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Our Providers
Harlan R. Ribnik,
M.D., F.I.P.P.

Pain Consultants of the Rockies, PC (PCR) is the oldest and most experienced practice in the State of Wyoming devoted to the care of patients with intractable pain. We have continuously been involved in this challenging specialty since 1993.


We provide all aspects of interventional pain practice, including nerve blocks, injections, nerve destruction procedures, management of Spinal Cord Stimulators, Implantable pumps, Peripheral Nerve Stimulators, diagnostic Diskography. 


We offer services to patients from all over Wyoming, but we also draw from Colorado and Nebraska.


Latest Clinic News:


Degenerative Disc Disease


As discs lose their water content because of disease or age, they lose their height, bringing the vertebrae closer together. As a result, the nerve openings in your spine become more narrow. When this happens, the discs don’t absorb the shocks as well, particularly when you are walking, running, or jumping.


Wear and tear, poor posture, and incorrect body movements can also weaken the disc, causing disc degeneration.



For some of us, degenerative disc disease is part of the natural process of growing older. As we age, our intervertebral discs can lose their flexibility, elasticity, and shock-absorbing characteristics. For others, degenerative disc disease can stem from an injury to the back.



Degenerative disc disease may cause back and/or leg pain, as well as functional problems such as tingling or numbness in your legs or buttocks, or difficulty walking.

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Living With a Neurostimulator or Drug Pump

Once your Medtronic drug pump or neurostimulator is implanted and the implant site is healed, you and your doctor will work together to develop a pain management program. That program may include other types of therapies in addition to your Medtronic device, like physical therapy and exercise, with the goal of helping you to restore function for daily living.

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About Cervical Herniated Discs

You probably know the cervical herniated disc by its more familiar name: "slipped disc." Although the disc doesn’t really slip, it can tear open, causing the fluid inside to push against the surrounding nerves in the neck. For some, the surgery to replace the disc with an artificial one may be an option. 

Neck pain and symptoms caused by a herniated disc are common problems for many adults. The neck is composed of many different anatomic structures, including muscles, bones, ligaments, and joints. Each of these structures has nerve endings that can detect painful problems when they occur.



The tissue between the bones in your neck is called intervertebral discs. The discs are composed of a soft gel-like center and a tough outer lining.


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