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At Kakoulides Neurosurgery, led by the esteemed Dr. George Kakoulides, we are dedicated to providing cutting-edge solutions for individuals burdened by chronic and agonizing conditions affecting the spine, brain, and peripheral nerves. Our comprehensive approach integrates advanced neurosurgical techniques and collaborative pain management strategies to offer relief and restore functionality.

Chronic Pain Conditions:

Chronic pain can arise from various sources, including structural abnormalities within the spine or nerves. However, pain may persist even without detectable underlying issues. Some prevalent chronic pain conditions we address include:

  • Trigeminal neuralgia
  • Nerve injury pain/neuropathic pain
  • Spinal stenosis
  • Lower back pain
  • Lumbar and cervical pain
  • Failed back surgery syndrome
  • Degenerative disease of the spine
  • Disc herniation
  • Nerve compression
  • Occipital neuralgia
  • Cancer-related tumors

Our Affiliate Pain Management Specialists:

Collaborating closely with our neurosurgical team, our affiliate pain management specialists, Dr. Courtney Toombs, MD, and Dr. Elvis W. Rema, MD, initiate treatment with non-surgical interventions. These may include targeted injections, nerve blocks, and electrical stimulation therapies. These conservative measures not only aid in diagnosis but also serve to exhaust non-invasive treatment avenues before considering surgical options.

Neurosurgical Pain Management Treatments:

For individuals enduring chronic pain lasting more than three months, and significantly impairing daily life, surgical intervention may be considered. Traditional surgical procedures aim to correct identified structural abnormalities contributing to the pain. These may include:

  • Discectomy
  • Laminectomy
  • Spinal fusion
  • Peripheral nerve decompressions
  • Microvascular decompression
  • Tumor resection

Innovative Neuromodulation Techniques:

In cases where structural issues are not evident, neuromodulation techniques offer an alternative approach to alleviate pain by modulating nerve activity. Our repertoire of neuromodulatory surgeries includes:

  • Intrathecal pain pumps
  • Spinal cord stimulation
  • Peripheral nerve stimulation
  • Radiofrequency lesioning
  • Motor cortex stimulation

Each neurosurgical treatment is meticulously tailored to address the specific needs and conditions of individual patients, ranging from advanced minimally invasive procedures to conventional surgical methods.


Neurosurgery stands at the forefront of chronic pain management, offering hope and respite to individuals burdened by persistent discomfort. At Kakoulides Neurosurgery, we believe in empowering patients to reclaim control over their lives through effective pain management strategies. With our expert team and innovative approaches, a pain-free future is within reach. Remember, the journey to effective pain management is a collaborative effort, and we are here to guide you every step of the way.


CONTACT US 631.358.2589