About the practice
Comprehensive pain medicine, practiced carefully
Our team of anesthesiologists, pain medicine physicians, nurse practitioners and certified physician assistants takes a holistic view of pain — combining interventional therapy, thoughtful medication management and genuine patient education.
Our approach
Pain is inevitable. Suffering is optional.
Most patients arrive here after a long detour. They have seen a primary care physician, perhaps a surgeon, maybe an emergency department, and they have collected imaging reports and prescriptions without ever receiving a clear explanation of what is actually generating their pain.
We begin differently. The first appointment is an evaluation, not a procedure: a complete history, a focused physical examination and an independent review of your imaging. Where the examination leaves the source uncertain, a diagnostic block can confirm it directly before any long-term treatment is chosen.
From that diagnosis we build a plan that usually combines more than one element — an image-guided procedure to reduce the pain, medication used precisely rather than broadly, and a rehabilitation or activity plan to keep the improvement. Our physicians also provide hospital consultation and on-call coverage for patients admitted with severe or complex pain.
We are candid about what treatment can and cannot do. Some conditions can be resolved. Many can be substantially controlled. Our commitment is that you will always understand which category you are in and what the plan is designed to achieve.
Areas of particular expertise
- Fluoroscopically guided spine injections
- Radiofrequency ablation of facet and sacral nerves
- Spinal cord stimulator trial and implantation
- Intrathecal pain pump implantation and management
- Sympathetic and visceral nerve blocks
- Monitored medication management
- Hospital consultation and on-call coverage
Serving Roanoke Valley, New River Valley, the Alleghany Highlands and Southwest Virginia.
Care team
The clinicians who will see you
- Anthony L. Dragovich, M.D.Pain Medicine Physician

- George Montgomery Baylor, M.D.Pain Medicine Physician

- Dana M. Adams, PA-C, MS, ATCPhysician Assistant

- Paige B. Guilliams, FNP-CFamily Nurse Practitioner

- Jacob Sakiey, PA-CPhysician Assistant

- Erwin E. Fender, PA-CPhysician Assistant

- Cooper W. Beierle, FNP-CNurse Practitioner

- Lisa Simpson, FNP-CNurse Practitioner

- Donnita "Michelle" Law, ACNPC-AGAdult-Gerontology Acute Care Nurse Practitioner

- Elizabeth Armstrong, FNPFamily Nurse Practitioner

More about us
Explore further
- What Is a Pain Medicine Specialist?The training behind the specialty and how it differs from primary or surgical care.
- Research & PublicationsAcademic contributions and continued involvement in the evidence base.
- Medicolegal ConsultingIndependent medical evaluation, record review and expert opinion services.
Ready to get a real diagnosis?
Most patients are seen within two weeks. Call our office or send a request and our staff will help you choose the most convenient location.
