Physiatry: Interventional Pain Management

Physiatrists are medical doctors who focus on acute and chronic problems of the musculoskeletal system. They take a non-surgical approach to spinal care in order to relieve pain and restore function.

Orthopedic Associates of Hartford is proud to have two leading physiatrists on our team – Dr. Pietro Memmo and Dr. Vincent Codispoti. They diagnose and treat painful spinal conditions in a conservative, non-operative fashion, with minimal use of opioids. They are board-certified in Physical Medicine and Rehabilitation, and have additional fellowship training in Interventional Pain Management.

As part of the OAH team, Drs. Memmo and Codispoti:

  • Diagnose and treat musculoskeletal conditions
  • Prescribe physical therapy and medications
  • Perform ultrasound guided office injections
  • Conduct the most advanced, fluoroscopically-guided, minimally invasive spinal injections at one of our ambulatory surgical centers
  • Perform electrodiagnostic studies as part of the evaluation of patients with disorders of the peripheral nervous or musculoskeletal systems

Common Conditions

Our physiatrists focus on the non-surgical management of a wide range of spinal conditions with a particular focus on image-guided injections. They treat people of all ages who suffer from bone, joint, muscle or nerve ailments that cause pain and impair normal, everyday functions. When spinal issues cannot be successfully treated with conservative measures, they refer to an OAH surgical specialist for further evaluation.


Patients may seek care for the diagnosis and treatment of symptoms associated with:

  • Back pain
  • Neck pain
  • Radicular pain/Sciatica
  • Spinal stenosis
  • Facet pain
  • Sacroiliac joint dysfunction
  • Sports injuries
  • Arthritis
  • Herniated disc
  • Pinched nerve in the neck or back
  • Work injuries


Drs. Memmo and Codispoti pride themselves on first being “compassionate diagnosticians.” They strive to definitively diagnose the source of your pain, and to provide you with a broad spectrum of treatment options. Only after a firm can the appropriate treatment can begin.

During your office visit, we doctor will conduct a full initial assessment, which will include an extensive history and physical examination, as well as imaging studies such as X-rays of the spine.

For patients who require it or do not respond to initial therapy, additional imaging studies such as CT scans and/or MRI studies may be ordered to assess spinal anatomy.

One diagnostic test that may also be used is nerve conduction studies and electromyography, also known as an electrodiagnostic examination and commonly referred to as an “EMG.” An EMG is a minimally invasive test used to diagnose many neurological conditions. Electromyography can help a physiatrist to determine where the source of the pain is originating and the severity. Drs. Memmo and Codispoti have performed a combined total of over 10,000 EMGs in their careers.

Treatment Options

Physiatrists take a multidisciplinary approach to non-operative musculoskeletal care. Initial treatments may include a round of customized and sport-specific physical therapy to address deficiencies in flexibility and strength, as well as a trial of basic analgesic medications. Most patients respond favorably to this initial intervention.

Depending on the injury and the response to treatment, minimally invasive image-guided spinal injections may be administered to treat pain and restore function. Physiatrists perform many different types of spinal procedures—from the neck to the tailbone. These injections are used for diagnostic and therapeutic purposes.

Types of injections include but are not limited to:

  • Epidural steroid injections
  • Selective Nerve Root injections
  • Medial branch blocks
  • Facet rhizotomy/Radiofrequency lesioning
  • Sacroiliac joint injection
  • Coccygeal injections
  • Hip injections
  • Discography
  • Trigger Point injections
  • Bursa injections
  • EMG nerve conduction studies

Drs. Memmo and Codispoti have performed over 30,000 spinal procedures accurately, safely, and without issue.  They are both fellowship trained in minimally invasive spinal procedures.

These minimally invasive procedures are done in state-of-the-art surgical centers, under sterile conditions, with fluoroscopy (a live X-ray machine) and with a dedicated and compassionate nursing staff.

Patient Education

Pre-Procedure Information:


Physical Therapy Exercises

Our Physiatrists

Vincent T. Codispoti, MD

Pietro A. Memmo, MD

Jonathan Ramin, DO

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