How APSI Wellness in Cincinnati Can Help Reduce Your Pain | APSI Wellness
From spinal injections and radiofrequency neurotomy to spinal cord stimulation and psychotherapy, discover how Dr. Magdalene Kerschner and the APSI Wellness team in Milford, OH help patients across Greater Cincinnati find lasting relief from chronic pain.
How APSI Wellness in Cincinnati Can Help Reduce Your Pain
By APSI Wellness | May 25, 2026
Table of Contents
Who We Are: APSI Wellness in Milford, OH
A Different Approach to Pain Management
Conditions We Treat in Greater Cincinnati
Diagnostic and Therapeutic Spinal Injections
Radiofrequency Neurotomy for Long-Lasting Relief
Sympathetic and Nerve Blocks
Joint, Trigger Point, and TMJ Injections
Spinal Cord Stimulation for Severe, Refractory Pain
Psychotherapy and the Mind-Body Connection
What to Expect at Your First Visit
Why Patients Across Cincinnati Choose APSI Wellness
Frequently Asked Questions
Chronic pain has a way of shrinking a person's world. Errands, work, exercise, time with family—everything narrows down to "how bad will it hurt today?" If you live in Greater Cincinnati and that description hits a little too close to home, you are not alone, and you are not stuck. APSI Wellness in Milford, OH is an interventional pain management practice built around one idea: most people in pain have far more treatment options than they realize. In this guide, we walk through exactly how Dr. Magdalene Kerschner and our team help patients across Cincinnati, Milford, Loveland, Anderson Township, Eastgate, and the surrounding Eastside reduce pain, restore function, and reclaim the activities they love.
Who We Are: APSI Wellness in Milford, OH {#who-we-are}
APSI Wellness is a physician-led interventional pain practice serving the Greater Cincinnati area. We are not a quick-prescription pill mill, and we are not a surgical center pushing operations. We sit in the most important middle ground in modern pain care—advanced, image-guided procedures combined with thoughtful medical management and behavioral health support. Our patients are referred from primary care providers, orthopedic surgeons, neurosurgeons, neurologists, and physical therapists across Hamilton, Clermont, Warren, and Butler counties, and many find us on their own after years of frustration.
If you have never heard of interventional pain management, the simplest way to understand it is this: we use precision tools—fluoroscopic X-ray, ultrasound, and targeted medications—to identify exactly where your pain is coming from and treat that specific structure. No guesswork. No "let's just try another pill and see."
A Different Approach to Pain Management {#a-different-approach}
Walk into APSI Wellness and the first thing you will notice is that we listen. A thorough history, a careful exam, and a review of your imaging usually tell us more than any single test. From there, we build a plan that typically blends three layers:
Conservative care first — Physical therapy, posture and ergonomic coaching, sleep optimization, and home exercise.
Interventional procedures — Targeted injections, nerve blocks, radiofrequency procedures, and—when appropriate—spinal cord stimulation.
Whole-person support — Psychotherapy, stress management, and coordination with your other providers.
This stepped approach respects your time and your body. We do not jump to the most aggressive option, but we do not waste months on therapies that are clearly not working either.
Conditions We Treat in Greater Cincinnati {#conditions-we-treat}
APSI Wellness specializes in the full spectrum of musculoskeletal and neuropathic pain conditions, including:
Chronic back pain and neck pain
Herniated discs and degenerative disc disease
Spinal stenosis and spinal arthritis
Facet joint pain and whiplash
Sacroiliac (SI) joint pain
Vertebral compression fractures
Complex regional pain syndrome (CRPS)
Post-herpetic neuralgia (shingles pain)
Occipital headaches and sympathetic nerve pain
General chronic pain of unclear origin
Whatever brought you to this page—lifting a grocery bag the wrong way, a car accident on I-275, a stubborn ache that has lingered for years—there is almost certainly a treatment pathway worth exploring.
Diagnostic and Therapeutic Spinal Injections {#diagnostic-and-therapeutic-spinal-injections}
Spinal injections sit at the heart of what we do. Performed under live fluoroscopic guidance in our Milford office, they deliver anti-inflammatory medication exactly where it is needed—often providing both diagnostic clarity and meaningful relief in a single appointment.
Lumbar Epidural Steroid Injection — Reduces inflammation around irritated nerves in the low back, a workhorse treatment for sciatica and disc-related pain.
Lumbar Transforaminal Epidural — A more targeted epidural that bathes a single nerve root in medication, ideal for one-sided leg pain.
Thoracic Epidural Steroid Injection — Used for mid-back and rib-area pain, including post-herpetic neuralgia.
Cervical Epidural Steroid Injection — Calms inflamed nerves in the neck that cause shoulder, arm, or hand pain.
Caudal Steroid Injection — Delivered through the base of the spine, useful for patients with prior back surgery or widespread low-back nerve irritation.
Most patients are in and out in under an hour and back to light activity the same day.
Radiofrequency Neurotomy for Long-Lasting Relief {#radiofrequency-neurotomy}
When facet joint arthritis is the culprit behind chronic neck or back pain, radiofrequency neurotomy (sometimes called rhizotomy or RFA) can be life-changing. After confirming the diagnosis with a medial branch block, we use radiofrequency energy to gently disable the tiny medial branch nerves that carry pain signals from those arthritic joints.
Cervical Facet Radiofrequency Neurotomy — For chronic neck pain and cervicogenic headaches.
Lumbar Facet Radiofrequency Neurotomy — For chronic axial low-back pain.
Relief typically lasts 9 to 18 months, and the procedure can be repeated as needed. For patients who have been counting on opioids or muscle relaxants just to get through the day, RFA can be the turning point. Read more in our deep dive on chronic back pain and radiofrequency.
Sympathetic and Nerve Blocks {#sympathetic-and-nerve-blocks}
Some types of pain—burning, electrical, hypersensitive, or visceral—come from the autonomic and peripheral nervous systems rather than the muscles or joints. We offer a full menu of targeted blocks:
Stellate Ganglion Block — For upper-body CRPS, post-herpetic neuralgia, and certain face/arm pain syndromes.
Lumbar Sympathetic Block — For lower-extremity CRPS, vascular pain, and neuropathic leg pain.
Celiac Plexus Block — Powerful relief for abdominal pain from pancreatitis or upper-abdominal cancers.
Costovertebral Block — For rib-cage pain, including post-thoracotomy and intercostal neuralgia.
Sub-Occipital Nerve Injections — For occipital neuralgia and chronic headaches at the base of the skull.
These procedures are often diagnostic as well as therapeutic—when a block dramatically reduces your pain, we know exactly which nerves to target with longer-lasting treatments.
Joint, Trigger Point, and TMJ Injections {#joint-trigger-point-and-tmj-injections}
Not all pain lives in the spine. APSI Wellness offers a range of peripheral injections to treat painful joints and muscles directly:
Shoulder-to-Knee Injections — Image-guided corticosteroid and viscosupplementation injections for shoulders, hips, knees, and other large joints.
Sacroiliac Joint Steroid Injection — For the surprisingly common SI joint pain that mimics low-back or hip problems.
Trigger Point Injections — Small, quick injections into knotted muscle bands that drive myofascial pain.
TMJ Injections — For jaw pain, clicking, and headaches stemming from the temporomandibular joint.
These office-based procedures are typically performed the same day as your consultation when appropriate.
Spinal Cord Stimulation for Severe, Refractory Pain {#spinal-cord-stimulation}
For patients with severe, persistent pain that has not responded to other treatments—particularly failed back surgery syndrome, CRPS, and diabetic neuropathy—spinal cord stimulation offers a remarkable option. A small implanted device delivers gentle electrical signals to the spinal cord, replacing pain sensations with mild tingling or, with newer waveforms, nothing at all.
Best of all, every patient gets a trial period first—a temporary device worn for about a week so you can experience the relief before committing to the implant. Learn more in our full guide to spinal cord stimulation in Cincinnati.
Psychotherapy and the Mind-Body Connection {#psychotherapy-and-the-mind-body-connection}
Chronic pain and mental health are deeply intertwined. Pain disrupts sleep, mood, relationships, and identity—and stress, anxiety, and depression in turn amplify pain signals. Ignoring this loop leaves the best procedural results sitting on a shaky foundation.
That is why APSI Wellness offers integrated psychotherapy as part of our pain program. Cognitive behavioral therapy for chronic pain (CBT-CP), acceptance and commitment therapy (ACT), and mindfulness-based strategies have decades of evidence behind them. For many patients, this is the missing piece that finally turns "managing" pain into actually moving past it.
What to Expect at Your First Visit {#what-to-expect-at-your-first-visit}
Your first appointment at APSI Wellness usually takes 45 to 60 minutes. We will:
Review your pain history, prior treatments, and imaging in detail.
Perform a focused physical exam to localize the pain generator.
Discuss a step-by-step treatment plan—what we recommend now, what we'd reassess later, and what we'd save in reserve.
Answer every question you have about risks, benefits, costs, and timelines.
Schedule any indicated procedures, often within the same week.
Most major insurance plans, including Medicare, are accepted. Our team handles prior authorizations so you can focus on getting better.
Why Patients Across Cincinnati Choose APSI Wellness {#why-patients-choose-apsi-wellness}
Physician-performed procedures — Every interventional procedure is performed by Dr. Magdalene Kerschner.
Image guidance on every spinal injection — Precision matters; we do not perform "blind" injections.
Conservative when possible, advanced when needed — From simple trigger point injections to spinal cord stimulation, we meet you where you are.
Convenient Eastside location — Easy access from Cincinnati, Milford, Loveland, Mason, Anderson, and Northern Kentucky.
Integrated behavioral health — Because pain is never just physical.
Educational, patient-first culture — You will leave every visit understanding exactly what is happening and why.
Pain may have narrowed your world, but it does not have to define it. With the right diagnosis and the right combination of treatments, the vast majority of our patients see meaningful improvement—often within weeks.
Frequently Asked Questions {#frequently-asked-questions}
Do I need a referral to see APSI Wellness?
Most insurance plans do not require a referral, but some HMOs do. Call our office at 513-936-3050 and our team will check your specific plan in minutes.
Will my insurance cover interventional pain procedures?
The vast majority of the procedures we perform—including epidural steroid injections, facet injections, radiofrequency neurotomy, and spinal cord stimulator trials—are covered by Medicare and most commercial insurers when medically indicated. We handle prior authorizations in-house.
How quickly can I be seen?
New patient appointments are typically available within 1 to 2 weeks, and sooner for urgent cases. Procedures can often be scheduled the following week.
Are these treatments safe?
The interventional procedures we offer have an excellent safety profile when performed by an experienced physician under image guidance. Serious complications are rare. We review the specific risks of any recommended procedure with you in detail.
Will I be on opioids?
Our explicit goal is to reduce or eliminate opioid use through targeted procedures and multimodal therapy. We do not run a chronic opioid prescribing program, but we will coordinate carefully with your other providers during any transition.
How long does relief from an injection last?
It varies by procedure and patient. Diagnostic blocks may last hours; therapeutic epidurals often last weeks to months; radiofrequency neurotomy commonly provides 9 to 18 months of relief.
Can you help if I have already had back surgery?
Yes. Failed back surgery syndrome is one of the most common reasons patients come to us, and treatments like caudal injections and spinal cord stimulation are particularly effective for this group.
Do you treat headaches?
Yes. We treat occipital neuralgia, cervicogenic headaches, and post-traumatic headaches with sub-occipital nerve injections, cervical facet RFA, and trigger point therapy.
What if I don't know exactly what is causing my pain?
That is one of the most common reasons people come to APSI Wellness. Diagnostic blocks and a careful physical exam are precisely how we figure it out.
How do I schedule a consultation?
Call 513-936-3050 or visit our contact page. Same-week appointments are often available, and our team will walk you through next steps in a single call.
Ready to take the next step? You have already invested time educating yourself—now let APSI Wellness in Milford, OH help you build a plan. Call 513-936-3050 or book a consultation online and find out exactly what is possible for your pain.
APSI Wellness — Advanced Pain Solutions & Interventions
5405 DuPont Circle Suite A, Milford, OH 45150 | Phone: (513) 936-3050
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