — what it is, how it presents and how it is treated in St. Louis.
- [Failed Back Surgery Syndrome](https://painstlouis.com/conditions/failed-back-surgery-syndrome/): Failed Back Surgery Syndrome — what it is, how it presents and how it is treated in St. Louis.
- [Spondylolisthesis](https://painstlouis.com/conditions/spondylolisthesis/): Spondylolisthesis — what it is, how it presents and how it is treated in St. Louis.
- [Piriformis Syndrome and Deep Gluteal Pain](https://painstlouis.com/conditions/piriformis-syndrome/): Piriformis Syndrome and Deep Gluteal Pain — what it is, how it presents and how it is treated in St. Louis.
- [Thoracic and Mid-Back Pain](https://painstlouis.com/conditions/thoracic-back-pain/): Thoracic and Mid-Back Pain — what it is, how it presents and how it is treated in St. Louis.
- [We Accept Missouri Medicaid (MO HealthNet)](https://painstlouis.com/missouri-medicaid/): Gateway Midwest Healthcare accepts Missouri Medicaid for interventional pain care — one of the few pain practices in the St. Louis region that does.
- [After Spinal Fusion: What to Avoid](https://painstlouis.com/living-with-pain/after-spinal-fusion/): After Spinal Fusion: What to Avoid — practical guidance from Gateway Midwest Healthcare, St. Louis.
- [Low-Impact Exercise for Spinal Stenosis](https://painstlouis.com/living-with-pain/low-impact-exercise-spinal-stenosis/): Low-Impact Exercise for Spinal Stenosis — practical guidance from Gateway Midwest Healthcare, St. Louis.
- [Cervical Stenosis: Exercises to Avoid](https://painstlouis.com/living-with-pain/cervical-stenosis-exercises-to-avoid/): Cervical Stenosis: Exercises to Avoid — practical guidance from Gateway Midwest Healthcare, St. Louis.
- [Herniated Disc: Exercises to Avoid](https://painstlouis.com/living-with-pain/herniated-disc-exercises-to-avoid/): Herniated Disc: Exercises to Avoid — practical guidance from Gateway Midwest Healthcare, St. Louis.
- [Spinal Stenosis: Exercises to Avoid](https://painstlouis.com/living-with-pain/spinal-stenosis-exercises-to-avoid/): Spinal Stenosis: Exercises to Avoid — practical guidance from Gateway Midwest Healthcare, St. Louis.
- [Desk Work With Neck Pain](https://painstlouis.com/living-with-pain/desk-work-neck-pain/): Desk Work With Neck Pain — practical guidance from Gateway Midwest Healthcare, St. Louis.
- [Driving With Back or Neck Pain](https://painstlouis.com/living-with-pain/driving-with-back-pain/): Driving With Back or Neck Pain — practical guidance from Gateway Midwest Healthcare, St. Louis.
- [How to Sit With a Slipped Disc](https://painstlouis.com/living-with-pain/how-to-sit-with-a-slipped-disc/): How to Sit With a Slipped Disc — practical guidance from Gateway Midwest Healthcare, St. Louis.
- [Best Sleeping Position for L5-S1 Disc Problems](https://painstlouis.com/living-with-pain/sleeping-position-l5-s1/): Best Sleeping Position for L5-S1 Disc Problems — practical guidance from Gateway Midwest Healthcare, St. Louis.
- [Pillows for Neck Pain and Cervical Disc Problems](https://painstlouis.com/living-with-pain/pillow-for-neck-pain/): Pillows for Neck Pain and Cervical Disc Problems — practical guidance from Gateway Midwest Healthcare, St. Louis.
- [Sleeping With Sciatica or a Slipped Disc](https://painstlouis.com/living-with-pain/sleeping-with-sciatica/): Sleeping With Sciatica or a Slipped Disc — practical guidance from Gateway Midwest Healthcare, St. Louis.
- [How to Sleep With a Bulging Disc](https://painstlouis.com/living-with-pain/how-to-sleep-with-a-bulging-disc/): How to Sleep With a Bulging Disc — practical guidance from Gateway Midwest Healthcare, St. Louis.
- [Living With It — Practical Guides](https://painstlouis.com/living-with-pain/): Practical guides to sleeping, sitting and moving with back and neck pain — and what to avoid.
- [Privacy Policy & HIPAA Notice](https://painstlouis.com/privacy-policy/): How Gateway Midwest Healthcare uses and protects your health information, and your rights under HIPAA.
- [Bursa Injection](https://painstlouis.com/treatments/bursa-injection/): Bursa Injection at Gateway Midwest Healthcare, St. Louis.
- [Joint Injection](https://painstlouis.com/treatments/joint-injection/): Joint Injection at Gateway Midwest Healthcare, St. Louis.
- [Sphenopalatine Ganglion Block](https://painstlouis.com/treatments/sphenopalatine-ganglion-block/): Sphenopalatine Ganglion Block at Gateway Midwest Healthcare, St. Louis.
- [Lumbar Sympathetic Block](https://painstlouis.com/treatments/lumbar-sympathetic-block/): Lumbar Sympathetic Block at Gateway Midwest Healthcare, St. Louis.
- [Occipital Nerve Block](https://painstlouis.com/treatments/occipital-nerve-block/): Occipital Nerve Block at Gateway Midwest Healthcare, St. Louis.
- [Diagnostic Nerve Block](https://painstlouis.com/treatments/diagnostic-nerve-block/): Diagnostic Nerve Block at Gateway Midwest Healthcare, St. Louis.
- [Coccydynia — Tailbone Pain](https://painstlouis.com/conditions/coccydynia/): Coccydynia — Tailbone Pain — what it is, how it presents and how it is treated in St. Louis.
- [Chronic Headache and Migraine](https://painstlouis.com/conditions/chronic-headache/): Chronic Headache and Migraine — what it is, how it presents and how it is treated in St. Louis.
- [Fibromyalgia](https://painstlouis.com/conditions/fibromyalgia/): Fibromyalgia — what it is, how it presents and how it is treated in St. Louis.
- [Myofascial Pain and Trigger Points](https://painstlouis.com/conditions/myofascial-pain/): Myofascial Pain and Trigger Points — what it is, how it presents and how it is treated in St. Louis.
- [Hip Pain](https://painstlouis.com/conditions/hip-pain/): Hip Pain — what it is, how it presents and how it is treated in St. Louis.
- [Knee Pain](https://painstlouis.com/conditions/knee-pain/): Knee Pain — what it is, how it presents and how it is treated in St. Louis.
- [Shoulder Injury and Pain](https://painstlouis.com/conditions/shoulder-injury/): Shoulder Injury and Pain — what it is, how it presents and how it is treated in St. Louis.
- [Carpal Tunnel Syndrome](https://painstlouis.com/conditions/carpal-tunnel-syndrome/): Carpal Tunnel Syndrome — what it is, how it presents and how it is treated in St. Louis.
- [Occipital Neuralgia](https://painstlouis.com/conditions/occipital-neuralgia/): Occipital Neuralgia — what it is, how it presents and how it is treated in St. Louis.
- [Cervicogenic Headache](https://painstlouis.com/conditions/cervicogenic-headache/): Cervicogenic Headache — what it is, how it presents and how it is treated in St. Louis.
- [Concussion and Head Injury](https://painstlouis.com/conditions/concussion-and-head-injury/): Concussion and Head Injury — what it is, how it presents and how it is treated in St. Louis.
- [Complex Regional Pain Syndrome (RSD)](https://painstlouis.com/conditions/complex-regional-pain-syndrome/): Complex Regional Pain Syndrome (RSD) — what it is, how it presents and how it is treated in St. Louis.
- [Pain & Injury Care in Park Hills, MO](https://painstlouis.com/locations/pain-management-park-hills/): Park Hills sits in the old lead belt, and the occupational legacy in that area is real.
- [Pain & Injury Care in Bonne Terre, MO](https://painstlouis.com/locations/pain-management-bonne-terre/): Bonne Terre sits on the Highway 67 corridor, and the drive to us is long but direct.
- [Pain & Injury Care in Farmington, MO](https://painstlouis.com/locations/pain-management-farmington/): Farmington is the southern limit of our draw, and nobody drives seventy minutes for something they could get at home.
- [Pain & Injury Care in Hillsboro, MO](https://painstlouis.com/locations/pain-management-hillsboro/): Hillsboro is the Jefferson County seat, and patients reach us via Highway 21 and I-270.
- [Pain & Injury Care in De Soto, MO](https://painstlouis.com/locations/pain-management-de-soto/): De Soto is rural Jefferson County, where specialist care of any kind means traveling.
- [Pain & Injury Care in Crystal City, MO](https://painstlouis.com/locations/pain-management-crystal-city/): Crystal City patients often come specifically for diagnostic work that is not offered locally.
- [Pain & Injury Care in Festus, MO](https://painstlouis.com/locations/pain-management-festus/): Festus patients make a real journey to get here, so the visit is built to accomplish as much as the day allows.
- [Pain & Injury Care in Herculaneum, MO](https://painstlouis.com/locations/pain-management-herculaneum/): Herculaneum has an industrial history and the musculoskeletal legacy that goes with it.
- [Pain & Injury Care in Pevely, MO](https://painstlouis.com/locations/pain-management-pevely/): Pevely sits on the I-55 corridor south of Arnold, and the drive to us is straightforward highway the whole way.
- [Pain & Injury Care in Barnhart, MO](https://painstlouis.com/locations/pain-management-barnhart/): Barnhart is a small community with limited local specialist access, and patients come to us for procedures that cannot be done nearer.
- [Pain & Injury Care in Imperial, MO](https://painstlouis.com/locations/pain-management-imperial/): Imperial patients travel because interventional pain treatment is not available closer to home.
- [Pain & Injury Care in Arnold, MO](https://painstlouis.com/locations/pain-management-arnold/): Arnold is the northern gateway to Jefferson County, and the point where specialist pain care starts becoming scarce.
- [Pain & Injury Care in Fenton, MO](https://painstlouis.com/locations/pain-management-fenton/): Fenton has a substantial industrial and distribution base, and work injuries make up a large share of what we see from there.
- [Pain & Injury Care in Crestwood, MO](https://painstlouis.com/locations/pain-management-crestwood/): A recurring reason Crestwood patients call is that they want off a long-standing opioid prescription and have not found anyone willing to do the work.
- [Pain & Injury Care in Sunset Hills, MO](https://painstlouis.com/locations/pain-management-sunset-hills/): Sunset Hills sits beside the I-44 and I-270 interchange, a persistent source of highway collision injury.
- [Pain & Injury Care in Affton, MO](https://painstlouis.com/locations/pain-management-affton/): A large share of what we see from Affton is chronic low back pain that has been carried for years.
- [Pain & Injury Care in Mehlville, MO](https://painstlouis.com/locations/pain-management-mehlville/): Mehlville sits on the I-55 corridor, and highway collisions there produce the disc injuries we treat most often.
- [Pain & Injury Care in Oakville, MO](https://painstlouis.com/locations/pain-management-oakville/): Oakville patients travel a fair distance, and they tend to do it for the diagnostic work rather than for a prescription.
- [Pain & Injury Care in South County, MO](https://painstlouis.com/locations/pain-management-south-county/): South County covers a wide area and sends us a correspondingly wide mix of injuries.
- [Pain & Injury Care in St. Louis City, MO](https://painstlouis.com/locations/pain-management-st-louis-city/): We see patients from across the city, and for many the deciding factor is simply that we accept Missouri Medicaid.
- [Pain & Injury Care in Des Peres, MO](https://painstlouis.com/locations/pain-management-des-peres/): Des Peres patients often arrive after a course of treatment that addressed the symptom without ever identifying the pain generator.
- [Pain & Injury Care in Richmond Heights, MO](https://painstlouis.com/locations/pain-management-richmond-heights/): Richmond Heights sits beside the I-64 and I-170 interchange, one of the busier collision points in the county.
- [Pain & Injury Care in Maplewood, MO](https://painstlouis.com/locations/pain-management-maplewood/): Maplewood patients reach us up I-170 without going through the center of the city.
- [Pain & Injury Care in Brentwood, MO](https://painstlouis.com/locations/pain-management-brentwood/): Brentwood sits on the I-170 corridor, which makes the trip north straightforward even in rush hour.
- [Pain & Injury Care in Clayton, MO](https://painstlouis.com/locations/pain-management-clayton/): Most of what we treat for Clayton patients is neck and upper back pain that has built up over years at a desk.
- [Pain & Injury Care in Webster Groves, MO](https://painstlouis.com/locations/pain-management-webster-groves/): Webster Groves is an older, walkable community, and a good deal of what we see is degenerative pain in people determined to keep walking it.
- [Pain & Injury Care in Kirkwood, MO](https://painstlouis.com/locations/pain-management-kirkwood/): Kirkwood patients most often come to us for the two pain sources that are hardest to identify without image guidance.
- [Pain & Injury Care in Manchester, MO](https://painstlouis.com/locations/pain-management-manchester/): Manchester Road is one of the busier arterials in the county, and it generates a steady supply of the injuries we treat.
- [Pain & Injury Care in Wildwood, MO](https://painstlouis.com/locations/pain-management-wildwood/): Wildwood is semi-rural in parts, and we see a fair share of injuries that have nothing to do with traffic.
- [Pain & Injury Care in Ellisville, MO](https://painstlouis.com/locations/pain-management-ellisville/): Ellisville sits at the western edge of the county draw, and patients travel for the combination rather than for any single treatment.
- [Pain & Injury Care in Ballwin, MO](https://painstlouis.com/locations/pain-management-ballwin/): Ballwin patients tend to arrive with a thick file of scans and a thin explanation of what any of them mean.
- [Pain & Injury Care in Town and Country, MO](https://painstlouis.com/locations/pain-management-town-and-country/): A great many Town and Country patients come to us for a second reading of imaging they have already had.
- [Pain & Injury Care in Creve Coeur, MO](https://painstlouis.com/locations/pain-management-creve-coeur/): Creve Coeur is close enough that a full course of treatment is a normal part of the week rather than a project.
- [Pain & Injury Care in Maryland Heights, MO](https://painstlouis.com/locations/pain-management-maryland-heights/): Maryland Heights is our nearest community of any size, and proximity changes what treatment can look like.
- [Pain & Injury Care in Chesterfield, MO](https://painstlouis.com/locations/pain-management-chesterfield/): Chesterfield patients often arrive having already seen a surgeon and been told there is nothing to operate on.
- [Pain & Injury Care in Weldon Spring, MO](https://painstlouis.com/locations/pain-management-weldon-spring/): Weldon Spring sits on the I-64 corridor near the river crossings, and highway collisions there arrive with the injury pattern to match.
- [Pain & Injury Care in Dardenne Prairie, MO](https://painstlouis.com/locations/pain-management-dardenne-prairie/): Dardenne Prairie is residential and family-heavy, and much of what we see from there is pain that has quietly been managed alone for years.
- [Pain & Injury Care in Cottleville, MO](https://painstlouis.com/locations/pain-management-cottleville/): Cottleville patients reach us through the Highway N and I-64 corridors, and most arrive having already tried the obvious things.
- [Pain & Injury Care in Wentzville, MO](https://painstlouis.com/locations/pain-management-wentzville/): Wentzville is where the I-70 and I-64 corridors converge, and it has the manufacturing and logistics employment to match.
- [Pain & Injury Care in Lake St. Louis, MO](https://painstlouis.com/locations/pain-management-lake-st-louis/): Lake St. Louis is the western edge of our draw, and patients who come this far are generally coming for something they could not get closer.
- [Pain & Injury Care in O'Fallon, MO](https://painstlouis.com/locations/pain-management-ofallon-mo/): O'Fallon has grown faster than its road network, and the collisions we see from there reflect congested arterials rather than open highway.
- [Pain & Injury Care in St. Peters, MO](https://painstlouis.com/locations/pain-management-st-peters/): St. Peters is an I-70 town, and the injury pattern we see from it is shaped almost entirely by that highway.
- [Pain & Injury Care in St. Charles, MO](https://painstlouis.com/locations/pain-management-st-charles/): St. Charles sits on the west bank of the Missouri River, and for anyone hurt on this side of the water the trip to us never involves the city at all.
- [Areas We Serve](https://painstlouis.com/locations/): Gateway Midwest Healthcare serves St. Louis County, St. Charles County, Jefferson County and south to Farmington.
- [Understanding Spinal Levels — L4-L5, L5-S1 and the Rest](https://painstlouis.com/understanding-your-mri-report/spinal-levels/): Understanding Spinal Levels explained in plain English — what a spine MRI report means.
- [Schmorl's Node](https://painstlouis.com/understanding-your-mri-report/schmorls-node/): Schmorl's Node explained in plain English — what a spine MRI report means.
- [Spondylosis and Spondylolisthesis](https://painstlouis.com/understanding-your-mri-report/spondylosis-spondylolisthesis/): Spondylosis and Spondylolisthesis explained in plain English — what a spine MRI report means.
- [Vertebrogenic Pain](https://painstlouis.com/understanding-your-mri-report/vertebrogenic-pain/): Vertebrogenic Pain explained in plain English — what a spine MRI report means.
- [Modic Changes](https://painstlouis.com/understanding-your-mri-report/modic-changes/): Modic Changes explained in plain English — what a spine MRI report means.
- [Mild, Moderate, Severe — What the Grades Mean](https://painstlouis.com/understanding-your-mri-report/mild-moderate-severe/): Mild, Moderate, Severe explained in plain English — what a spine MRI report means.
- [Spinal Canal Stenosis](https://painstlouis.com/understanding-your-mri-report/canal-stenosis/): Spinal Canal Stenosis explained in plain English — what a spine MRI report means.
- [Degenerative Disc Disease](https://painstlouis.com/understanding-your-mri-report/degenerative-disc-disease/): Degenerative Disc Disease explained in plain English — what a spine MRI report means.
- [Disc Desiccation — What It Means](https://painstlouis.com/understanding-your-mri-report/disc-desiccation/): Disc Desiccation explained in plain English — what a spine MRI report means.
- [Facet Arthropathy — What It Means](https://painstlouis.com/understanding-your-mri-report/facet-arthropathy/): Facet Arthropathy explained in plain English — what a spine MRI report means.
- [Disc Bulge vs Herniation](https://painstlouis.com/understanding-your-mri-report/disc-bulge-vs-herniation/): Disc Bulge vs Herniation explained in plain English — what a spine MRI report means.
- [What Does 'Foraminal' Mean?](https://painstlouis.com/understanding-your-mri-report/foraminal-meaning/): What Does 'Foraminal' Mean? explained in plain English — what a spine MRI report means.
- [Foraminal Narrowing — What It Means](https://painstlouis.com/understanding-your-mri-report/foraminal-narrowing/): Foraminal Narrowing explained in plain English — what a spine MRI report means.
- [Annular Tear — What It Means](https://painstlouis.com/understanding-your-mri-report/annular-tear/): Annular Tear explained in plain English — what a spine MRI report means.
- [Understanding Your MRI Report](https://painstlouis.com/understanding-your-mri-report/): Plain-English explanations of the words on a spine MRI report — annular tear, foraminal narrowing, facet arthropathy and more.
- [A Press Shoulder Exercise (I, Y, T, A)](https://painstlouis.com/physiotherapy/shoulder-a-press-exercise/): The A press closes out the I, Y, T, A shoulder series: standing tall with your shoulder blades set, let straight arms drift a little out and behind you into an A, hold 3 seconds, 10 times.
- [T Raise Shoulder Exercise (I, Y, T, A)](https://painstlouis.com/physiotherapy/shoulder-t-raise-exercise/): The T raise comes third in the I, Y, T, A shoulder series: standing tall, pinch your shoulder blades and lift straight arms out sideways to shoulder height in a T, hold 3 seconds, 10 times.
- [Y Raise Shoulder Exercise (I, Y, T, A)](https://painstlouis.com/physiotherapy/shoulder-y-raise-exercise/): The Y raise comes second in the I, Y, T, A shoulder series: standing tall with your shoulder blades set, raise straight arms up and out into a Y, hold 3 seconds, 10 times.
- [I Raise Shoulder Exercise (I, Y, T, A)](https://painstlouis.com/physiotherapy/shoulder-i-raise-exercise/): The I raise opens the I, Y, T, A shoulder series: standing tall with your shoulder blades set down, lift straight arms forward and overhead into an I, hold 3 seconds, 10 times.
- [Band Row Exercise for Shoulder and Upper Back](https://painstlouis.com/physiotherapy/shoulder-band-row-exercise/): A band row builds the upper back and shoulder blade muscles after an injury: anchor a band at chest height, draw your elbows back while your shoulder blades pinch together, hold 2 seconds, 10 times.
- [Band Outward Turn for the Rotator Cuff](https://painstlouis.com/physiotherapy/shoulder-band-outward-turn-exercise/): An outward turn against a band builds the rotator cuff after a shoulder injury: keep your elbow at your side, rotate the hand out against the band's pull for 2 seconds, 10 times.
- [Wall Walk Exercise for a Stiff Shoulder](https://painstlouis.com/physiotherapy/shoulder-wall-walk-exercise/): A wall walk gradually raises a stiff shoulder's reach: face a wall, walk your fingers up as high as is comfortable, pause 5 seconds at the top, come back down, 10 times.
- [Pendulum Exercise for Shoulder Pain](https://painstlouis.com/physiotherapy/shoulder-pendulum-exercise/): The pendulum is a gentle exercise for a painful shoulder after an injury: lean on a table, let the sore arm hang, and sway your body so the arm drifts in small circles, 10 each way.
- [Sit to Stand Exercise for Leg Strength](https://painstlouis.com/physiotherapy/sit-to-stand-exercise/): Sit to stand is a leg and balance exercise for getting up from a chair after an injury: sit in a firm chair, stand all the way up, then lower yourself slowly back down, 10 times.
- [Heel Slide Exercise for a Stiff Knee](https://painstlouis.com/physiotherapy/heel-slide-exercise/): A heel slide restores bend to a stiff knee after an injury: lying face up, draw your heel along the floor toward you, only as far as feels okay, then push it back out, 10 times.
- [Straight Leg Raise for Knee Pain](https://painstlouis.com/physiotherapy/straight-leg-raise-exercise/): The straight leg raise builds thigh strength after a knee injury without bending the knee: lie on your back, tighten one thigh and lift that straight leg to the height of your other knee, hold 2 seconds, and repeat 10 times.
- [Quad Set Exercise for Knee Pain](https://painstlouis.com/physiotherapy/quad-set-exercise/): A quad set is a first exercise for a hurt knee: with your leg straight on a rolled towel, tighten your thigh so the knee presses down into the towel, hold 5 seconds, and repeat 10 times.
- [Bridge Exercise for Low Back Pain](https://painstlouis.com/physiotherapy/bridge-exercise/): The bridge is a strengthening exercise that helps protect the low back: lying face up with knees bent, squeeze your buttocks and raise your hips into a straight line, hold 5 seconds, and repeat 10 times.
- [Cat and Cow Stretch for a Stiff Back](https://painstlouis.com/physiotherapy/cat-cow-stretch/): Cat and cow is a gentle moving stretch for a stiff back after an injury: on your hands and knees, slowly round your back up, then let it sag a little, 10 times with no holding.
- [Knee to Chest Stretch for Low Back Pain](https://painstlouis.com/physiotherapy/knee-to-chest-stretch/): A knee to chest stretch loosens a tight low back after an injury: lying face up, hug one knee in toward your chest, hold 20 seconds, 3 times per leg.
- [Pelvic Tilt Exercise for Low Back Pain](https://painstlouis.com/physiotherapy/pelvic-tilt-exercise/): The pelvic tilt is a gentle low back exercise to start with after a back injury: lying face up with knees bent, tighten your belly until your low back presses flat, hold 5 seconds, and repeat 10 times.
- [Shoulder Blade Squeeze for Neck Pain](https://painstlouis.com/physiotherapy/shoulder-blade-squeeze-exercise/): A shoulder blade squeeze is a posture move that takes strain off a sore neck: stand tall, pull your shoulder blades back and down for 5 seconds, 10 times.
- [Neck Side Bend Stretch for Neck Pain](https://painstlouis.com/physiotherapy/neck-side-bend-stretch/): A neck side bend stretches tight muscles along the side of the neck after whiplash: sitting tall, let one ear drop toward the shoulder below it and hold for 15 seconds, 3 times per side.
- [Neck Turn Exercise for a Stiff Neck](https://painstlouis.com/physiotherapy/neck-rotation-exercise/): The neck turn is a range-of-motion exercise for a stiff neck after a crash: sit tall, slowly rotate your head toward each shoulder in turn, pause 3 seconds, and do 10 turns each way.
- [Chin Tuck Exercise for Neck Pain](https://painstlouis.com/physiotherapy/chin-tuck-exercise/): A chin tuck is a small neck exercise for pain after whiplash: sit up straight, slide your chin straight back with your eyes level, hold it 5 seconds, and do 10.
- [Wrist Brace for a Wrist Injury](https://painstlouis.com/physiotherapy/wrist-brace/): A wrist brace holds the wrist angled a little backward, with a stiff stay on the top or palm side, so a hurt or strained wrist can rest in a safe position.
- [Hinged Knee Brace for a Knee Injury](https://painstlouis.com/physiotherapy/knee-brace/): A hinged knee brace runs rigid bars down both sides of the leg, hinged at the joint, to hold an injured knee steady while it heals.
- [Back Brace for a Low Back Injury](https://painstlouis.com/physiotherapy/back-brace/): A back brace circles your lower back and stomach, with a stiffer panel behind, to support your low back while it heals. We size it and adjust it so it fits you.
- [Exercise Bands for Home Exercise](https://painstlouis.com/physiotherapy/exercise-bands/): Exercise bands are stretch bands, latex or latex-free, that give your home exercises some light resistance. Band color tells you its strength.
- [Home TENS Unit for Pain at Home](https://painstlouis.com/physiotherapy/home-tens-unit/): A home TENS unit puts a pain-easing tingle in your own hands: a palm-sized battery unit and sticky pads for use between clinic visits.
- [Diet and Metabolic Health Coaching for Pain](https://painstlouis.com/physiotherapy/diet-and-metabolic-health-coaching/): Diet and metabolic health coaching is a part of every physiotherapy visit set aside for food and how it changes healing.
- [VNG Dizziness and Balance Test](https://painstlouis.com/physiotherapy/vng-test/): VNG (videonystagmography) records how your eyes move in order to check the inner ear and the balance pathways.
- [RQ Resting Metabolic Rate Test](https://painstlouis.com/physiotherapy/rq-metabolic-test/): The RQ test measures, from your breath, how your body uses fuel while it rests.
- [Kinetisense 3D Motion Test](https://painstlouis.com/physiotherapy/kinetisense-test/): Kinetisense relies on a 3D camera, and nothing attached to your body, to record your range of motion and your balance.
- [Cognivue Memory and Thinking Test](https://painstlouis.com/physiotherapy/cognivue-test/): Cognivue is a 10-minute memory and thinking test done on a computer.
- [CMAT Heart, Nerve and Metabolic Test](https://painstlouis.com/physiotherapy/cmat-test/): CMAT, short for CardioMetabolic Assessment Test, is one visit of painless Measura measurements that check your blood flow, the tiny nerves, your heart rhythm and your body makeup (muscle, fat and water).
- [EMG Nerve Test of the Leg](https://painstlouis.com/physiotherapy/emg-nerve-test-leg/): Testing the leg with EMG plus a nerve conduction study (NCS) tells whether a nerve somewhere between your low back and toes is pinched or hurt, and how badly.
- [EMG Nerve Test of the Arm](https://painstlouis.com/physiotherapy/emg-nerve-test-arm/): Testing the arm with EMG plus a nerve conduction study (NCS) tells whether a nerve somewhere between your neck and fingertips is pinched or hurt, and how badly.
- [TENS Therapy for Pain After an Injury](https://painstlouis.com/physiotherapy/tens-therapy/): TENS therapy uses adhesive pads and a low electrical current that you feel as a tingle, which turns down pain signals.
- [Shockwave Therapy for Tendon Pain](https://painstlouis.com/physiotherapy/shockwave-therapy/): Shockwave therapy uses a handheld tool to drive pulses of sound-wave energy into an aching tendon or a muscle knot.
- [Laser Therapy for Pain After an Injury](https://painstlouis.com/physiotherapy/laser-therapy/): Laser therapy shines a handheld laser on the sore area to help calm pain and swelling in injured tissue.
- [Neck Decompression Therapy for a Pinched Nerve](https://painstlouis.com/physiotherapy/cervical-decompression/): Neck decompression uses a computer-run table that eases your neck into a gentle pull, then lets it relax, cycle after cycle, while you lie face up.
- [Traction Chair Therapy for Back Pain](https://painstlouis.com/physiotherapy/traction-chair/): A traction chair is a padded recliner programmed to stretch your spine gently and then let go, over and over, while you lie back.
- [Vibration Therapy After a Car Accident](https://painstlouis.com/physiotherapy/vibration-therapy/): Vibration therapy uses a gently buzzing platform you stand on, hands on the side rails, to reawaken the deep stabilizing muscles around your spine and joints after a crash.
- [Heat and Cold Therapy After an Accident](https://painstlouis.com/physiotherapy/heat-and-cold-therapy/): Heat and cold therapy is warmth or cold applied to the injured area, from hot packs, ice packs or a heated infrared table, to settle pain and get the tissue ready for the rest of your visit.
- [Physiotherapy After an Accident in St. Louis](https://painstlouis.com/physiotherapy/): Physiotherapy at Gateway Midwest is a physician-directed program for people hurt in a car crash, a fall or a work accident in St. Louis.
- [Find Us Online](https://painstlouis.com/find-us-online/): Every official page for this practice outside this website, in one place.
- [PRP Injections and Orthobiologics in St. Louis](https://painstlouis.com/orthobiologics/): PRP injections in St. Louis are for the pain that keeps coming back after the steroid shot wears off.
- [Ankle Arthritis: When an Old Injury Comes Due](https://painstlouis.com/conditions/ankle-arthritis/): Ankle arthritis is wear of the cartilage in the main ankle joint, and most of the time it starts with an old injury: a bad sprain or a fracture years ago.
- [De Quervain’s Tenosynovitis: Thumb-Side Wrist Pain](https://painstlouis.com/conditions/de-quervains-tenosynovitis/): De Quervain’s tenosynovitis is a painful swelling of two thumb tendons where they run through a tight tunnel on the thumb side of your wrist.
- [Thumb Arthritis: Pain at the Base of the Thumb](https://painstlouis.com/conditions/thumb-arthritis/): Thumb arthritis is wear in the small joint at the base of your thumb, where it meets the wrist. It aches when you pinch, grip, open a jar or turn a key.
- [Privacy, Patient Rights & Terms](https://painstlouis.com/legal/): Every notice and policy that applies to your care and to this website, in one place. Each link opens the full text.
- [Pain Management in Clarkson Valley, MO](https://painstlouis.com/locations/pain-management-clarkson-valley/): Pain management for Clarkson Valley, MO patients here starts with the diagnosis: examination and review of the imaging you already have on the first visit, and where the picture is clear, the diagnostic block booked immediately.
- [Pain Management in Ladue, MO](https://painstlouis.com/locations/pain-management-ladue/): Gateway Midwest Healthcare provides pain management for Ladue, MO patients, with balance assessed and the full medication list reviewed as part of the examination.
- [Pain Management in Frontenac, MO](https://painstlouis.com/locations/pain-management-frontenac/): Gateway Midwest Healthcare provides pain management for Frontenac, MO patients: we find the structure generating your pain and treat it, so the aim is less medication rather than more.
- [Pain Management in Olivette, MO](https://painstlouis.com/locations/pain-management-olivette/): Gateway Midwest Healthcare provides pain management for Olivette, MO patients at our St.
- [Articles](https://painstlouis.com/articles/)
- [Pain Management in St. Louis](https://painstlouis.com/pain-management/): Gateway Midwest Healthcare provides physician-led, image-guided pain management in St. Louis. We accept Missouri Medicaid, Medicare and commercial insurance.
- [Terms & Conditions](https://painstlouis.com/terms/): These terms govern your use of painstlouis.com and of the text messaging program described below. Please read them.
- [Balance and Fall-Risk Assessment](https://painstlouis.com/treatments/balance-and-fall-risk-assessment/): A balance and fall-risk assessment measures unsteadiness.
- [Prediabetes and Nerve Damage](https://painstlouis.com/conditions/diabetic-neuropathy/prediabetes-and-nerve-damage/): Nerve damage starts before glucose reaches diabetic range — and that is the window in which small fibers can still recover.
- [Autonomic Neuropathy](https://painstlouis.com/conditions/diabetic-neuropathy/autonomic-neuropathy/): Diabetes damages the nerves controlling heart rate, digestion, sweating and bladder function too — and the symptoms are rarely connected to the diagnosis.
- [Diabetic Foot Care and Preventing Ulcers](https://painstlouis.com/conditions/diabetic-neuropathy/diabetic-foot-care/): Once protective sensation is gone, your feet stop reporting injury — which is why daily inspection becomes the thing that prevents amputation.
- [Neuropathy or a Circulation Problem?](https://painstlouis.com/conditions/diabetic-neuropathy/neuropathy-or-circulation/): Nerve pain is worse at rest and better walking; arterial pain is the reverse. Telling them apart matters because one can cost a limb.
- [Metformin and B12 Deficiency](https://painstlouis.com/conditions/diabetic-neuropathy/metformin-and-b12/): Metformin depletes B12 over years, and B12 deficiency causes a neuropathy indistinguishable from diabetic neuropathy — but this one is correctable.
- [Medications for Diabetic Nerve Pain — and Their Limits](https://painstlouis.com/conditions/diabetic-neuropathy/medications-for-diabetic-nerve-pain/): Gabapentin, pregabalin, duloxetine and the tricyclics — what each does, the trade-offs rarely discussed, and why none of them repairs the nerve.
- [Small Fiber Neuropathy](https://painstlouis.com/conditions/diabetic-neuropathy/small-fiber-neuropathy/): The neuropathy standard nerve conduction studies cannot detect — because those tests measure large fibers and these symptoms come from small ones.
- [Burning Feet at Night](https://painstlouis.com/conditions/diabetic-neuropathy/burning-feet-at-night/): Feet that burn in bed and settle when you walk are describing nerve pain, not circulation — and that distinction decides the whole workup.
- [The Stages of Diabetic Neuropathy](https://painstlouis.com/conditions/diabetic-neuropathy/diabetic-neuropathy-stages/): Diabetic neuropathy progresses in a recognizable order — and knowing which stage you are in determines what is still recoverable.
- [Can Diabetic Neuropathy Be Reversed?](https://painstlouis.com/conditions/diabetic-neuropathy/can-diabetic-neuropathy-be-reversed/): Partly — and it depends on which nerve fibers are damaged and for how long. Small fibers can regenerate; established large-fiber loss generally does not.
- [Temporary Percutaneous Nerve Stimulation for Diabetic Neuropathy](https://painstlouis.com/treatments/percutaneous-nerve-stimulation-diabetic-neuropathy/): An FDA-cleared, Medicare-covered programmable peripheral nerve stimulator for painful diabetic peripheral neuropathy - applied to the auricular branches, worn about 20 days, then removed.
- [Post-Concussion Symptoms and PTSD After an Accident](https://painstlouis.com/accident-and-injury-care/post-concussion-and-ptsd/): The two injuries after a crash that leave no mark: persistent post-concussion symptoms and post-traumatic stress. What the research actually shows about income loss and emotional recovery.
- [Insurance and Billing After an Accident](https://painstlouis.com/accident-and-injury-care/insurance-and-billing-after-an-accident/): Accident billing confuses almost everyone, and it does not need to be settled before you are seen.
- [Pedestrian and Bicycle Injuries](https://painstlouis.com/accident-and-injury-care/pedestrian-and-bicycle-injuries/): Being struck while walking or cycling produces a two-stage injury: the impact with the vehicle, then the impact with the ground.
- [Truck and Commercial Vehicle Accident Injuries](https://painstlouis.com/accident-and-injury-care/truck-and-commercial-vehicle-accidents/): A collision with a commercial vehicle transfers far more energy into the occupants of the smaller vehicle, and the injuries reflect it.
- [Motorcycle Accident Injuries](https://painstlouis.com/accident-and-injury-care/motorcycle-accident-injuries/): A motorcycle rider has no structure around them, which changes both the injuries and the recovery.
- [Delayed Symptoms After a Crash](https://painstlouis.com/accident-and-injury-care/delayed-symptoms-after-a-crash/): Feeling fine at the scene and terrible three days later is the normal course of a collision injury, not a complication.
- [What to Do After a Car Accident](https://painstlouis.com/accident-and-injury-care/what-to-do-after-a-car-accident/): The decisions made in the first week after a crash shape the next six months more than most people realize.
- [Vagus Nerve Stimulation (VNS)](https://painstlouis.com/treatments/vagus-nerve-stimulation/): Vagus nerve stimulation in two forms: non-invasive handheld for cluster headache and migraine, and a temporary percutaneous system for diabetic neuropathy.
- [Peripheral Nerve Stimulation (PNS)](https://painstlouis.com/treatments/peripheral-nerve-stimulation/): A lead placed alongside one specific nerve, for pain confined to one nerve's territory — including temporary 60-day systems that leave nothing behind.
- [Sacroiliac Joint Fusion](https://painstlouis.com/treatments/sacroiliac-joint-fusion/): A minimally invasive stabilization of the sacroiliac joint, for patients whose pain has been confirmed by diagnostic injection and has returned after injection and ablation.
- [Intracept — Basivertebral Nerve Ablation](https://painstlouis.com/treatments/intracept-basivertebral-nerve-ablation/): A one-time procedure for chronic low back pain coming from the vertebral endplates rather than from the disc, the facet joints or a nerve root.
- [Scoliosis and Adult Degenerative Curve](https://painstlouis.com/conditions/scoliosis/): In adults the curve is rarely what hurts. Identifying which structure inside the curve is generating pain is what makes it treatable.
- [Ankylosing Spondylitis and Axial Spondyloarthritis](https://painstlouis.com/conditions/ankylosing-spondylitis/): Inflammatory back pain that is worse with rest and better with movement — the opposite pattern to mechanical back pain, and the reason it is missed for years.
- [Pain & Injury Care in Pacific, MO](https://painstlouis.com/locations/pain-management-pacific-mo/): Pacific sits on the I-44 corridor at the Franklin and St. Louis county line, which makes the drive straightforward highway most of the way.
- [Pain & Injury Care in Union, MO](https://painstlouis.com/locations/pain-management-union-mo/): Union is the Franklin County seat, and like the rest of the county it is underserved for interventional pain care.
- [Pain & Injury Care in Washington, MO](https://painstlouis.com/locations/pain-management-washington-mo/): Washington sits on the Missouri River and is the far western edge of our draw.
- [Sacroiliac Joint Radiofrequency Ablation](https://painstlouis.com/treatments/sacroiliac-radiofrequency-ablation/): Sacroiliac Joint Radiofrequency Ablation at Gateway Midwest Healthcare, St. Louis — what it is, what it treats and what to expect.
- [Discography](https://painstlouis.com/treatments/discography/): Discography at Gateway Midwest Healthcare, St. Louis — what it is, what it treats and what to expect.
- [Epidural Lysis of Adhesions](https://painstlouis.com/treatments/epidural-lysis-of-adhesions/): Epidural Lysis of Adhesions at Gateway Midwest Healthcare, St. Louis — what it is, what it treats and what to expect.
- [Spinal Cord Stimulator Trial](https://painstlouis.com/treatments/spinal-cord-stimulator-trial/): Spinal Cord Stimulator Trial at Gateway Midwest Healthcare, St. Louis — what it is, what it treats and what to expect.
- [Botulinum Toxin for Chronic Migraine and Muscle Spasm](https://painstlouis.com/treatments/botulinum-toxin-injection/): Botulinum Toxin for Chronic Migraine and Muscle Spasm at Gateway Midwest Healthcare, St. Louis — what it is, what it treats and what to expect.
- [Ganglion Impar Block](https://painstlouis.com/treatments/ganglion-impar-block/): Ganglion Impar Block at Gateway Midwest Healthcare, St. Louis — what it is, what it treats and what to expect.
- [Intercostal Nerve Block](https://painstlouis.com/treatments/intercostal-nerve-block/): Intercostal Nerve Block at Gateway Midwest Healthcare, St. Louis — what it is, what it treats and what to expect.
- [Selective Nerve Root Block](https://painstlouis.com/treatments/selective-nerve-root-block/): Selective Nerve Root Block at Gateway Midwest Healthcare, St. Louis — what it is, what it treats and what to expect.
- [Genicular Radiofrequency Ablation](https://painstlouis.com/treatments/genicular-radiofrequency-ablation/): Genicular Radiofrequency Ablation at Gateway Midwest Healthcare, St. Louis — what it is, what it treats and what to expect.
- [Genicular Nerve Block](https://painstlouis.com/treatments/genicular-nerve-block/): Genicular Nerve Block at Gateway Midwest Healthcare, St. Louis — what it is, what it treats and what to expect.
- [Caudal Epidural Injection](https://painstlouis.com/treatments/caudal-epidural-injection/): Caudal Epidural Injection at Gateway Midwest Healthcare, St. Louis — what it is, what it treats and what to expect.
- [Transforaminal Epidural Steroid Injection](https://painstlouis.com/treatments/transforaminal-epidural-steroid-injection/): Transforaminal Epidural Steroid Injection at Gateway Midwest Healthcare, St. Louis — what it is, what it treats and what to expect.
- [Thoracic Outlet Syndrome](https://painstlouis.com/conditions/thoracic-outlet-syndrome/): Thoracic Outlet Syndrome — what it is, how it presents and how it is treated in St. Louis.
- [Plantar Fasciitis and Heel Pain](https://painstlouis.com/conditions/plantar-fasciitis/): Plantar Fasciitis and Heel Pain — what it is, how it presents and how it is treated in St. Louis.
- [Osteoarthritis](https://painstlouis.com/conditions/osteoarthritis/): Osteoarthritis — what it is, how it presents and how it is treated in St. Louis.
- [Costochondritis and Chest Wall Pain](https://painstlouis.com/conditions/costochondritis/): Costochondritis and Chest Wall Pain — what it is, how it presents and how it is treated in St. Louis.
- [Complex Regional Pain Syndrome After Surgery](https://painstlouis.com/conditions/crps-after-surgery/): Complex Regional Pain Syndrome After Surgery — what it is, how it presents and how it is treated in St. Louis.
- [Chemotherapy-Induced Peripheral Neuropathy](https://painstlouis.com/conditions/chemotherapy-induced-neuropathy/): Chemotherapy-Induced Peripheral Neuropathy — what it is, how it presents and how it is treated in St. Louis.

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