Services
No one deserves to be in pain.

Medication Management

Osteopathic Manipulation

Sports Medicine

Prosthetics and Amputees

Injections

Medtronic Pump Management
Medication Management
We believe in a balanced approach to managing your pain. Below are a few ways to manage pain with medicines and supplements.
Natural Products to Calm Your Pain
(click here to learn more)
Turmeric
Magnesium with Melatonin
NSAIDs (non-steroidal anti-inflammatories)
Meloxicam
Celebrex
Muscle Relaxers
cyclobenzaprine (Flexeril)
chlorzoxazone
baclofen
tizanidine
Neuropathic Medications
Lyrica
Gabapentin
Opioids (click for more info)
Avoid if possible due to addiction and side effects
morphine
dilaudid
oxycodone
hydrocodone
Sports Medicine
We want you to get out there and enjoy life. Unfortunately, we sometimes get hurt. We are there for you after these unfortunate events.
Physical Therapy
We will help you find a great therapist near your home or work.
Home Exercises
No time for therapy? We will hook you up with a set of home exercises.
Injections
When exercises are not enough, we can do an injection using ultrasound guidance to get you back to the activities you love.


Injections
Injections that can be performed in the office are done on site using ultrasound guidance when needed. For more complicated injections, Dr. Higgins does procedures under x-ray guidance at Mountain View Surgery Center on Greenfield and Guadalupe every Wednesday.
Epidural Injections
Cervical, Thoracic and Lumbar
Facet Pain
Medial Branch Blocks
RF Ablations
Facet injections
Ultrasound Guided Injections
Most joints and ligaments in the body can be injected using ultrasound guidance
Pump Trials
Baclofen for Spasticity
Fentanyl for Pain
Osteopathic Manipulation
Osteopathic Manipulative Treatment, or OMT, is a set of hands-on techniques used by osteopathic physicians (DOs) to diagnose, treat, and prevent illness or injury. Using OMT, a DO moves a patient’s muscles and joints using techniques that include stretching, gentle pressure and resistance.
As part of their education, DOs receive special training in the musculoskeletal system, the body’s intricate system of muscles, nerves and bones. This advanced training provides DOs with a keen understanding of how the body’s systems are interconnected and how each one affects the others.
When appropriate, OMT can complement, and even replace, drugs or surgery. In this way, DOs bring an important dimension to standard medical care. (from osteopathic.org)
Dr. Higgins is no longer performing OMT in the office.

Migraine Headaches
Suboccipital Neuralgia
Autism

Prosthetics & Amputees
Dr. Higgins is the Director of the Amputee program at Encompass Health Rehab Hospital. He sees amputees in his office and participates in a support group for amputees once a month called Lively Limbs. He will work with your prosthetist to make sure your limb fits just right.
Referral for New Prosthesis
Physical Therapy Referral to someone who knows prosthetics
Referral for Prosthetic Adjustments
Treatment for phantom pain
Medications
Injections
RF ablation
Spinal Cord Stimulation
Peripheral Nerve Stimulation
Medtronic Pump Management
Synchromed II Intrathecal Pump
Intrathecal Drug Infusion System for Chronic Pain Management:
The SynchroMed™ II programmable, implantable pump delivers drug to the intrathecal space via an implanted catheter. SynchroMed™ II pumps are designed to help eliminate systemic opioids and provide effective pain relief.
How SynchroMed™ II Works
The drug enters the pump through the reservoir fill port and passes through the reservoir valve and into the SynchroMed™ II pump reservoir. At normal body temperatures, pressurized gas that is stored below the reservoir expands, exerting pressure on the reservoir. The pressure helps advance the drug into the SynchroMed™ II pump tubing.
The peristaltic action of the SynchroMed™ II pump moves the drug from the pump reservoir, through the pump tubing, check valve, catheter access port, and implanted catheter, to the infusion site.
The catheter access port (CAP) allows injection of the drug into the implanted catheter for drug administration and diagnostic purposes. Drug injected into the CAP bypasses the SynchroMed™ II pump mechanism and goes through the catheter port into the implanted catheter to the infusion site. (from medtronic.com)

Used for Both Spasticity and Pain
Baclofen is used for Spasticity
Morphine is used for Pain
Pain pump or Baclofen trial is necessary before considering therapy
Contact Us
4915 E Baseline Rd. Suite 108
Gilbert, AZ 85234
info@pioneersportsandspine.com
Hours
Mon – Fri — 8:00am – 5:00pm
Saturday —Closed
Sunday — Closed
Pioneer Sports and Spine
Dr. Derek Higgins, DO
4915 E. Baseline Road Suite 108
Gilbert, AZ 85234