07/25/2026
Are you dealing with chronic pain that hasn't responded to standard treatment?
The right treatment for pain depends on correctly identifying the TYPE of pain. Somatic and visceral pain are two fundamentally different neurologic categories, each requiring a different approach.
Somatic pain (skin, muscle, bone, joint, connective tissue):
β Sharp, well-localized quality
β Worse with movement or touch
β Follows predictable anatomical patterns
β Responds to targeted physical therapy, image-guided injections, radiofrequency ablation, NSAIDs
Visceral pain (internal organs and surrounding tissues):
β Dull, diffuse, hard to localize
β Often referred to distant body regions (heart pain in left arm; gallbladder pain in right shoulder; kidney pain in the low back)
β Often accompanied by autonomic symptoms (nausea, sweating, blood pressure changes)
β Responds to different medications, sympathetic and autonomic nerve blocks, and treatments targeting the underlying visceral condition
Why accurate categorization matters:
β Somatic treatments applied to visceral pain rarely produce lasting relief
β Missed visceral causes can delay diagnosis of serious underlying conditions
β Many chronic pain patients have mixed patterns requiring both approaches
Comprehensive evaluation includes:
β Detailed history exploring pain quality, location, and referred patterns
β Physical examination targeting both musculoskeletal and referred sources
β Imaging when warranted
β Diagnostic injections when needed to confirm the source
At Ponte Vedra Spine and Pain Center, our team provides thorough evaluation of chronic pain β including recognition of visceral and mixed pain patterns β and offers the full range of targeted interventional and coordinated care.
If your chronic pain has not responded to standard treatment, our team can help.
Schedule a consultation:
Ponte Vedra Spine and Pain Center
380 Town Plaza Ave, Ste 420
Ponte Vedra, FL 32081
(904) 750-3787
www.pontevedrapain.com