The Helm Center relieves chronic pain and improves quality of life through customized, targeted, contemporary pain management.


Cryoablation is a method of blocking nerves for a long time, up to a year, by freezing the nerve. It is very effective with treating entrapments of peripheral nerves. Peripheral nerve entrapment is a problem that we are just now coming back to and realizing the importance of. Over the past 20 years, there’s been a focus on treatment of pain coming from the spine, such as the facets. With this focus, the problem of peripheral nerves is been overlooked. Lately, both because of a renewed look at peripheral nerves and because of a renewed focus on cryoablation, the role in peripheral nerves in causing pain has become more apparent.

Some examples of peripheral nerve entrapments which can cause significant diseases include peripheral neuropathy, which can sometimes be caused by entrapment of the superficial peroneal nerve, and also complex regional pain syndrome, which can be caused by entrapment of the superficial peroneal nerve in the leg or the superficial radial nerve in the arm. It can be very gratifying to see how a simple injection and cryoablation can lead to relief of these otherwise very debilitating problems.

We do cryoablation in the office under ultrasound guidance. It is a quick simple procedure and you can drive home after it. The Helm Center for Pain Management has one of the few cryoablation machines on the West Coast.