The mission of the pain management division at Blue Ridge Orthopaedic & Spine Center is to deliver the highest quality of service and medical care to our patients. We offer inpatient and outpatient, surgical and non-surgical, as well as minimally invasive cutting edge pain management solutions for patients with acute or chronic pain conditions.

Our physicians are Board Certified by the American Board of Medical Specialties in Pain Medicine and Rehabilitation and Fellowship trained by ACGME-accredited interventional pain management. This means that you will be seen and treated by a physician with the most advanced training and certifications available for Pain Medicine interventions and treatments.

We work closely with our surgeons and therapists in a multidisciplinary approach to develop a unique treatment plan that best suits each of our patient’s needs. We are leaders in our field and the premier Center for Pain Medicine in the region.

Dr. Daniel Heller becomes one of the first Pain Management Physicians in Virginia to use Nevro’s HF10 therapy

Nevro-Sensa device for pain managementThe Senza SCS system, which delivers Nevro’s proprietary HF10™ therapy (Nevro Corporation, Menlo Park, CA), is a recently FDA-approved spinal cord stimulator that has demonstrated superior results compared to traditional SCS for the treatment of back and leg pain in a large multicenter study in the United States. With the current therapy, 46.5% of patients complained of uncomfortable stimulation1 after three months. With the Nevro HF10 therapy, that number was zero.

“I’m honored to be one of the first pain management physicians in Virginia to offer this promising technology to patients with chronic low back and leg pain,” said Dr. Heller. “The results have shown that this therapy offers more pain relief, without many of the side effects of the current therapy, and I’m confident we will be able to provide similar outcomes as we begin to utilitze the HF10™ therapy here at Blue Ridge Orthopaedic and Spine Center.”

Spinal cord stimulation (SCS) represents another option to treat chronic pain. It involves the delivery of electrical signals to the spinal cord in order to alter pain signals to the brain. The electrical pulses are delivered by small electrodes on leads that are placed near the spinal cord and are connected to a compact, battery-powered generator implanted under the skin. SCS is a reversible therapy that has helped hundreds of thousands of people experience relief from chronic pain.

HF10 therapy, Nevro’s high-frequency therapy at 10,000 Hz, represents a significant advance in spinal cord stimulation. FDA approval for HF10 therapy included superiority labeling over traditional SCS therapy (HF10 therapy is the only SCS therapy with this distinction), validating that HF10 therapy reduces pain more effectively in more patients.

Additionally, HF10 therapy is also the only SCS therapy indicated to deliver pain relief without paresthesia (a stimulation-induced sensation, such as tingling, burning, or pricking, which is the basis of traditional SCS) and is also the only SCS system approved by FDA to be used without patient restrictions on driving while receiving therapy.

  1. Debono DJ, et al. Caring for patients with chronic pain: pearls and pitfalls. J Am Osteopath Assoc. 2013 Aug; 113(8):620-7.


Diagnostic and Therapeutic Spinal Interventions

  • Cervical, Thoracic, and Lumbosacral Transforaminal, Interlaminar, and Caudal Epidural Steroid injections and Spinal Interventions
  • Chronic Pain Management
  • Diagnostic Provocation Discography
  • Selective Nerve Root Blocks
  • Diagnostic Facet and Sacroiliac Joint Blocks and Radiofrequency Ablation
  • Sympathetic and Stellate Ganglion Blocks
  • Occipital Nerve Blocks
  • Peripheral Nerve Blocks
  • Fluoroscopically guided Diagnostic and Therapeutic Peripheral Joint injections
  • Cervical, Thoracic and Lumbosacral facet joint blocks and injections
  • Neurolytic Blocks
  • Intercostal Nerve Blocks

Minimally Invasive Surgical and Non-Surgical Interventions

  • Spinal Cord Stimulation Trials and Surgical Implants
  • Radiofrequency Ablation
  • Intra-Discal Electrothermal Therapy
  • Percutaneous Discectomy
  • Vertebroplasty/Kyphoplasty

Blue Ridge Orthopaedic & Spine Center has on-site state-of-the-art technology to diagnose and treat orthopaedic conditions. For your convenience, both of our offices are equipped with in-office radiology (link to page) departments. Not only does this facilitate rapid diagnosis but it is also convenient for patients who may be experiencing pain or disability at the time of their visit. To schedule an appointment with one of our board-certified and fellowship trained physicians, call our Warrenton  office at (540-347-9220) or our Gainesville office at (703-743-2814). Or click here to make an appointment.