Chronic Pain Relief
& Wellness Therapy

  Call or text 317.776.7028

About Us

Each Patient Has a Unique Story

At Medical Pain & Spine Care, we strive to show patients how much we care about them. Our providers take time to listen to each patient’s story and then provide an individualized treatment plan to produce maximum pain relief.

Although lower back pain is the most common condition our patients are seen for, it is just one of many chronic pain symptoms we help patients overcome and manage. The spinal cord stimulator is one of the most effective pain controlling therapies we have for patients suffering from chronic pain in the spine and upper and lower extremities. Even patients who have undergone multiple back surgeries and started to lose hope for improvement have found wonderful lasting pain reduction through spinal cord stimulator therapy.

No matter what your story, even if you have lost hope in finding pain relief, our team will listen and help you with an effective pain management treatment plan that's right for you.

Our Providers

J Peter Klim, DO

PHYSICIAN

Mark Nielson, MD

PHYSICIAN

Haylee Goad, FNP

NURSE PRACTITIONER

Emily Hackett, FNP-C

Nurse Practitioner

Stephen Feehan, DPT

PHYSICAL THERAPIST

Angie Speer, PTA

PHYSICAL THERAPY ASSISTANT

Wellness Menu

TREATMENT OPTIONS

At Medical Pain & Spine Care of Indiana, treatment options may include imaging, physical therapy, spine procedures, muscle and joint injections, pain management device implants, medication management, and even medical weight loss which can improve joint and lower back pain

Pain Management Technology

Pain Pump (Intrathecal drug pump) Peripheral Nerve Stimulation Spinal Cord Stimulation

Ketamine Infusions

Ketamine has been used safely as an anesthetic for over 50 years. Ketamine infusions are used to treat mood and pain disorders.

Platelet Rich Plasma (PRP) Therapy

Packed with growth and healing factors, platelets initiate repair and attract the critical assistance of stem cells. PRP is used to treat injuries or damage to tendons, ligaments, muscles, joints and skin with your platelets isolated from your own blood.

Cervical, Thoracic, and Lumbar Spine Procedures

Epidural Steroid Injections Spinal Nerve Blocks Spinal (facet) Joint Blocks Sacroiliac Joint Injections Radiofrequency Ablation Intracept® Procedure

Physical Therapy and Home Exercise Plans

Range of Motion Strength and Stability Endurance Flexibility Gait/Walking

Other Pain Treatment Options

Other treatments may include: Joint Injections Botox for Migraines Trigger Point Injections Medication Management

Ketamine InfusionS

Ketamine has gained significance in treating chronic pain and depression since the 1990s. At our clinics, ketamine infusions are performed in a comfortable, private setting by qualified experts. Our clinicians are members of American Society of Ketamine Physicians, Psychotherapists and Practitioners. We are dedicated to the safe clinical use of ketamine for pain and mental health conditions. If you have been struggling with unsuccessful treatments, ketamine may work for you.

 
Ketamine is an anesthetic used in the operating room during surgery. It interacts with specific receptors in your brain to decrease pain and your brain's memory of pain. Intravenous ketamine is only FDA-approved for anesthesia and surgical sedation. More recently however, doctors have used low-dose ketamine infusions to alleviate chronic pain conditions, depression, anxiety and other behavioral health purposes.

Ketamine was initially used as an anesthesia medicine in the 1960s. It was administered to soldiers on the front lines during the Vietnam War. Since the 1990s, many clinical studies have found that ketamine is not only useful to relieve pain short term, but can be an effective way to treat certain chronic pain syndromes such as fibromyalgia, migraines and burns. In the 2000s, medical studies showed ketamine was a viable alternative treatment for depression. Today mental health professionals are using ketamine to treat treatment-resistant depression and other mental conditions such as PTSD. Ketamine is also used to treat chronic moderate to severe pain.


 
If you suffer from chronic regional pain syndrome, phantom limb syndrome, fibromyalgia, chronic back or neck pain, chronic joint pain or neuralgia, Ketamine Infusions may give you the relief you've been missing.
 Side effects of Ketamine include the following: 
  • A dream-like feeling, drowsiness, or a twilight sleep, you may experience drowsiness but stay awake throughout the treatment
  • Double vision or blurred vision
  • Dizziness
  • Jerky muscle movements
  • Vomiting or nausea
  • Loss of appetite
  • Sleep disturbances or insomnia
  • High blood pressure (patients whose hypertension is not well controlled are not eligible for treatment)
If you've completed a Ketamine infusion consultation and are scheduled for an infusion, the length of your ketamine infusion may vary depending on your condition. After your infusion, we  recommend you remain at the office for observation for about 30 minutes and arrange to have someone bring you home.  We also recommend that you take it easy for the remainder of the day. To get the most benefits out of your ketamine infusions, you may need a series of treatments.  
 
We are IV infusion experts. Ketamine is a dissociative anesthetic, commonly used in the operating room for general anesthesia. Dr. Klim and Dr. Nielson are double board certified by the American Board of Anesthesiology in both anesthesiology and pain medicine. Additionally, both doctors are members of the American Society of Ketamine Physicians, Psychotherapists and Practitioners. Our approach to patient care combines meticulous attention to safety, effectiveness and patient satisfaction.

Patient Resources

New PAIN Patient Paperwork

Please complete the attached paperwork prior to your first visit. Bring this paperwork, your insurance card and photo ID, and recent x-ray or imaging reports.

Download

New MAT Patient Paperwork

This paperwork is for new patients seeking medically assisted treatment for addiction. Please print and complete this packet and bring it with you to your first visit.

Download

Release of Medical Records

We have partnered with MediCopy to provide accurate and timely delivery of your medical records. Please complete this form and send to MediCopy via email or fax.

Download

Good Faith Estimate Request

Request an estimate for self-pay or non-covered services.

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Opioid Use Statement

More people die every year from overdose of prescription drugs than car accidents? The Associated Press reported that in San Francisco, more people died from drug overdose than COVID-19 in 2020.    "A record 621 people died of drug overdoses in San Francisco so far this year, a staggering number that far outpaces the 173 deaths from COVID-19 the city has seen thus far." [12/21/2020]
  • Hydrocodone
  •  Oxycodone (OxyContin)
  • Morphine
  • Fentanyl (Duragesic)
  • Hydromorphone (Dilaudid)
When combined with acetaminophen, hydrocodone and oxycodone are prescribed under the brand names Vicodin and Percocet.  Opioids are available in pills, liquids, shots, patches, and suppositories.

At Medical Pain and Spine Care of Indiana, we offer a comprehensive pain management plan, which will sometimes include prescription opioids for pain relief. 
Opioids are a class of narcotic drugs that are derived from morphine. They work with opioid receptors to disrupt pain signals sent to the brain by the nervous system to offer pain relief.  In general, opioids are most effectively prescribed for short-term, episodic pain relief from injury or illness. Conditions for which opioids may be prescribed include:

  • BACK PAIN -- including degenerative disc disease, ruptured or herniated disc, spinal stenosis, and vertebral compression fractures
  • CANCER PAIN -- especially in late-stage cancer patients
  • FIBROMYALGIA
  • HIP PAIN -- with osteoarthritis and fractures as the most commonly treated with opioids
  • INFLAMMATORY BOWEL DISEASE -- such as Crohn’s disease and ulcerative colitis
  • MIGRAIN AND TENSION HEADACHES
  • NEUROPATHY -- including diabetic neuropathy and any other types of nerve pain
  • SURGICAL PROCEDURES
While some patients benefit tremendously from opioid therapy, recent research into the effectiveness of opioids on chronic pain has shown that opioids may do more harm than good when it comes to treating chronic pain. In 2015, an analysis by the National Institute of Health (NIH) looked at existing studies regarding the effectiveness of opioids for long-term chronic pain and found no evidence that opioids were effective at treating long-term pain. This same study found evidence that indicated a high risk of dose-dependent, serious side effects including abuse and dependence, bone fracture, and myocardial infarction.

As of 2014, an estimated 1.9 million people in the U.S. had a substance abuse disorder involving prescription opioids. From 1999 to 2008, opioid addiction rates and opioid prescription rates rose in parallel with the death rate from overdose increasing 400% during the same period. Opioids are powerful narcotics that change the structure of the brain such that it adapts to the dose and gradually requires more to feel the same pain relief. Even when taken as directed, long-term use can result in dependence.
Opioid-induced hyperalgesia, or increased pain sensitivity, is also a possibility with long-term use of opioids for chronic pain. Previously, opioid-induced hyperalgesia was thought to be a byproduct of opioid withdrawal, but new research has shown that it can occur at any stage of opioid use.

Other lesser-known side effects of long-term opioid use can include:
  •  IMMUNOSUPPRESSION making patients more vulnerable to other health issues. This can be especially difficult for those patients with other chronic, immune-related illness. 
  • DECREASED LIBIDO -- For men, long-term opioid use can result in lower levels of testosterone production (hypogonadism). In women, this same long-term use can disrupt hormone production, causing amenorrhea (lack of menstrual cycle). In both cases, this can result in a decreased sex drive. 
  • OSTEOPOROSIS developing in both men and women. 
We believe the risks associated with long-term opioid use warrant caution and restraint when it comes to prescribing these medications. Our pain management specialists focus on a comprehensive pain diagnosis and management options. To that end, we look at other treatment options before prescribing opioids.
Conventional treatments may include prescription non-steroidal anti-inflammatory drugs, antidepressants, anticonvulsants, and steroids. We may also look at minimally-invasive procedures, such as nerve block procedures, or more invasive techniques such as intrathecal pain pumps, spinal cord stimulation, or radiofrequency ablation. Our pain management specialists believe in a holistic approach to chronic pain and also recommend many complementary and alternative options for pain relief including physical therapy, as well as psychological and behavior interventions available at our office in Noblesville.

While we strive to utilize all other pain-relieving options prior to prescribing opioids, we recognize that for some patients in specific circumstances, opioids may be their best option for relief. Medical Pain and Spine Care of Indiana follows strict prescribing and monitoring guidelines as set forth by the federal government and works closely with patients to resolve their pain in other ways before utilizing opioids.

Part of working closely with our patients includes discussing and signing a pain management agreement form. This form follows the Centers for Disease Control’s updated opioid prescribing guidelines and includes the following provisions:
  1. The agreement acknowledges that opioid therapy is just one part of a patient’s comprehensive treatment plan. 
  2. Patients are to follow all parts of the holistic, comprehensive pain management plan designed with their doctors to include a number of different therapies. This may mean making lifestyle changes as well as undergoing counseling and other complementary therapies tailored to each individual patient. 
  3. Our pain management specialists prescribe the lowest effective dose and will not increase the dose without thoroughly re-evaluating the patient. 
  4. Patients agree to regular follow-up visits, monthly urine screenings, and pill counts within 24 hours if requested by the doctor. 
  5. Doctors and patients work closely together with all other specialists and physicians to avoid over prescription or concurrent benzodiazepine or opioid prescriptions. Each part of this opioid agreement form was designed to protect the patient while undergoing opioid therapy. 
Our goal at Medical Pain and Spine Care is to develop the best possible pain management plan for every patient that improves their quality of life. We work as a pain management team to provide comprehensive diagnostic and therapeutic services. We utilize an extensive array of treatment options specifically designed for each patient. When one of these options is opioid therapy, we provide the support and guidance needed for safe, effective pain relief.

For more information on all of our pain management options, including opioid therapy, please call 317-776-7028 to schedule an appointment.

Testimonials

Happy patients are the best referral sources!

     

 I am very grateful for Dr. Klim and his staff. Although I know I will never be completely pain free. They have made an amazing difference in my life. Thank you. 

Matt
     

 He’s been my doctor since 2006. He put a pain pump in my back which has saved my life! 

TR
     

 Pain does not have to define you 

Kira Trexler: Boston Scientific  |  Click here
     

 I would highly recommend Dr. Klim and his caring staff for anybody who has chronic pain and needs help. The spinal cord stimulator from Boston Scientific was recommended after years of back pain. I'm so grateful to have less pain and need less pain medication. 

Grateful for Medical Pain and Spine Care of Indiana
     

 Nothing is worth doing if it can't be shared... I feel like the old me again." 

Arlene's Story: Boston Scientific  |  Click here
    

 Exceptional staff! Nurse Practitioners and Dr. Klim all take time to listen. 

CH
     

 You don't have to know music to understand harmony 

Carl's Story: Boston Scientific  |  Click here

 I have been a patient of Dr. Klim's on pain medication for several years. After seeing the physical therapist, I was able to decrease my dosage to the point where I no longer needed pain medication. I am grateful for the care I've received and no longer need. Thank you, Dr. Klim and the staff at Medical Pain and Spine Care. 

Thankful for Physical Therapy!
     

 I am not a big fan of needles, but Dr. Klim is very gentle in his approach and tells you what he is going to do before he does it. I finally got some relief from my pain and can walk again thanks to Dr. Klim. 

GR - Grateful for Relief

 I can honestly say Dr. Klim changed my life. I have dealt with chronic pain for 23 years. My best friend suggested I see Dr. Klim. I have never had a doctor be so thorough with a care plan. He did prescribe medication, but he also recommended physical therapy, did several injections, and yesterday I got a spinal cord stimulator. I would recommend the stimulator to anyone considering it. 

Happy SCS Patient
     

 I've been a patient of Dr. Klim's since 2014 after seeing a number of specialists over the years, said to be the "top Doctors in the U.S." including Cleveland Clinic, with not so good results. Dr. Klim was very thorough and never attempted to push any medication, narcotic or otherwise, on me. I never imagined only being on one medication for the severe pain I had for a number of years with very little relief. I found out there were alternatives available that were more effective - treatments such as trigger point injections and a lower lumbar injection that helps for several months. These treatments not only made my life better but I didn't walk around with the fogginess I had from ones used in the past and a literal cocktail of medications I didn't really want or need. Now I'm actually able to think straight, enjoy going grocery shopping (something I couldn't do before), as well as being able to clean and cook. I have an actual doctor-patient relationship where I have input in my treatment. Dr. Klim has always been very professional but at the same time he's been empathetic to my medical issues. Dr. Klim is the best doctor I've seen in terms of patient care. If you're looking for narcotics and no other treatment, Dr. Klim is not the doctor for you. If you're looking for improvement to your quality of life, he's absolutely the right doctor to see! 

Keli R
  

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