Business Details
24 Years
experience
Expert Pain Management & Regenerative Medicine in Puyallup & Tacoma, WA
At Cascade Interventional Pain Center, we are dedicated to providing high-quality, cost-effective, and compassionate interventional pain care. Founded in 2002 by Dr. Jay Iyengar, a board-certified physician with 24 years of experience in interventional pain management, our practice has become a trusted resource for patients in Puyallup and Tacoma, Washington. Our approach begins with precise diagnosis using state-of-the-art fluoroscopic imaging to identify the source of spine-related pain, followed by targeted treatments such as epidural steroid injections and regenerative therapies. Dr. Iyengars expertise, including advanced training at the University of Iowa Hospitals and Clinics and leadership as director of the pain clinic at Good Samaritan Hospital, ensures our patients receive cutting-edge care.We prioritize personalized relationships with our patients to tailor treatment plans that address chronic pain effectively. Our commitment to accessibility is reflected in our acceptance of most major insurance plans and our focus on eliminating unnecessary fees. With two convenient locations, we serve the broader Puget Sound region, striving to remain at the forefront of innovative pain management techniques.
Services
Epidural Steroid Injections
Regenerative Medicine
Facet Joint Injections
Discography
Percutaneous Disc Decompression
Details
- Year established: 2002
Highlights and features
- We offer 24 years of specialized expertise in interventional pain management.
- Our founder pioneered one of Washingtons first office-based interventional pain practices.
- We use state-of-the-art fluoroscopic imaging for precise diagnosis and treatment.
- Our personalized approach prioritizes long-term patient relationships and tailored care.
- We accept most major insurance plans to improve accessibility to pain treatment.
Services
Epidural Steroid Injections
Epidural steroid injections deliver targeted anti-inflammatory medication to alleviate nerve pain caused by herniated discs or spinal stenosis. This minimally invasive procedure reduces swelling and irritation in the epidural space, offering relief for cervical, thoracic, or lumbar conditions. Patients often experience significant pain reduction, enabling improved mobility and quality of life.
Regenerative Medicine
Regenerative medicine harnesses the bodys natural healing mechanisms using platelet-rich plasma (PRP) and adult stem cells. These treatments stimulate tissue repair in joints, ligaments, and discs by activating growth factors and mesenchymal stem cells. Ideal for osteoarthritis, partial tears, and discogenic back pain, this approach promotes long-term recovery without surgery.
Facet Joint Injections
Facet joint injections target pain from arthritic or inflamed facet joints in the spine. Using fluoroscopic guidance, anti-inflammatory medication is delivered directly to the affected joint or its nerve supply. This procedure provides diagnostic clarity and therapeutic relief for chronic neck or back pain related to degenerative joint disease.
Discography
Discography identifies painful intervertebral discs by injecting contrast dye under imaging guidance. This diagnostic test confirms whether disc abnormalities correlate with the patients symptoms, guiding precise treatment planning for discogenic pain. Results help determine candidacy for therapies like IDET or surgical intervention.
Percutaneous Disc Decompression
Percutaneous disc decompression relieves nerve pressure from contained disc herniations using a needle-based procedure. By removing small amounts of disc material, this technique reduces leg pain and restores function without open surgery. Most patients resume normal activities within 24 hours, with rapid symptom improvement.
People
Jay Iyengar
Founder & Physician
Dr. Jay Iyengar is a board-certified anesthesiologist with 24 years of experience in interventional pain management. He completed a pain management fellowship at the University of Iowa Hospitals and Clinics and served as director of Good Samaritan Hospitals pain clinic. A pioneer in office-based pain practices, he founded Cascade Interventional Pain Center in 2002.
Questions
What conditions do you treat?
We specialize in chronic spine-related pain, including herniated discs, facet joint arthritis, sciatica, and whiplash injuries. Regenerative medicine also addresses joint pain in hips, knees, shoulders, and ankles.
Do you accept my insurance?
We accept most major insurance plans, including Premera Blue Cross, TRICARE, Medicare, and United Healthcare. Contact us to verify your specific coverage eligibility.
What diagnostic tools do you use?
We use fluoroscopic imaging to precisely locate pain sources in the spine and joints, ensuring accurate diagnosis before recommending targeted treatments.
Are your treatments minimally invasive?
Yes, our procedures like epidural injections, disc decompression, and regenerative therapy avoid surgery, using needle-based techniques for faster recovery and reduced risk.
How do I schedule an appointment?
Call (253) 627-2666 during our business hours (Monday-Friday, 7:00 a.m.-3:30 p.m.) to request an appointment at our Puyallup or Tacoma locations.
Reviews (4)
Jodi Raynes
Jan 09, 2021
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Front desk staff wonderful. I was told to bring a driver for an injection and then when I arrived for said injection, they hadn't even gotten approval. Krista has zero compassion and could not have been more rude. They didn't even have my MRI. I do NOT recommended.
Tammy Springsguth
Apr 19, 2020
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I just received my 2nd Epidural treatment & this morning feeling a less pain in lower back glut & legs/ feet. Dr Jay & his staff are knowledgeable, professional & most of all compassionate. Offices ( ben to both locations) are always clean & they practice hygiene that I've never seen; in the Pulluyap office you remove your shoes prior to entering treatment area. I highly recommend Cascade Intervention & pain clinic!
Patricia Crossley
Apr 11, 2019
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I would recommend Dr. Iyengar to anyone who suffers from back or neck pain. This place is wonderful. The staff is loving, and welcoming, The Dr is very caring, makes sure all your questions and concerns are answered prior to proceeding with the procedure. Highly recommended.
Cara Lee
Apr 07, 2019
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I had a traumatic experience with several procedures at a different clinic. A friend referred me to Dr. Iyengar. He has been simply amazing. His staff is warm, welcome and go above and beyond to help me. Dr. Iyengar is an expert with procedure execution. I am so grateful for the care I receive here.
