Welcome to Active Pain Management Solutions

Active Pain Management Solutions is a fully licensed pain management clinic operating under established guidelines of the state of Tennessee. David M. McAfee, MD is a board certified anesthesiologist and pain medicine specialist who has over 25 years of experience in interventional and medical treatment of acute and chronic pain. Dr. McAfee is a resident of Putnam County, Tennessee. Our focus is to improve the lives of people with chronic pain by emphasizing a multi-modal approach to pain management and reducing the patient’s narcotic burden to the lowest and safest level. Each patient is evaluated and a unique care plan is generated to alleviate pain.

Interventional techniques include:

  • Medial Branch Blocks
  • SI Joint Injections
  • Epidural Steroid Injections
  • Radiofrequency Ablations
  • Peripheral Nerve Stimulation
  • Spinal Cord Stimulation
  • Genicular Nerve Block/Ablation
  • Ultrasound Guided Injections
  • Sympathetic Nerve Blocks

We provide scheduled psychological screening and teach basic behavioral modification techniques which allow patients to become more in control of their pain management. We also work closely with physical therapy to retain and improve function and reduce pain.

Ketamine infusions are now available and may give symptom relief from:

  • Fibromyalgia
  • CRPS (Complex Regional Pain Syndrome)
  • Chronic Migraines
  • Post-Traumatic Stress Disorder (PTSD)
  • Rheumatoid Arthritis
  • Major Depression
  • Treatment Resistant Depression
  • Bipolar Depression

MAT (Medication Assisted Treatment) is also available for narcotic addiction disorders. Insurance plans are accepted for treatment coverage, if applicable. Private pay options are available if necessary.

Given the current epidemic of narcotic related deaths, pain management clinics must play a primary role in facing this challenge, especially at the patient level. Through patient education, alternative therapies, interventional techniques, open communication and proper medical management, we know we can provide an excellent and needed service to the community.