Chronic Pain Treatments

Pain Treatment Services In Reno, Nevada

In addition to office visits with Dr. Thunder and Nurse Practitioner Pearla McDonald, we offer a number of traditional and integrative treatments for chronic pain that are often combined to treat individual patients. Each person’s pain puzzle is different.

​​​​​​​Transcranial Magnetic Stimulation (TMS)

Transcranial magnetic stimulation (TMS) is a noninvasive procedure that uses magnetic fields to stimulate nerve cells in the brain. TMS Therapy has been shown to be safe, well-tolerated, and effective for the treatment of adult patients with depression who have not benefited from antidepressant treatment.

​​​​​​​SPRAVATO® for Depression

If you suffer from treatment-resistant depression(TRD) or major depression disorder(MDD) you might benefit from SPRAVATO® nasal esketamine spray.

​​​​​​​QUTENZA® for Nerve Pain

The search to find relief from the shooting pain and extreme sensitivity of post-shingles and diabetic nerve pain can be extremely frustrating. More than likely, you’ve tried multiple treatment methods that didn’t improve your symptoms or had unwanted side effects.

​​​​​​​VYEPTI® for Migraine

VYEPTI is a preventive treatment for patients who suffer from frequent migraines. It is a member of a new class of anti-migraine medications called CGRP inhibitors. Studies have shown that it reduces monthly migraine days with the very first treatment.

​​​​​​​Subanesthetic Ketamine Infusion Therapy

Patients searching for a viable alternative to most conventional treatments for Complex Regional Pain Syndrome (CRPS) and other types of chronic pain may want to consider Subanesthetic Ketamine Infusion Therapy.

​​​​​​​Manual Therapy

Manual therapy is a hands-on, clinical approach used to treat pain, decrease muscle spasm, and improve physiological function. 

​​​​​​​Pelvic Floor Therapy

The pelvic floor is a series of 3 layers of muscles lining the base of your pelvis. These muscles are in charge of bowel, bladder, and sexual function and are involved in everything from breathing and coughing to urinating and lifting. 

​​​​​​​Auricular Acupuncture

This powerfully healing form of acupuncture balances mind and body with tiny, gold or stainless steel ear studs that look like little pieces of jewelry pressed into various parts of the ear.

​​​​​​​Medication Management

Dr. Thunder is committed to helping his patients improve by using an integrative, whole-body approach to pain management. As a result of his experience and his in-depth research of chronic pain issues, he believes that the use of many medications that are currently prescribed for pain actually do more harm than good over the long-term.

​​​​​​​Medically Related Botox® Injection

Injecting Botox into specific muscles can provide pain relief for a variety of pain conditions, such as migraine and muscle contracture/spasm.

​​​​​​​Peripheral Nerve Blocks

A peripheral nerve block is a medical procedure used to relieve pain by numbing specific nerves. It involves injecting medication near the nerves that are responsible for transmitting pain signals.

​​​​​​​Trigger Point Injections

Trigger points are tight knots or bands of muscle fibers that can be felt under the skin and can cause pain, tenderness, and restricted movement. Trigger point injections are a medical procedure used to treat the pain and dysfunction associated with trigger points.

We treat a broad scope of chronic pain conditions, including:

​​​​​​​Back Pain

Lower back pain is an exceptionally common complaint and it is estimated that 80% of Americans will suffer from it at some point during their lifetime. Lower back pain is also a leading cause of absence from work due to ill health, even though more than half of all cases are believed to be a direct result of the patient doing a job that involves continual sitting.

​​​​​​​Neck Pain

Neck pain is a relatively common ailment, which most of us will experience at least once in our lifetime. In most cases, neck pain will improve and disappear on its own, but if you frequently suffer from this problem, or find that conventional ways of relieving your pain are not working, we can help.

​​​​​​​Abdominal Pain

Treatments are available to help with abdominal pain. Contact us to learn more.

​​​​​​​Nerve Pain

Treatments are available to help with nerve pain. Contact us to learn more.

​​​​​​​Pelvic Pain

Treatments are available to help with pelvic pain. Contact us to learn more.

​​​​​​​Complex Regional Pain Syndrome (CRPS)

Treatments are available to help with CRPS. Contact us to learn more.


Fibromyalgia diagnoses have been increasing as awareness has risen. Many individuals now feel that they can seek help from the medical field for their issues, although treatments are generally more difficult to understand.


A headache is a very generalized term given to pain that is felt in the head or sometimes the neck.