Clinical Expertise

Conditions Treated &
Procedures Performed

Advanced interventional pain care grounded in the full spectrum of musculoskeletal medicine — from hands-on manual therapy to image-guided spine procedures.

Conditions

What Dr. Migdale Treats

Dr. Migdale treats the full spectrum of complex pain conditions with both interventional precision and a whole-body clinical perspective developed over 15+ years of hands-on practice.

Chronic Back & Neck Pain
Spinal Stenosis
Herniated Disc Disease
Complex Regional Pain Syndrome (CRPS)
Radiculopathy & Sciatica
Neuropathic Pain
Post-Surgical Pain
Sacroiliac Joint Pain
Headache & Facial Pain
Failed Back Surgery Syndrome
Myofascial Pain Syndrome
Peripheral Nerve Injuries
Procedures

Interventional Procedures & Techniques

Dr. Migdale's interventional toolkit spans image-guided injections, neuromodulation, manual therapies, and advanced minimally-invasive spine procedures.

Image-Guided Injections
Epidural Steroid Injections Nerve Blocks Facet Joint Injections Medial Branch Blocks SI Joint Injections Trigger Point Injections Sympathetic Nerve Blocks
Neuromodulation
Spinal Cord Stimulation (SCS) DRG Stimulation Peripheral Nerve Stimulation Intercostal PNS Implant-Based Therapies
Ablative & Minimally Invasive
Radiofrequency Ablation Fluoroscopic-Guided Procedures Ultrasound-Guided Procedures SI Joint Procedures
Manual & Complementary
Medical Acupuncture Graston Technique Active Release Technique (ART) Manual Manipulation Myofascial Release Functional Restoration
What Sets Dr. Migdale Apart

The Triple Advantage

Soon to be triple board certified — in Chiropractic, PM&R, and Pain Medicine — Dr. Migdale holds a credential profile that is extraordinarily rare in interventional pain medicine, and it fundamentally changes how she practices.

The Interventionalist

Fellowship-trained at Dartmouth-Hitchcock in ACGME-accredited Pain Medicine. Skilled in the full range of fluoroscopic- and ultrasound-guided procedures, neuromodulation devices, and implant-based therapies. She brings rigorous academic training to every procedure room.

The Hands-On Clinician

Nearly a decade of chiropractic practice treating over 6,000 patients. Certified in Graston Technique and Active Release Technique. A tactile, whole-body understanding of how pain manifests and moves through the musculoskeletal system — informing every clinical decision she makes.

FAQ

Common Questions

Answers to the questions patients and referring providers most commonly ask about interventional pain medicine and Dr. Migdale's approach.

What is interventional pain medicine?
Interventional pain medicine is a subspecialty focused on diagnosing and treating pain using minimally invasive, image-guided procedures — such as epidural injections, nerve blocks, radiofrequency ablation, and neuromodulation — rather than relying solely on medications or open surgery. The goal is to target the precise anatomical source of pain with maximum precision and minimal recovery time.
What makes Dr. Migdale different from other pain physicians?
Dr. Migdale holds both a Doctor of Medicine (M.D.) and a Doctor of Chiropractic (D.C.) — an exceptionally rare combination in interventional pain medicine. Her decade of hands-on chiropractic practice (6,000+ patients) gives her a tactile, whole-body understanding of musculoskeletal pain that complements her fellowship-level interventional training. She evaluates patients through both lenses simultaneously.
What is neuromodulation and how does it work?
Neuromodulation refers to therapies that alter nerve activity through targeted delivery of electrical stimulation or pharmacological agents. In pain medicine, the most common forms are spinal cord stimulation (SCS) and dorsal root ganglion (DRG) stimulation. These implantable devices deliver mild electrical pulses that modulate pain signals before they reach the brain, providing relief without the side effects of systemic medications.
What is spinal cord stimulation and who is it right for?
Spinal cord stimulation (SCS) uses a small implanted device to deliver mild electrical pulses to the spinal cord, interrupting pain signals before they reach the brain. It is most commonly used for failed back surgery syndrome, complex regional pain syndrome (CRPS), neuropathic pain, and chronic limb pain. Candidates typically trial the therapy externally before permanent implantation.
What should I expect at my first visit?
At your first visit, Dr. Migdale will conduct a comprehensive evaluation including a detailed history, physical examination, and review of any prior imaging or records. She will explain your diagnosis in plain language, discuss all treatment options — from conservative care to interventional procedures — and work with you to create a personalized pain management plan aligned with your goals and lifestyle.
Does Dr. Migdale accept referrals from other providers?
Yes. Dr. Migdale welcomes referrals from primary care physicians, orthopedic surgeons, neurologists, physiatrists, and other providers. Ascent Pain Solutions has streamlined referral processes and multiple locations across the Austin metro area to make access convenient for patients and providers alike. Use the contact form to submit a referral inquiry.

Ready to Discuss Your Case?

Contact Dr. Migdale's team at Ascent Pain Solutions to schedule a consultation or submit a referral.

Contact Dr. Migdale