Who we are & what we do


Integrated Spine, Pain & Wellness

At Integrated Spine, Pain and Wellness (ISPW), your treatment begins with a comprehensive consultation performed by our double-board certified Anesthesiologist/Pain Medicine Specialist.

This includes a thorough history, examination, review and discussion of diagnostic imaging and previous work-up (if any) to determine the root cause of the pain. Many patients suffer with chronic pain, while others may have experienced an acute injury.

We aim to provide a management plan that empowers each person to find the relief they are seeking through what our expertise and experience can provide, with an emphasis on non-narcotic treatments.

We believe in building a close patient-physician relationship that encourages communication, trust and openness. Each treatment plan is individualized for the patient and based on minimally invasive and cutting-edge methods.

We work with the patient every step of the way to ensure their goals are achieved quickly and effectively.

At ISPW we also offer non-invasive testing to measure Skin Carotenoids & Antioxidant Levels, which have a direct correlation to overall health. Recommendations for diet, lifestyle and appropriate supplements are offered based on test results and patient goals.

ISPW also offers cutting-edge regenerative medicine and regenerative therapies not only for painful conditions but also as part of our aesthetic medicine program.

At ISPW the emphasis is on non-opioid modalities to improve overall quality of life.

The mission of Integrated Spine, Pain & Wellness
Integrated Spine, Pain & Wellness - Dr. Ashu Goyle


ISPW offers cutting-edge regenerative medicine and regenerative therapies not only for painful conditions but also as part of our aesthetic medicine program.

Radio Frequency Ablation

Radiofrequency Ablation (RFA) is a common and highly effective treatment for pain. With RFA, a heated needle tip is used to disrupt nerve conduction, which prevents transmission of pain signals ...


A discogram, also called discography, is an imaging test used to evaluate back pain. A discogram might help your doctor determine if a specific abnormal disk in your spine is causing your back pain. ...

Epidurals / Steroid Injections

An epidural steroid injection (ESI) is a minimally invasive procedure used to treat spinal nerve irritation that is most often caused by tissues next to the nerve pressing against it. The beginning of the nerve ...

Facet Joint Injection / Medial Branch Nerve Blocks

Facet joint injections and medial branch nerve blocks aim to diagnose and/or treat pain arising from facet joints in the spine ...

Joint Injections

Joint injections are non-surgical procedures that apply a solution of anesthetic and corticosteroid directly to damaged joint tissue. This can provide you with the relief you need to improve your range of ...

Nerve Blocks

Blocks are injections of medication onto or near nerves. The medications that are injected include local anesthetics, steroids, and opioids. In some cases of severe pain ...

Kyphoplasty (Balloon Vertebroplasty)

Kyphoplasty/vertebroplasty are minimally invasive procedures used to treat vertebral body compression fractures. Vertebral body fractures lead to the collapse or compression of a vertebra ...

Sympathetic Block

A Sympathetic Block is a minimally invasive interventional pain management technique used to provide relief from pain caused from a number of conditions. It involves injecting ...

Medication Management – Non-opioids

Medication management is the process of overseeing the medications prescribed for a patient to ensure they are taken properly and achieving their planned, therapeutic outcome ...

PRP (platelet Rich Plasma)

Platelet rich plasma (PRP) therapy utilizes platelets taken from the patient’s own blood to rebuild damaged tendons or cartilage. Platelets normally circulate within the blood stream ...

Regenerative Medicine

Regenerative therapies are a spectrum of cutting edge therapeutic techniques used to naturally treat and heal the cause of a painful condition rather than masking the symptom ...

Spinal Cord Stimulation

Spinal cord stimulation is a cutting-edge treatment that blocks pain signals from the nerves in the spine to the brain. Patients undergo a temporary evaluation/trial period first to determine ...

Trigger Point Injections

Trigger points are focal regions of spasm and inflammation in skeletal muscle. Trigger points may occur in the upper spinal region resulting in neck pain, shoulder pain, and migraines ...

ISPW Affiliates & Accreditations

Dr. Goyle has been practicing interventional pain medicine in Scottsdale, Arizona since 2008.