Pain Management in Cumming, GA

Patients at the Cumming office come in with a range of neck, back and joint pain, including:

• Herniated Disc: disc material pressing on a nearby spinal nerve, often confirmed by MRI.
• Degenerative Disc Disease: the natural thinning of spinal discs that builds up with age.
• Lumbar Radiculopathy (Sciatica): pinched-nerve pain traveling from the lower back down one leg.
• Spinal Stenosis: narrowing of the spinal canal that puts pressure on the nerves inside it.
• Facet Joint Pain: irritation in the joints that let the spine bend and twist.
• Post-Laminectomy Syndrome (Failed Back Syndrome): pain that continues after an earlier spine surgery.
• Complex Regional Pain Syndrome (CRPS): nerve pain that lingers well past the injury that started it.
• Fibromyalgia: widespread, hard-to-pin-down pain paired with heightened sensitivity.
• Back Pain: pain that hasn't improved with rest, medication or physical therapy.

The Cumming office offers all 19 standard non-surgical treatments, plus two procedures available on-site through the Surgery Center:

• Lumbar Epidural Steroid Injection: a steroid injection that calms an inflamed lower-back nerve.
• Cervical Epidural Steroid Injection: the same treatment for neck and arm pain.
• Lumbar Transforaminal Epidural Steroid Injection: steroid guided precisely to one affected nerve root.
• Facet Joint Injections: reduce swelling in the spine's small connecting joints.
• Medial Branch Block: pinpoints which facet joint is behind the pain before treating it.
• Sacroiliac Joint Steroid Injection: treats pain at the joint connecting the spine and pelvis.
• Radiofrequency Ablation (RFA): uses heat to interrupt a nerve's pain signal.
• Lumbar Radiofrequency Neurotomy: an RFA variation for the lower back, built to last months rather than weeks.
• Cervical Facet Radiofrequency Neurotomy: the same heat-based technique applied to neck joints.
• Rhizotomy: uses controlled heat to quiet a painful joint's nerve supply.
• Genicular Radiofrequency Ablation: targets the nerves behind chronic knee pain.
• Celiac Plexus Block: a nerve block for chronic pain in the stomach, pancreas or other abdominal organs.
• Stellate Ganglion Block: treats nerve pain in the head, neck or arms.
• Lumbar Sympathetic Block: an injection series that eases CRPS-related leg pain.
• Discography: an imaging test that pinpoints the disc causing the pain.
• MILD: a minimally invasive outpatient option for spinal stenosis that doesn't require an implant.
• Vertiflex Superion: a small implant that holds a narrowed spinal canal open.
• Intrathecal Pump Implant: delivers low-dose pain medication directly to the spine.
• Back Pain Treatment: a plan built from the options above based on the diagnosis.
• Kyphoplasty (in-house Surgery Center): rebuilds a fractured vertebra's height and stability.
• Spinal Cord Stimulation (in-house Surgery Center): an implanted device that blocks chronic pain signals before they register.

The last two are performed on-site, without a referral to an outside surgical facility.

Five providers see patients at the Cumming office:

• Dr. Sri Mandyam: Summit Spine's Chief Medical Officer, double board-certified in anesthesiology and interventional pain medicine, fellowship-trained at the University of Utah.
• Dr. Oluwasegun Lijofi: board-certified in family medicine and board-eligible in interventional pain medicine, with a pain fellowship from the University of Mississippi Medical Center.
• Deborah Wilkens, FNP: a family nurse practitioner with seven years as a cardiac RN at Emory Saint Joseph's before earning her master's at Georgia State.
• Michele Chen, NP: a board-certified nurse practitioner with more than a decade treating pain in the North Fulton area, plus a background in rheumatology and nephrology.
• Emily Brooks, NP: a board-certified family nurse practitioner and Gainesville, GA native with training in trigger point and nerve block injections.

Full bios are below.

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Advanced Care at Our Ambulatory Surgical Center (ASC)

Our Cumming location is proud to include a fully equipped Ambulatory Surgical Center (ASC), offering patients access to advanced outpatient procedures in a safe and comfortable environment. Our ASC allows our board-certified, fellowship-trained physicians to perform a wide range of minimally invasive treatments, including spinal cord stimulation, nerve blocks, Basivertebral Nerve Ablation (BVNA), Kyphoplasty, and other advanced interventional pain procedures.

By choosing a Summit Spine ASC location, patients benefit from:

• Convenience: Same-day outpatient procedures without the need for a hospital stay.
• Lower Costs: A more affordable alternative to hospital outpatient departments.
• Personalized Care: Dedicated staff and facilities focused exclusively on interventional pain management.
• Advanced Technology: State-of-the-art equipment for safe, precise, and effective procedures.
• Patient Access: New patient appointments available within 24 hours; all major forms of insurance accepted

All of our surgery centers are designed to provide the highest level of care with shorter wait times, faster recovery, and improved comfort compared to hospital settings. This means you can return home the same day, recover in familiar surroundings, and get back to the activities you love sooner.

Our ASC locations also offer more insurance-friendly, patient-focused care. Most insurance companies prefer Ambulatory Surgical Centers over traditional hospital settings because they deliver the same advanced procedures at significantly lower costs. For patients, this means reduced out-of-pocket expenses, lower deductibles, and fewer surprise bills—without compromising safety or quality of care. At Summit Spine, our ASC locations are designed to align with these insurance efficiencies, giving you access to advanced pain-relieving procedures in a setting that is more affordable, streamlined, and centered on your needs.

At Summit Spine, we believe pain relief should be accessible, efficient, and compassionate. Our Surgery Center in Cumming is part of our commitment to delivering comprehensive, patient-centered, minimally invasive spine and pain management solutions that restore mobility and quality of life.