Twin County Pain Services



By Appointment Only


Tonya K. Powers, MD, Board Certified: Pain Management & Anesthesiology

Conditions Treated

  • Cancer pain
  • Work injuries
  • Joint pain
  • Scar pain
  • Spinal stenosis
  • Coccydynia
  • Costochondritis
  • Post-operative pain
  • Phantom limb pain
  • Craniofacial pain
  • Chronic back pain
  • Trigeminal neuralgia
  • Peripheral neuropathy
  • Myofascial pain syndromes
  • Discogenic pain
  • Reflex sympathetic dystrophy
  • Spondylosis pain

Procedures & Services

  • Epidural steroid injections (ESI)
  • Intercostal nerve blocks
  • Trigger point injections
  • Facet injections
  • Intrathecal infusion systems
  • Spinal cord stimulation
  • Brachial plexus injections
  • Head and neck injections
  • Hypogastric plexus injections
  • Stellate ganglion blocks
  • Peripheral nerve blocks
  • Celiac plexus blocks
  • Botox injections
  • Outpatient chronic pain management


  • Discography
  • Diagnostic Nerve Blocks

Pain Management

Pain management services are offered by MedStream Comprehensive Pain Solutions providing diagnostic and therapeutic procedures as well as interventional therapy.  Procedures are performed by a board certified physician who is fellowship trained in pain management.  The main focus is reducing your pain and improving the quality of your life.  

Making an Appointment

Please contact your physician for a referral.  Your physician is welcome to fax an order to 276.236.3103.  Twin County Pain Services is located at Twin County Regional Hospital, 200 Hospital Drive in Galax, Virginia, in the Outpatient Surgery area on the first floor.  Registration is located on the ground floor.  For more information or to schedule your evaluation, please call 276.238.3558. 


Most insurance plans will cover physician-referred pain management procedures.  Please contact your health plan with any questions.

Office Manager

Lori Ward, CPC

Twin County Pain Services
200 Hospital Drive
Galax, VA 24333
276.236.3103 fax