ABOUT Pain Management
At Black Mountain Wellness, we specialize in innovative, non-surgical, and opioid-free solutions for pain management. Our providers are dedicated to identifying the true source of pain and developing personalized, evidence-based treatment plans for each patient.
Using advanced integrative and regenerative medicine techniques—including stem cell therapy, platelet-rich plasma (PRP) injections, prolotherapy, therapeutic Botox, and myofascial release—we help patients reduce inflammation, restore mobility, and regain an active, healthy lifestyle.
Our team provides relief for a wide range of chronic pain conditions, including arthritis, sciatica, and persistent joint, neck, and lower back pain. We also treat migraine and temporomandibular (jaw) pain, offering new options for patients who have not found success with traditional therapies.
To learn more about our comprehensive wellness strategies and chronic pain treatments, request an appointment with our team today.
What Is Integrative Pain Management?
Black Mountain Wellness offers professional, patient-centered integrative pain management designed to help individuals living with chronic pain discover new pathways to a healthier, more active life.
Research continues to show that the mind–body connection plays a vital role in how we experience and manage pain. Our approach focuses on restoring balance and function through evidence-based, holistic therapies — including regenerative treatments, acupuncture, nutritional counseling, and other complementary modalities — all thoughtfully tailored to each patient’s unique needs.
Some of the key benefits of integrative pain management at Black Mountain Wellness include:
ABOUT Integrative Pain Management
FAQs
Integrative Pain Management | Prolotherapy | Perineural Subcutaneous Injections (PSI) | Platelet Rich Plasma (PRP)
Integrative Pain Management treatments are great for those experiencing chronic pain, haven't found solutions from their traditional physicians, or are looking to stay away from harmful prescription pain management. Overall, Integrative Pain Management is an excellent solution for those who want to get out of pain and stay out of pain long-term.
Integrative Pain Management from the specialists at Black Mountain Wellness is perfect for patients who
experience joint pain, soft-tissue pain, spinal pain, nervous system pain, migraines, TMJ/Masseter pain,
and more!
Contact us today to get a free consultation to see if we are the right fit for you.
At Black Mountain Wellness, we believe in returning your body to its natural balance. Narcotics and opioids are often overprescribed to patients and do not target the underlying structural condition. We believe that the primary goal of pain management is to target the source of the pain, provide short-term relief, and lead to long-term, sustainable pain resolution.
While we can't know for sure whether we can fully cure the source of pain, we can promise we will give every possible effort to resolve the patient’s pain and improve functionality. We are experts in pain management and we are here to help plan your next steps in conquering pain and get you back to an active and healthy lifestyle!
By definition, it is an injection that causes growth and in turn, repair connective tissue such as ligaments, tendons, or cartilage. Prolotherapy is essentially an irritant that will be injected to kick-start the body's own healing response.
The patient is injected with dextrose concentration 12.5% to 25% + an anesthetic. Dextrose at these percentages stimulates a short inflammation in the area at which it was injected. This starts a repair cascade to heal the damaged area. The end product is a stronger and tighter tissue, healed injury, and decreased pain.
Perineural subcutaneous injections (PSI) are a 5% buffered dextrose solution injected under the skin (subcutaneous) to treat nerve pain. It is injected in close proximity to superficial nerve endings, thus effectively targeting the inflammatory response produced by sensory nerves.
This procedure is specifically used for conditions suffering from neuropathic inflammation. PSI injections work by injecting the buffered 5% dextrose solution in close proximity to superficial nerve endings. The injection is only about 1/2 an inch below the skin and the response to PSI is near instant pain relief!
Blood has three major types of cells, which are red blood cells, white cells, and platelets. Platelets are the cells that help blood clot and help the body heal from injury. Furthermore, Platelets have different proteins, which include growth factors, which help control inflammation and heal the body from injury.
When there is an injury to an area in the body, platelets are quickly produced and sent to the injured area. They are the first responders which initiate the healing cascade to grow new tissue, and release other proteins which help recruit more cells ultimately help to heal the injured area. During a PRP injection, the patient’s own blood is processed in a specific manner that concentrates these platelet cells. These are then injected into the affected area, which bind to the damaged tissue, and further release growth factors, which stimulate the body’s natural healing response.
About Myofascial Release Therapy (MFR)
Patients who suffer with pain or lack of motion may be having fascial problems that go undiagnosed. These individuals need to know about Myofascial Release Therapy.
What is Fascia and Why is it Important?
Fascia is a tough connective tissue surrounding every cell from head to toe, like a three-dimensional web. It provides support and flexibility to all structures of the body. The fascia is manipulated, directly or indirectly, which allows the connective tissue fibers to reorganize themselves in a more flexible, functional fashion. Releasing restrictions in the fascia can be the missing link in resolving problematic cases of pain and dysfunction.
What is Myofascial Release?
Myofascial Release is a hands-on approach used to loosen fascial restrictions throughout the body. The therapist releases the tight fascia by applying sustained pressure into the fascial barrier or area of restriction, allowing permanent elongation of the tissues.
What are the benefits of Myofascial Release and Myofascial Massage?
As fascial layers are released, the patient gains greater flexibility. This results in decreased pain, enhanced daily functional abilities, refined athletic performance, increased ease of movement and improved structural balance and integrity.
This is a partial list of conditions for which treatment with Myofascial Release techniques is safe and effective:
Cranial/Sacral Therapy:
Myofascial Release Techniques:
Fascia Blasting:
Fascia blasting leads to the following improvements:
The specialists at Black Mountain Wellness consistently produce positive, structural changes in their patients with acute and chronic pain and dysfunction. These whole-body techniques will be an important added dimension to your existing treatment regimen, greatly enhancing your therapeutic effectiveness.
(307)337-4981
As of January 1, 2026, Casper General Surgery will be transitioning to Black Mountain Wellness & Aesthetics — a new chapter built on the incredible foundation that Drs. Lane and Laura Smothers have created over 24 dedicated years of service to the Casper community.
The compassion, integrity, and true excellence of Drs. Lane and Laura Smothers have touched countless lives, and their legacy will forever remain a cornerstone of care in this space. We wish the Smothers a joyful, well-deserved retirement filled with new adventures, travel, rest, and time with loved ones. Your impact will always be remembered with deep gratitude.
Black Mountain Wellness will carry this legacy forward, continuing all Gynecologic Services as well as expanding new services:
Our mission remains the same: to help patients restore function, vitality, and confidence — through compassionate, evidence-based, and innovative care.
We are honored to continue serving this amazing community and look forward to welcoming you to Black Mountain Wellness in 2026.
