Pain Institute of Southern Arizona

Pain Institute of Southern Arizona The Pain Institute of Southern Arizona is Arizona’s premier clinic for pain management! We empower people by helping them to get their life back.
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The Pain Institute of Southern Arizona has specialized in interventional pain management for over 15 years. Our mission is to provide compassionate medical management of pain in a friendly, caring environment. Our physicians’ focus is to find the cause and effectively treat pain with the most advanced techniques and technologies available. We understand that pain from an illness or injury can become so severe that it disrupts daily activities and normal routines. The goal is to restore function of the body and improve the quality of life of those suffering from pain.

“Sit without the sting.”Treatment for coccydynia focuses on relieving pain and reducing pressure on the tailbone area. I...
04/10/2026

“Sit without the sting.”

Treatment for coccydynia focuses on relieving pain and reducing pressure on the tailbone area. Initial approaches often involve activity modifications, such as avoiding prolonged sitting on hard surfaces or using cushions that reduce pressure on the coccyx. Medications that target inflammation or pain may be recommended to help manage discomfort, particularly during periods of increased pain or after minor trauma. Attention is often given to posture and body mechanics, since certain movements or positions can aggravate the tailbone area.

In cases where pain persists, additional pain management strategies may be considered. These can include targeted injections near the coccyx to reduce localized inflammation or nerve irritation. Physical therapy may also be used to improve pelvic floor muscle function and mobility in surrounding structures, helping to relieve stress on the tailbone. The overall goal of treatment is to reduce pain, improve comfort during sitting and daily activities, and support functional movement of the lower spine and pelvic region.

“When sitting triggers tailbone discomfort.”Coccydynia is pain located in the tailbone area, which is the small triangul...
04/09/2026

“When sitting triggers tailbone discomfort.”

Coccydynia is pain located in the tailbone area, which is the small triangular bone at the very bottom of the spine. The discomfort may feel sharp, aching, or pressure-like and is often noticed when sitting, especially on hard surfaces or during movements that place stress on the lower spine. Coccydynia can develop after trauma to the tailbone, repetitive strain, prolonged sitting, or sometimes without a clearly identifiable cause.

The condition affects the region where muscles, ligaments, and nerves attach around the coccyx, making the area sensitive to pressure and movement. Pain may worsen with activities such as sitting, rising from a seated position, or leaning backward. Because the tailbone area plays a role in weight distribution when sitting, irritation in this region can lead to persistent discomfort and localized tenderness.

“Helping quiet pudendal nerve–related pain.”A pudendal nerve block is a procedure used to reduce pain by delivering medi...
04/08/2026

“Helping quiet pudendal nerve–related pain.”

A pudendal nerve block is a procedure used to reduce pain by delivering medication near the pudendal nerve, which is responsible for sensation in parts of the pelvis, ge***al region, and perineal area. This nerve plays an important role in transmitting pain signals from pelvic structures. The block is often used when pain is thought to be related to nerve irritation or nerve signal transmission within the pelvic floor region. The procedure is typically performed using imaging guidance to help place the medication close to the nerve for accurate targeting.

The goal of a pudendal nerve block is to temporarily interrupt pain signals traveling through the pudendal nerve, allowing patients to experience relief from pelvic or perineal discomfort. The duration of pain relief can vary depending on the individual and the underlying cause of pain. Some patients may experience short-term relief, while others may have longer-lasting improvement. The procedure is generally considered when pelvic nerve-related pain significantly affects daily function or quality of life.

Multiple systems, one sensitive region”Pelvic pain is discomfort that occurs in the lower abdomen, pelvis, or area betwe...
04/07/2026

Multiple systems, one sensitive region”

Pelvic pain is discomfort that occurs in the lower abdomen, pelvis, or area between the hip bones. It can feel sharp, dull, aching, or pressure-like depending on the underlying cause. The pelvis contains structures from several body systems, including reproductive organs, the urinary tract, nerves, and supporting muscles, which means pelvic pain can arise from many different sources. Some people experience pain that is constant, while others notice pain that comes and goes or changes with movement or body position.

Pelvic pain may be linked to inflammation, muscle tension, nerve irritation, or conditions affecting pelvic organs. It can interfere with daily activities, sitting tolerance, or physical movement depending on severity and pattern. Because pelvic pain can have multiple causes, identifying the location, quality, and triggers of the pain is important for understanding the condition and guiding further medical evaluation.

“Supporting circulation to help control pain.”Management of vascular pain in pain management focuses on improving circul...
04/02/2026

“Supporting circulation to help control pain.”

Management of vascular pain in pain management focuses on improving circulation-related discomfort and addressing the underlying vascular dysfunction contributing to pain. Providers often evaluate the type and source of vascular pain before developing a care plan, since pain caused by poor blood flow, vessel inflammation, or vascular constriction may present differently. Approaches may include medications that help improve blood vessel function, reduce vascular irritation, and promote better tissue oxygen delivery. Lifestyle and activity adjustments are also commonly discussed to help reduce stress on the vascular system and improve overall circulation.

Additional pain management strategies may be considered for persistent vascular pain that affects quality of life. Interventional procedures may be used in select patients to help control pain signals associated with vascular dysfunction. Physical therapy, movement optimization, and education about maintaining healthy circulation patterns can support long-term symptom control. The primary goal of vascular pain management is to improve blood flow-related comfort, reduce pain frequency, and help patients maintain functional daily activities.

“When circulation problems lead to persistent pain.”Vascular pain occurs when there is a problem affecting the blood ves...
04/01/2026

“When circulation problems lead to persistent pain.”

Vascular pain occurs when there is a problem affecting the blood vessels, which can disrupt normal blood flow to tissues and organs. When blood flow is reduced, blocked, or altered, the affected area may not receive enough oxygen and nutrients, leading to pain or discomfort. This type of pain is often described as aching, throbbing, cramping, or pressure-like and may worsen with activity when the body requires more oxygen-rich blood. The location and severity of vascular pain can vary depending on which blood vessels are involved.

Vascular pain can develop due to conditions that narrow, block, or damage blood vessels, leading to changes in circulation. When circulation is impaired, tissues may become irritated or stressed, triggering pain signals. People experiencing vascular pain may also notice symptoms such as heaviness, fatigue in the affected area, or discomfort that changes with movement or position. Because blood vessels are responsible for delivering oxygen and nutrients throughout the body, any disruption in this system can contribute to persistent or recurring pain.

“Restoring comfort by easing chest wall inflammation.”Treatment for costochondritis focuses on reducing inflammation and...
03/31/2026

“Restoring comfort by easing chest wall inflammation.”

Treatment for costochondritis focuses on reducing inflammation and relieving the chest wall pain associated with irritated rib cartilage. Conservative treatments are typically the first approach and may include anti-inflammatory medications to help decrease inflammation and discomfort. Activity modification is often recommended, especially avoiding movements that strain the chest wall such as heavy lifting, repetitive upper-body motions, or intense exercise. Applying heat or ice to the affected area may also help ease pain and reduce inflammation in the irritated costosternal joints.

In cases where symptoms persist or become more severe, additional pain management strategies may be considered. Physical therapy can help improve posture, strengthen surrounding muscles, and reduce strain on the chest wall. Some patients may benefit from targeted treatments such as local anesthetic or corticosteroid injections around the affected rib joints to help calm inflammation and interrupt pain signals. The goal of treatment is to reduce irritation in the rib cartilage, improve mobility of the chest wall, and help patients return to normal daily activities with less pain.

“When rib cartilage inflammation mimics heart pain.”Costochondritis is inflammation of the cartilage that connects the r...
03/30/2026

“When rib cartilage inflammation mimics heart pain.”

Costochondritis is inflammation of the cartilage that connects the ribs to the breastbone (sternum). This cartilage forms the costosternal joints, which allow the rib cage to move during breathing. When the cartilage becomes inflamed, it can cause sharp or aching pain in the chest, typically on the left side but sometimes on the right. The pain may worsen with deep breaths, coughing, or certain movements of the upper body, because these actions cause the rib cage to expand and move.

The condition can occur after physical strain, repetitive movements, minor trauma to the chest, or sometimes without a clear cause. People with costochondritis often experience tenderness when pressure is applied to the affected rib joints near the sternum. Although the pain can feel similar to heart-related chest pain, costochondritis is a musculoskeletal condition involving the chest wall rather than the heart or lungs.

🌟Happy National Doctors’ Day to the incredible physicians at the Pain Institute of Southern Arizona! Your dedication, co...
03/30/2026

🌟Happy National Doctors’ Day to the incredible physicians at the Pain Institute of Southern Arizona!

Your dedication, compassion, and commitment to improving the lives of our patients make a difference every single day. We are proud to work alongside such an exceptional team.

If you see one of our amazing doctors today, be sure to thank them for all they do!

During National Physicians Week, we’re proud to celebrate Dr. Connor Martin's dedication to delivering compassionate, p...
03/27/2026

During National Physicians Week, we’re proud to celebrate Dr. Connor Martin's dedication to delivering compassionate, patient-centered care. His commitment to excellence and genuine concern for those he serves make a lasting impact on our community.

Thank you, Dr. Martin, for all that you do!

🌟In honor of National Physicians Week, we celebrate Dr. Lorenzo Sabido's unwavering commitment to compassionate care, me...
03/27/2026

🌟In honor of National Physicians Week, we celebrate Dr. Lorenzo Sabido's unwavering commitment to compassionate care, medical excellence, and the well-being of every patient he treats.

Dr. Sabido’s dedication and expertise help make a lasting impact in our community. We’re grateful to have him as part of our team!

This National Physicians Week, we’re proud to recognize 🌟Dr. Vamshi Yelavarthi for his d edication, compassion, and com...
03/27/2026

This National Physicians Week, we’re proud to recognize 🌟Dr. Vamshi Yelavarthi for his d edication, compassion, and commitment to exceptional patient care.

Thank you for the difference you make every day—your expertise and passion truly inspire us and the community you serve.

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4881 E. Grant Road Suite 201
Tucson, AZ
85712

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Monday 7am - 5pm
Tuesday 7am - 5pm
Wednesday 7am - 5pm
Thursday 7am - 5pm

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The Pain Institute of Southern Arizona is Arizona’s premier clinic for pain management, physical medicine, and physical rehabilitation. The Pain Institute of Southern Arizona delivers high quality, state-of-the-art treatments and procedures that help patients find relief from their pain and return to an enjoyable and fulfilling quality of life.

Driven by a team of renowned interventional pain management specialists, the Pain Institute of Southern Arizona is dedicated to the evaluation, diagnosis, and treatment of a variety of pain conditions, such as sciatica, arthritis, neuropathy, spinal stenosis, and degenerative disc disease.

When it comes to pain management, not all pain clinics are alike. What sets the Pain Institute of Southern Arizona apart are the physicians. Many pain physicians are not boarded, board-eligible or fellowship trained. Melissa Seelbach, M.D., Ph.D., Kenneth Gossler M.D., Efrain I. Cubillo, M.D., Eric Cornidez M.D., and Helen Chan, M.D., are Diplomates of the American Board of Anesthesiology, Fellowship Trained Interventional Pain Specialists and Board Certified in Anesthesiology and Pain Medicine. Jose Chavez, D.O., is a Diplomate of the American Board of Physical Medicine and Rehabilitation and is Board Certified in Physical Medicine and Rehabilitation and Pain Medicine.

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