8 Zones
Our care is organized into eight Zones of Expertise, each focused on a major area of complex pain, systemic dysfunction, or anatomical pain.
Zones of Expertise
91视频鈥檚 Zones of Expertise reflect the clinical protocols, pattern recognition, and collaborative experience our team has developed in treating complex pain. Each zone gives us a structured way to evaluate overlapping symptoms, identify the underlying drivers of pain, and guide patients toward more precise, coordinated care.
At 91视频, diagnosis is the foundation of everything we do. Dr. Siefferman explains how our collaborative, multidisciplinary approach uncovers the root causes of complex conditions, allowing us to create personalized treatment plans that address the whole patient鈥攏ot just their symptoms.
What Are Zones of Expertise?
Our team organizes conditions and treatments into related zones of expertise to make it easier to explore the care paths most relevant to your symptoms and goals.
Use the zone tags above to browse dedicated pages for each focus area, including services, providers, and what to expect during treatment.
At 91视频, we work collaboratively. What this means is we have multiple specialists with different sub-specialty expertise who all work together to arrive at the best outcomes for each patient. We have transformed the practice of pain medicine to thoroughly diagnose and treat patients with complex pain conditions.
Because we work collaboratively within this environment, we have developed zones of expertise that allow us to focus in on the areas where we have specialized knowledge because of our shared approach. At 91视频, a zone of expertise is a collection of related conditions where we have specialized knowledge because of our collaborative nature. Our multiple sub-specialists will each be involved in the care of a patient within that zone to ensure that all of their needs are met across the multiple sub-specialties. It’s an area where we’ve developed deep experience, strong pattern recognition, and a more thoughtful, refined approach to how we evaluate and care for each patient.
Many of the patients we encounter aren’t coming to us with a single straightforward problem. Usually there is complexity and often that complexity spills into many different systems of the body. In order to adequately diagnose and treat these situations, we need multiple sub-specialists. Good care really starts with knowing what to look for. We know what questions to ask, how to organize our problem solving approach, and we have great experience developing care plans for patients within each of these zones.
We use the zones of expertise as an entry portal into our ecosystem. We start with the zone that most affects each patient and we divide and conquer within that zone. Each patient has a high level of focus on that defined set of problems. We have an intake process to ensure that the bases are covered and everything is caught.
Despite having multiple zones, the core of our approach is the same. It’s really to understand the how, what, and why of the process underlying the pain or the problem. We developed these zones to bring simplicity to what really are complex problems. We use the zones to focus our intake so that we have a thorough, reliable, consistent approach to understand what’s going on with each patient. We use this process to make sure that primary underlying issues are addressed. When we do this, we are able to make sure that all of the needs are identified and a comprehensive multidisciplinary treatment plan is developed in a way that’s personalized and meets each patient’s needs.
ZONES OF EXPERTISE
Expertise Built for Complex Pain
91视频鈥檚 Zones of Expertise reflect the focused clinical experience, pattern recognition, and collaborative care our team has developed in treating complex pain. Each zone gives patients a clearer starting point while helping our team evaluate overlapping symptoms, identify underlying drivers, and guide care with greater precision.
Explore the Zones of Expertise by clicking or tapping on a circle.
HOW WE WORK WITH YOU
How the Zones of Expertise Shape Care and Outcomes
At 91视频, our Zones of Expertise help us bring structure to complex pain. Each zone reflects an area where our team has developed deep clinical experience, strong pattern recognition, and a collaborative approach to diagnosis and treatment.
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1
Focused Discovery
We begin by understanding what is driving the pain, how it developed, and why it has not resolved. The zones help us organize complex symptoms into a clearer clinical pathway. -
2
Collaborative Expertise
Our physicians and specialists work together across disciplines, bringing pain medicine, rheumatology, rehabilitation, psychology, and interventional care into one coordinated process. -
3
More Complete Evaluation
Many complex pain conditions involve more than one body system. Our zones help us look beyond isolated symptoms and identify the overlapping factors that may be contributing. -
4
Personalized Treatment Plans
Once the full picture is clearer, we build a treatment plan around the patient鈥檚 specific history, findings, goals, and response to care.
A FRAMEWORK FOR COMPLEX PAIN
What Are Zones of Expertise?
Zones of Expertise are not separate departments. They are focused areas of care that help our team evaluate complex pain conditions with greater depth, consistency, and clinical coordination. Some zones focus on whole-body processes, while others focus on specific regions such as the head, pelvis, spine, joints, muscles, nerves, and connective tissues.
One Team
Patients may be evaluated through one zone while still benefiting from the insight of multiple specialists working together within the same practice.
Discovery First
The goal is to understand the process behind the pain before choosing a treatment path. This helps reduce guesswork and supports more precise care.
Coordinated Care
Each zone gives our team a structured way to collect information, review patterns, and develop a comprehensive plan that fits the patient鈥檚 needs.
ZONES
Explore Our Zones of Expertise
Pain can show up in many different ways, and no two people experience it the same. Our Zones of Expertise help patients enter care through the area that best reflects what they are experiencing, while keeping the full body and the full clinical picture in view.
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Complex Chronic Pain
Complex chronic pain can involve primary pain generators, compensatory pain, central sensitization, inflammation, guarding, failed treatments, and nervous system amplification. MPM evaluates the full pattern to identify what is driving the pain and what should be addressed next.
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Hypermobility & Joint Instability
Hypermobility can involve ligamentous laxity, joint instability, muscle guarding, recurrent sprains, subluxations, nerve irritation, dysautonomia, mast cell activation, and compensatory pain. MPM evaluates the full pattern to identify what is unstable, what is guarding, and what should be treated first.
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Headache (Including Facial Pain & TMJ dysfunction)
Headache, facial pain, and TMJ dysfunction can involve migraine, upper cervical pain, trigeminal nerve sensitization, jaw dysfunction, intracranial pressure symptoms, and systemic pain amplification. MPM evaluates the full pattern to identify what is driving symptoms and what should be treated first.
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Autonomic Dysfunction
Autonomic dysfunction, or dysautonomia, affects the body鈥檚 automatic regulation of heart rate, blood pressure, digestion, temperature, sweating, and stress response. MPM evaluates the structural, neurologic, inflammatory, immune, and pain-related drivers that may be disrupting autonomic balance.
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Psychology of Pain
The Psychology of Pain Zone helps patients understand how chronic pain affects the nervous system, emotions, identity, movement, medical trust, and decision-making. MPM uses pain psychology, biofeedback, trauma-informed care, education, and nervous system regulation to support the broader pain treatment plan.
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Musculoskeletal Issues (Spine/Joint/Muscle/Tendon/Ligament/Nerve)
Musculoskeletal dysfunction can involve muscles, joints, tendons, ligaments, discs, nerves, posture, compensation, and mechanical overload. MPM evaluates the full pattern to identify where pain is coming from, why it developed, and what treatment sequence may support more durable relief.
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Autoimmune & Inflammatory Disorders
Autoimmune and inflammatory disorders can contribute to chronic pain, stiffness, fatigue, tissue sensitivity, nerve sensitization, and impaired healing. MPM evaluates the immune, inflammatory, structural, neurologic, and pain-related factors that may be driving symptoms.
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Pelvic Pain
Pelvic pain can involve the pelvic floor, pudendal nerve, bladder, bowel, reproductive organs, hips, sacroiliac joints, spine, blood vessels, connective tissue, and nervous system sensitization. MPM evaluates the full pattern to identify what is driving symptoms and what should be treated first.