Meet Dr. Issachar Devine: Innovating in Pain Management Through Advanced Interventional Techniques

Category: Doctor Q&A
Posted On: Apr 1, 2025

What innovative treatments are you most excited about in pain management?

I'm particularly passionate about minimally invasive interventional procedures that provide lasting relief for chronic pain patients. Kyphoplasty has been transformative for patients with spinal compression fractures, offering immediate pain relief and improved mobility. The Intracept procedure represents a breakthrough for chronic vertebrogenic low back pain by targeting the basivertebral nerve.

I'm also seeing remarkable results with regenerative treatments like Platelet-Rich Plasma (PRP) therapy and Viadisc, which harness the body's natural healing processes to address degenerative conditions. For precision-targeted pain relief, I utilize fluoroscopy and ultrasound-guided treatments, and Botox therapy has proven highly effective for patients suffering from migraines and spasticity.

Additionally, I focus on osteoporosis management to prevent compression fractures and improve long-term spinal health—an often overlooked but critical aspect of comprehensive pain care.

What drew you to specialize in interventional pain medicine?

My journey into pain management evolved naturally from my foundation as an Osteopathic Physician. I initially used manual techniques to address pain and dysfunction, which sparked my interest in hands-on problem-solving. After training in General Surgery, I found my true calling in Interventional Pain Management.

The field's rapid evolution and cutting-edge advancements allow me to provide innovative solutions for both common and complex pain conditions. There's nothing more rewarding than witnessing the transformation when a patient who has suffered with chronic pain finally experiences relief. Seeing that moment of renewed hope makes every challenge worthwhile.

How do you approach medication management in your treatment plans?

Having trained in a region where both pain and addiction were prevalent issues, I've developed a balanced, comprehensive approach to pain management. My ultimate goal isn't just managing pain—it's resolving it whenever possible.

I view pain management as a spectrum and implement a stepwise approach:

Conservative Therapies – Beginning with physical therapy, occupational therapy, osteopathic manipulation, manual therapy, and over-the-counter medications.
Minimally Invasive Interventions – Progressing to ultrasound and fluoroscopy-guided injections, regenerative medicine treatments (PRP, Viadisc), and radiofrequency ablation when appropriate.
Surgical Options – Reserved as a last resort after exhausting all other treatment avenues.

This approach is complemented by a multidisciplinary strategy incorporating therapy, psychological support, and wellness strategies to help patients achieve a balanced, pain-free life.

What is your philosophy regarding doctor-patient relationships?

Trust and communication form the foundation of effective doctor-patient relationships. I recognize that while some patients build trust quickly, others need time, and I prioritize creating an environment where all patients feel heard, respected, and actively involved in their care.

My patient-centered approach includes:

Thoroughly educating patients about their condition and available treatment options
Empowering them to make informed decisions about their care
Collaborating with other specialists to ensure comprehensive, team-based treatment

My ultimate goal is guiding patients toward long-term pain relief and improved quality of life through personalized, compassionate care that addresses their unique needs.

What activities do you enjoy outside of your medical practice?

Outside the clinic, I maintain an active lifestyle that includes basketball, hiking, and beach outings. I also enjoy engaging with technology, singing, and dancing—activities that help me maintain a healthy work-life balance.

What aspects of pain management drive your passion for the field?

I'm driven by solving complex pain problems and witnessing the transformation in patients' lives. Chronic pain can be profoundly debilitating and discouraging, and I take immense satisfaction in helping patients regain function and well-being.

Each case presents a unique puzzle requiring careful analysis and creative problem-solving. I also value the opportunity to teach and mentor, encouraging trainees to think critically and develop solution-oriented approaches to patient care.

What emerging technologies excite you about the future of pain management?

I'm particularly enthusiastic about the evolution of percutaneous and endoscopic procedures that are transforming traditionally open surgeries into minimally invasive treatments. Innovations such as posterior fusions, discectomies, and laminectomies performed through small incisions are revolutionizing spine care.

These advancements mean faster recovery times with significantly less trauma to surrounding tissues—ultimately providing better outcomes for patients with debilitating spinal conditions.

What attracts you to practicing at NSPC?

NSPC provides an ideal practice environment that values physician autonomy while offering robust support systems. The practice's resources, mentorship opportunities, and forward-thinking approach foster innovation and collaboration.

Working alongside like-minded professionals in a setting that prioritizes both patient outcomes and physician development creates an environment where advanced pain management techniques can truly flourish.

If you weren't a physician, what alternative career would you consider?

If I hadn't pursued medicine, I could envision a career in law enforcement, where I could still make a meaningful difference in people's lives through community service and protection.

What conditions do you specialize in treating?

As an interventional pain specialist, I treat a comprehensive range of painful conditions including: