Quality Interventional Pain Management in Brunswick, Maine

Coastal Ortho Interventional Pain Management is a trusted practice in Brunswick, Maine, providing State of the Art specialty care in the field of Pain Management for adult musculoskeletal and neurologic conditions.

Our Approach to Interventional Pain Management

Your health and the quality of pain management services you receive are the top priorities of your providers at Coastal Ortho Interventional Pain Management. We believe the fundamental relationship between patient and doctor should be based on trust and the mutual understanding of the road to recovery. The care of our patients, education, and clear and accurate communication are extremely important in providing you with the ability to make an informed decision regarding the treatment of your condition.

Evaluation & Treatment

We strive to meet your individual needs through evaluation and treatment to ensure you achieve and maintain an active lifestyle. Our practice strives to provide outstanding and timely pain management while encouraging you to take an active role in the process.

The Coastal Ortho Interventional Pain Management team provides evaluation and treatment of neck and back pain, joint and muscle pain, as well as pain related to disorders of the brain, spine, and nerves. Our pain management providers are trained to work closely with orthopedic surgeons, neurosurgeons, physical and occupational therapists, osteopaths, chiropractors, and holistic providers of all disciplines to create a team approach to personalized care. They strongly believe that teamwork helps patients get better faster and more effectively.

Coastal Ortho Interventional Pain Management has broad experience in cutting edge interventional pain management treatments including joint and muscle injections, fluoroscopically guided spinal injections, spinal cord stimulation, cryoablation, and regenerative medicine techniques.

Coastal Ortho Interventional Pain Management will provide Maine patients with the most cutting edge treatment options and choices available anywhere.

Click Here For Intervention Overview

On-Site Procedure Suite

Coastal Orthopedics and Sports Medicine has recently added an Interventional Pain Management procedure suite on site. Our patients have given a warm reception to the highly personalized and expedited care we can now offer with our recent expansion.

Coastal Ortho

Matthew Seely, MD - Interventional Pain Management

We are excited to welcome Dr. Matthew Seely to our group. He specializes in treating a wide variety of painful conditions including back pain, neck pain, headache, joint pain, neuropathy, cancer pain, and many others. Dr. Seely is well versed in multidisciplinary pain care and offers the latest interventional pain options including neuromodulation, image-guided injections, radiofrequency ablation, kyphoplasty, and more. He provides compassionate and innovative care with the goal of providing pain relief and restoring function to his patients.


Kristen Schroeder-Cyr

Kristen Schroeder-Cyr, FNP-BC

Kristen Schroeder-Cyr, FNP-BC is a board-certified Family Nurse Practitioner, receiving her Master's of Nursing at the University of California, San Francisco in 2006. Prior to this, she was an RN, BSN working as a Pediatric Nurse in major medical centers in Hawaii, Seattle, San Francisco, and Boston for a total of 13 years. She has worked in the area of physiatry and pain management since 2007 and has developed a passion for working with this challenging and rewarding population.

Listening to patients and their concerns regarding musculoskeletal issues is her first approach to treatment, followed by formulating an individualized plan that encompasses a variety of modalities based on physical exam, diagnostic studies, and chief complaints. This involves working in conjunction with other team members such as physical therapists, osteopaths, pain psychologists, and primary care physicians. She is able to give joint and muscle injections and evaluate for appropriate interventions to be given by Dr. Seely. Interventions include, however are not limited to, nerve blocks, spinal injections, rhizotomy, as well as medication infusions.

Outside of work she enjoys camping in my VW westfalia with her family and dog. In the winter she enjoys snowboarding at Sugarloaf.

Alisa Siulinski

Alisa Siulinski, FNP-C

Alisa Siulinski, FNP-C, is a Certified Family Nurse Practitioner. She received her Master’s of Nursing at the University of Southern Maine in 2020, and received her Bachelor’s of Nursing at the University of New England in 2014. Alisa previously worked as a registered nurse at Mid Coast Hospital in the surgery department. She is excited to be a part of the team here at Coastal Ortho!

When she isn’t at work, Alisa enjoys mountain biking, running, and reading. She lives in North Yarmouth with her husband, son, and cat.

Brief Intervention Overview

Epidural Steroid Injections

Epidural steroid injections are very effective, low risk, minimally invasive treatments used to treat chronic pain in the neck, arms, back and legs. Epidural steroid injections have been a mainstay of pain management and are used for diagnostic and therapeutic purposes. Several types are available depending on the patient’s condition.

Nerve Blocks

Nerve blocks, or neural blockades, are diagnostic and therapeutic procedures that can help manage many different types of intractable pain.

Sympathetic Blocks

Sympathetic chain anesthetic blocks are commonly used for complex regional pain syndrome (CRPS).

Trigger Point Injections, Small and Large Joint Injections

Trigger point injections, as well as joint injections, are used for myofascial pain or degenerative arthritis and are often performed in conjunction with physical therapy to maximize pain relief and functional recovery.

Facet Joint and Medial Branch Injections

Facet joint and medial branch injections are used to treat chronic pain caused by degenerative arthritis of the facet joints in the neck or back.

Radiofrequency Ablations (RFA)

RFA is used to treat chronic pain caused by degenerative arthritis of the facet joints in the neck or back, as well as large joints including the sacroilliac joint and the knee. RFA uses thermal energy to deaden sensory nerve endings to the affected joint(s).

Spinal Cord Stimulators

Spinal cord stimulation for the lumbar spine is an emerging technology which has demonstrated good relief for patients suffering from post-laminectomy syndrome with chronic back and/or leg pain.

Medication Management/ Recommendations

We recognize the CDC opioid prescribing guidelines and emphasize the use of non-narcotic medications for pain (when medications are indicated). We can assist providers in determining whether or not opioid medications are appropriate; recommendations would be made and it would be up to the primary care physician to implement them.