Trey Rigert, MD

EDUCATION

Residency
Physical Medicine and Rehabilitation, University of California-Irvine

Medical School
Oregon Health Sciences University, cum laude

Undergraduate
Biology, University of Oregon, cum laude

Dr. Rigert is Board-Certified in Physical Medicine and Rehabilitation. He brings 30+ years of experience that will benefit his patients. Dr. Rigert joins Drs. Kyle Duncan (Podiatrist), Matthew Thompson (Orthopedic Surgeon), and James Whittum (Orthopedic Surgeon) in the Good Shepherd Orthopedics Clinic.

DIAGNOSE AND TREAT

• Typically patients age 18 and older, but exceptions considered

CONDITIONS TREATED

• Patients with back and neck pain
• Suspected discogenic pain, facet joint pain, or sacroiliac joint dysfunction
• History of failed back surgery or persistent pain post-spine surgery
• Spinal stenosis, sub articular stenosis or radiculopathy
• Patients with nerve pain
• Sciatica or radicular pain
• Diabetic neuropathy or other peripheral neuropathies
• Postherpetic neuralgia
• Intercostal neuralgia (e.g., postthoracotomy pain)
• Complex regional pain syndrome (CRPS)
• Carpal tunnel syndrome. Patients with joint pain
• Osteoarthritis of major joints like the knee, hip, and shoulder
• Persistent joint pain post orthopedic surgery (persistent pain status post shoulder arthroplasty)
• Patients suitable for genicular nerve blocks for chronic knee pain (persistent pain status post arthroplasty)
• Patients with cancer pain
• Pain due to tumor involvement requiring nerve blocks or phenol blocks or radio frequency treatment for spinal metastasis/kyphoplasty
• Patients with headaches and facial pain
• Chronic migraines not responsive to conventional therapy
• Trigeminal neuralgia or other facial pain syndromes.
• Occipital neuralgia
• Patients with musculoskeletal pain
• Chronic shoulder pain, possibly related to rotator cuff issues
• Myofascial pain syndrome requiring trigger point injections
• Fibromyalgia with localized severe muscle spasms
• Patients with chest wall pain
• Post-surgical thoracotomy pain
• Rib fractures or chronic post-traumatic pain affecting the intercostal nerves
• Patients with specific syndromes
• Piriformis syndrome presenting as buttock pain and sciatica
• Post stroke patients with spasticity
• Sport injuries, partial rotator cuff tear, rotator cuff tendinosis, partial ACL tear, ankle injuries
• Rheumatologic patients in need of specific ultrasound guided joint injections
• Patients with compression fracture requiring kyphoplasty
• Patients with sacral insufficiency fractures requiring sacroplasty

PROCEDURES OFFERED

• Epidural steroid injections (cervical, thoracic, lumbar, caudal)
• Nerve blocks (Facet joint, Medial branch, Intercostal nerve, Genicular nerve, Ilioinguinal nerve, Suprascapular nerve, Occipital nerve, Pudendal nerve, Radiofrequency ablation (neurotomy), Cervical, thoracic, lumbar facet joint, Peripheral nerves)
• Spinal cord stimulation (Dorsal root ganglion stimulation Kyphoplasty and vertebroplasty and sacroplasty)
• Peripheral nerve stimulation (trial and implant, supra scapular, genicular, clunal, sciatic)
• Sympathetic blockades
• Stellate ganglion block
• Lumbar sympathetic block
• Ganglion impar block (for coccidia)
• Trigger point injections
• Regenerative medicine techniques:
  – Joint injections (shoulder, hip, knee) (including viscosupplementation)
  – Platelet-rich plasma (PRP) injections
  – Bone marrow aspirate concentrate therapy
• Discography (lumbar)
• Botox injections for muscle spasticity and chronic migraines
• Small joints (e.g., fingers, toes)
• Carpal tunnel injections
• Piriformis injections
• Sacroiliac joint injection
• Sphenopalatine ganglion block for facial pain
• Trigeminal nerve block
• Percutaneous indirect lumbar decompression (MILD procedure for lumbar spinal stenosis)
• Vertiflex placement for lumbar s pinal stenosis
• Percutaneous Sacroiliac joint fusion