Chronic Pain Conditions

When you are in chronic pain, you are suffering constantly. That is the time for Blue Ridge Pain Management to get involved because we can help ease your pain and discomfort. Pain management is specialized medical care designed to minimize the impact of acute pain or chronic pain.

Chronic pain can be difficult to control and often is impossible to cure. Dr. Charles Buzzanell and his staff use effective pain management treatments than can reduce pain and help you enjoy a better quality of life. This page lists the more common chronic pain conditions, but we may be able to help you even if your condition is not listed. Contact us for more information.

Where Back Pain Begins

Start with your own physiology. Your spine has three major regions (from top to bottom):

  • The cervical spine
  • The thoracic spine
  • The lumbar spine

Below the lumbar is your pelvis, which contains the sacrum and coccyx bones, the end of your spine. Within the spine, vertebrae (bones and discs) are connected in a way that allows movement and flexibility. Vertebral discs — a tough, fibrous outer wall surrounding a soft gel interior — act as the spinal column's shock absorbers. Discs keep your spinal bones apart, reducing wear and tear.

If a disc suffers damage, pain often results. Below are some of the causes of back pain and the consequences of back injury. Click to learn more:


Your coccyx is the bone at bottom tip of your tailbone, the end of your spine. If you have coccydynia, it means that bone has become inflamed. It causes pain and tenderness between your buttocks, making it painful to sit. Dr. Buzzanell and his staff can help.


Degenerative Disc Disease

This medical condition results when one or more of your vertebral discs weaken. Since the discs normally act as cushions between the bones in your spine, weakened discs can cause pinched nerves or compressed vertebrae. Degenerative disc disease can develop from the natural aging process or from an injury to your spine.


Facet Joint Syndrome

The facet joints in your back help stabilize your spine and limit its range of motion. They are normally lined with cartilage and lubrication to enable the vertebrae to bend and twist. With facet joint syndrome, your facet joints have deteriorated, limiting your flexibility and causing pain.


Herniated Discs

If one of your vertebral discs rupture, the soft inner gel breaks through the fibrous shell. A ruptured or herniated disc can push against a nerve root or send pain down your sciatic nerve (see Sciatica). A herniated disc can also result in burning, tingling and numbing sensations from your lower back all the way down to your feet. You can get a herniated disc without a back injury.


Hip Bursitis

This medical condition is an inflammation of the trochanteric bursa — the fluid-filled sac that lies between your femur and iliotibial band, which is a thick tendon on the outside of your hip joint. Hip bursitis can cause pain and swelling on the outer side of your hip, but the pain can be controlled.



This medical condition is a spinal deformation caused by disease or damage to your vertebrae. Kyphosis is the unnatural curving of your spine, which can cause pain and other consequences. Contact Blue Ridge Pain Management for relief.


Metastatic Cancer

If you’ve been diagnosed with metastatic cancer, it means your cancer has spread from its original site. If you’re experiencing pain from your cancer, Dr. Buzzanell can reduce your pain with a nerve block injection, administered after you have been medically relaxed, perhaps with an intravenous (IV).\


Migraine Headaches

A migraine is an intense, throbbing headache. You may feel it only on one side of your head, and it is sometimes accompanied by nausea or dizziness. A migraine can last from a few hours to multiple days. The staff at Blue Ridge Pain Management can ease your pain and get you back on your feet.


Peripheral Neuralgia

This painful condition results from damage to your peripheral nervous system. Once a nerve branches from your spinal cord, it travels out to other parts of your body in a complex network. If you have suffered an injury to a nerve outside your spine, it can cause pain, weakness, numbness or acute sensitivity.


Phantom Limb Pain

This condition, common among amputees, is a painful sensation that seems to originate in a missing limb. It is different from stump pain, which is pain in the stump of an amputated limb generally caused by overuse or a poorly fitted prosthesis.


Pinched Nerve (Cervical Radiculopathy)

Your spinal column protects your spinal cord, which sends nerve branches out to all parts of your body. A nerve root is the point at which a nerve branch exits your spinal cord. If a vertebral bone pinches a nerve root, you may feel pain, weakness, numbness or tingling in the part of your body served by that nerve.


Post-Laminectomy Syndrome

Also called failed back syndrome, this medical condition has symptoms that include continuous and chronic pain. This illness often develops after certain types of back surgery. Blue Ridge Pain Management has treated many cases of post-laminectomy syndrome.


Sciatica (Lumbar Radiculopathy)

The spinal cord branches out to all parts of your body. The nerve root, where the nerve branch meets the spinal cord, can be injured or pinched by displaced bones and other causes. If this injury affects your sciatic nerve, you will feel pain, weakness, numbness or tingling from your lower back all the way down to your toes.



This medical condition is a deformation of your spine. An illness that affects only about two percent of people, scoliosis causes a normally straight spine to curve. It can be painful, depending on the severity of the curve. Let Dr. Buzzanell treat your pain.


Spinal Stenosis

Sometimes, the bones and soft tissues in your vertebrae grow abnormally, squeezing your spinal canal and pinching nerves. This condition can lead to painful, burning, tingling or numbing sensations from your lower back down to your legs. Occasionally, you can feel the pain all the way to your feet.



In this hard-to-pronounce condition, damaged vertebrae or joints cause your spinal bones to slip forward, sometimes onto the bone below it, painfully distorting your spinal cord. Spondylolisthesis can cause pain, tenderness and stiffness in the affected area.


Whiplash (CAD Syndrome)

Whiplash, also called cervical acceleration/deceleration (or CAD) syndrome, is a neck injury commonly caused by car accidents, falls, and contact sports. When a quick jerking motion forces your neck beyond its normal range of motion, you can damage muscles, tendons bone and cartilage.


Whiplash Headache

Nearly 80 percent of people who experience whiplash develop a chronic headache, which is known as cervicogenic or neck-related headaches. Whiplash headache can be debilitating, but the staff at Blue Ridge Pain Management can help reduce your pain.