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Pain Management Specialist

J. Kimber Rotchford, M.D., M.P.H.

Addiction Medicine Physician located in Port Townsend, WA

Around 50 million Americans live with chronic pain that interferes with both the quality and duration of lives. Dr. Rotchford is a recognized expert in pain management having been a long time diplomat of the American Academy of Pain Management. He developed expertise in medical acupuncture as of 1981 and remains a leader in finding safe and effective pain management solutions. Dr. Rotchford offers comprehensive pain management services. He emphasizes CNS health as essential to assure the best results. Healthy central nervous systems are essential in the management of all forms of pain. Managing chronic pain is more than limiting injury and painful inputs, it is also about helping the inputs be processed in healthier ways. If chronic and ongoing pain is disrupting well-being and functioning, Dr. Rotchford will provide an individualized plan based on current evidence, common understandings, and extensive experience. He uses conventional medicines, behavioral support, and procedures, as well as a broad range of adjunctive modalities. Dr. Rotchford is published and a recognized expert in the use of opioids for both managing pain and assuring the best outcomes for opioid use disorders. Please request a consultation today to further help establish and assure an effective and safe plan. Please also review under the References Tab, the handouts page with numerous background and helpful handouts for those who suffer with chronic pain.

Pain Management Q & A

What is pain management?

Pain management is the medical specialty devoted to easing or eliminating pain and its associated disabilities. Dr. Rotchford focuses on discovering underlying mechanisms that contribute to a patient’s chronic pain and creates customized pain management programs to address all contributing factors in order to promote the best outcomes.

He combines elements of conventional medicine with traditional Chinese medicine to provide a holistic and integrative service.

What are some common pain conditions?

Dr. Rotchford offers individualized and possibly innovative treatments to reduce painful conditions like:

  • Migraines & Chronic headaches
  • Fibromyalgia
  • Neuropathy
  • Joint Pain
  • Back or neck pain
  • Pain from failed back surgery/Arachnoiditis/Surgeries
  • Complex regional pain syndrome
  • Pelvic, bladder, or other regional pain syndromes

Chronic pain lasts for 12 weeks or longer and is often associated with mental health issues like depression, anxiety, and substance use disorders.

What services are included in pain management?

With decades of experience in managing pain, Dr. Rotchford has expertise in a variety of pain management methods. He typically combines a variety of therapies to provide immediate relief while also addressing underlying issues and promoting optimal long-term outcomes. 

Each patient receives personalized treatment plans that can include:

  • Medication, including anti-inflammatory drugs, medications designed to improve CNS function, including opioids when indicated. Follow link for information on his book Opioids in Chronic Pain Management.
  • Joint injections
  • Trigger point work
  • IV lidocaine
  • Ketamine therapy
  • Medical cannabis
  • Acupuncture
  • Nerve stimulation with NMS 460 stimpod
  • Cognitive behavioral therapy
  • Eye movement desensitization and reprogramming (EMDR) referrals
  • Nutritional supplements
  • Physical therapy

Before recommending any pain management treatments, Dr. Rotchford provides comprehensive consultations to learn about your symptoms and lifestyle. This information helps him identify the root cause of your pain and the best way to deliver relief.

How do I know if pain management is right for me?

Pain is your body’s way of telling you that there’s a problem warranting attention. For example, if you break your ankle, your nerves send signals to the central nervous system so the injury can be properly attended to. In some cases, the pain one experiences outlast the injury, infection, or illness that initially brought on the pain. In cases of chronic pain, inevitably there is at least some dysfunction within the central nervous system (CNS). Helping the CNS function better is one of Dr. Rotchford’s areas of expertise. Brain Health 101 is one of his many publications. 

If pain persists for weeks or months on end, even if the symptoms change from day to day, or they have failed to respond to a host of common interventions, Dr. Rotchford will likely be able to develop a safe and effective plan.