ABOUT THE DOCTOR:

Robert Afra, M.D.
Board Certified Orthopaedic Surgeon

Dr. Robert Afra is a San Diego-based orthopedic surgeon who is nationally renowned in sports medicine with expertise in treating shoulder, elbow, wrist, hip, knee and ankle conditions. As the former Chief of Sports Medicine at the University of California, San Diego, Dr. Afra has published extensively in professional journals and books and presented at conferences around the world, where he is considered a pioneer in the study of shoulder, knee, elbow and ankle injuries in athletes and active adults. Dr. Afra is also a specialist in cartilage issues and pain in knee cap disorders; he was named Co-Director of the International Patellofemoral Study Group Conference in San Diego in July 2011. As a sports medicine physician, he has managed and treated complex joint injuries and successfully guided patients back to peak performance levels.

Dr. Afra takes a customized approach to treat each of his patients. He provides comprehensive care to injured athletes, from sprain rehabilitation and muscle and ligament tear repairs to care for broken bones. He regularly cares for children and active adults with injuries to the upper extremities (shoulders, elbows, and wrists) and lower extremities (hips, knees, and ankles). His joint replacement practice consists of shoulder replacement, hip replacement, and knee replacement surgery, including minimally invasive surgery techniques and traditional joint replacement surgery when necessary.

Dr. Afra completed his fellowship training in sports medicine at Boston University, where he treated a variety of elite college athletes in ice hockey, soccer, basketball, field hockey and lacrosse. Dr. Afra was a researcher at University of Hawaii’s Queen Emme Medical Center in the field of muscle and nerve physiology, and was a surgical fellow at the world-renowned Barnard O’Brien Microsurgical Institute in Melbourne, Australia. He has studied microsurgical techniques and the art of plastic surgery. Dr. Afra studied medicine at UCLA, where he also completed his surgery internship. Prior to attending medical school, Dr. Afra worked at the Salk Institute on an NIH research stipend. In 2010, Dr. Robert Afra was selected by the Arthroscopy Association of North America, a premiere sports medicine society, as one of three surgeons to lecture to university faculty in the United States and Canada.

Patient Care Liaison: Jackie Ellis (760) 681-4330

PRACTICE SPECIALTIES

For many people, pain is a constant presence. It can make daily tasks difficult, or it can be entirely debilitating. The pain management doctors at Coastal Pain & Spinal Diagnostics specialize in managing and treating acute and chronic pain that has not responded to conventional treatments such as rest, medication, physical therapy, and surgery.  
Our patients are individuals who, along with their physicians, are seeking alternative, advanced treatment options for their unrelenting pain caused by injury, illness, or disease. Working together with you, we can help relieve or decrease your pain and assist your return to your daily activities.

Our specialties include:
– Chronic Pain Management
– Cancer Pain Management
– Steroid Injections and Nerve Blocks
– Interventional Procedures
– Spine Diagnostics
– Minimally Invasive Spine Procedures

We are committed to each of our patients – and the medical community – to be the best center for pain management in North County San Diego. Our accomplished team of physicians and specialists is devoted to providing you with the highest quality medical care. Treatment plans are designed to combat your pain – helping you return to the most functional and productive lifestyle possible.
Our collaborative, multidisciplinary approach reduces pain and restores function while focusing our care where it belongs – on you, the patient. When you need a pain management expert, turn to our experienced pain management doctors for quality, compassionate care.

About The Doctors

NATHAN A. MILLER, M.D.

Nathan A. Miller, M.D. is a pioneer in the field of pain medicine with over a decade of experience treating patients in the North County San Diego area. Dr. Nathan Miller is a well-respected, compassionate physician who strives to help his patients regain their lives. He is Chief of Pain Medicine at Scripps Memorial Hospital, Encinitas and is double-board certified in Anesthesiology and Interventional Pain Medicine.
Dr. Miller completed his pain fellowship at the prestigious University of Virginia pain program. He is a diplomat of the National Board of Medical Examiners and a Qualified Medical Examiner in the State of California.
Dr. Miller is at the forefront in the treatment and management of a wide variety of acute and chronic pain disorders. He is a strong proponent of a multi-disciplinary approach in pain management to improve outcome and increase quality of life. With his knowledge and the use of advanced medicine, he has been able to help many patients who had little hope of a functional life. Dr. Miller specializes in difficult cases where other pain doctors have given up. He continues to stay current in the field of pain management and studies peer-review medical journals and literature. He is noted by his colleagues for his strong commitment to ethical patient care and compassion. He practices evidenced-based pain management.
Dr. Nathan Miller is a native of southern California and dedicated to increase awareness in pain management. In his free time, he enjoys bicycling and spending time with his family.

ANKUSH K. BANSAL, M.D.

Dr. Ankush Bansal is a double board-certified Anesthesiologist and Interventional Pain Physician (through the American Board of Anesthesiology) that has devoted his career to understanding complex and difficult-to-treat painful conditions. He has helped numerous patients with incapacitating pain improve their quality of life and regain function. He is actively involved in ongoing clinical research and multiple national medical societies including American Society of Interventional Pain Physicians, American Society of Regional Anesthesia, and North American Neuromodulation Society. He has published articles in peer-reviewed medical journals including the Pain Medicine Journal.  He is continually striving to find new and effective ways to treat chronic pain.

Dr. Bansal completed his undergraduate training at the University of Michigan where he studied the impact of exercise, nutrition, and movement on the human body. He completed his Doctor of Medicine (MD) at the University of Michigan Medical School.  After enduring a chronic painful neck injury, he moved to Los Angeles to specialize in Anesthesiology and Chronic Interventional Pain Management through the University of California Los Angeles (UCLA) where he was mentored by some of the most renown figures in the field of Pain Medicine.

In the summer of 2018, he joined Coastal Pain Medical Group.  He is dedicated to their mission of bringing the highest quality and compassionate pain services to their patients.  He currently has medical and surgical privileges at Scripps Memorial Encinitas Hospital and Tri-City Medical Center. He has a particular interest in treating neck, back, trunk, pelvis, shoulder, hip, and knee pain through various medical, interventional, and regenerative techniques.  In his free time, he loves spending time with family, traveling, running, and enjoying the beauty of North County San Diego.

Dr. Ritvik Mehta received his medical degree from the University of California, San Diego School of Medicine. He then went on to Harvard Medical School where he completed his internship in General Surgery and residency in Otolaryngology / Head and Neck Surgery. While at Harvard, he developed his interest in treating patients with facial paralysis. Recognizing the profound impact that facial paralysis has on the lives of those affected, Dr. Mehta chose to pursue advanced training in Facial Plastic and Reconstructive Surgery / Facial Nerve Disorders during his fellowship at the Massachusetts Eye and Ear Infirmary / Harvard Medical School. He then went on to complete a second fellowship in Otology / Neurotology and Skull Base Surgery at the University of California, San Diego School of Medicine.

Dr. Mehta is truly a compassionate and caring physician who has a deep interest in providing the best possible care for his patients. He has co-authored numerous publications and was the recipient of the American Neurotology Society Trainee Award for his middle-ear research. Dr. Mehta is board certified by the American Board of Otolaryngology. He is a professional member in the American Academy of Otolaryngology – Head and Neck Surgery, American Academy of Facial Plastic and Reconstructive Surgery, International Otopathology Society (Schuknecht Society), and the American Neurotology Society.

Max MRI is committed to providing state-of-the-art outpatient imaging services, by using the latest technology advances, such as the filmless digital PACS system. Max MRI’s true commitment is to our patients and referring physicians. We ensure the process is seamless from the moment the patient is referred until the report is completed. At Max MRI we have a dedicated staff that ensures this process by offering same day appointments, MRI reports within 24 hours and board-certified radiologists who are readily available for consultations.

Max MRI centers feature:

*Service areas include San Diego County, Orange County and L.A. County. See locations to find a Max MRI facility to serve you.

For over 20 years, Max MRI has been providing patients, medical professionals, and personal injury and worker’s compensation attorneys with the convenience of available appointment times, state-of-the-art diagnostic equipment, quick and accurate reporting, highly trained and certified staff members and board certified radiologists. Personal injury liens, worker’s compensation liens, medicare and most major insurance accepted. Located throughout Southern California, Max MRI continues to grow in San Diego, Orange County and L.A. County to best serve your needs.

HARVE MESKIN, EDD, LMFT / LETTY N. MESKIN, LMFT

ABOUT THE DOCTORS

Harve Meskin, EdD, LMFT

Dr. Meskin provides an environment which allows people to “be themselves.” The patient can expect an open, compassionate, honest and non-judgmental atmosphere.

He is trained both by some of the finest and well known leaders in the field of modern psychology. Albert Ellis, founder of Rational Emotive Therapy; Arnold Lazarus, founder of Cognitive BehavioralTherapy (CBT); Isadore Chine, the founding researcher and writer in the field of Addictive Disorders; and William Glasser, founder of Reality Therapy. One common thread amongst these great teachers is that Dr. Meskin learned to focus on the “here-and-now” problem solving, as opposed to spending decades mining the past.

Dr. Meskin is licensed in California as a Marriage and Family Therapist (14138) since 1979. His specialties are that of Behavioral Pain Management, Posttraumatic Stress Disorders, Anxiety, Depression and Addictive Disorders.

His experience ranges from individual counseling, to founding clinics and hospitals and in coordinating emergency field work at music festivals. Among the many firsts that Dr. Meskin has accomplished, he has contributed innovations in the treatment of adolescent substance abuse, which have changed the way teens are treated for this problem. He stands at the forefront of the treatment of chronic pain and has compiled innovative approaches to treating chronic pain disorders. He has produced sets of pain management CDs for at home use. Dr. Meskin has also consulted with both houses of the United States Congress and numerous community groups.

Harve is also the founder and President of Do Something Now!, a non-profit that sends bicycles to Third World countries. He also founded the North County Branch of the American Cancer Society and has served on multiple community boards and agencies.

Letty N. Meskin, LMFT

Her clinical experiences include, being a graduate fellow studying with the world renown theorist Carl Rogers, extensive chemical dependency training, as well as running an Adolescent Outpatient Treatment Program, a substance abuse diversion program for the Vista Unified School District, and heading up the Lifestyle Clinic for the CareUit, an inpatient chemical dependency hospital, and working at a community substance abuse clinic in El Cajon as a group and individual counselor.  In addition, Mrs. Meskin has worked with the Intervention and Treatment Branch at Camp Pendleton, CA as a domestic violence clinician with the U.S. Marine Corps. Her strength and love are facilitating groups.

Presently, she enjoys working with couples in crisis, individuals in life transitions, Posttraumatic Stress Disorder, those experiencing depression and anxiety symptoms, and chronic pain issues.  Treatment modalities used are goal-setting, cognitive-behavioral management, biofeedback, and teaching other methods of relaxation and stress reduction, like mindfulness meditation.  An expression that she likes is, ‘education is power.’  She also strongly values the belief that each person walking through the door deserves equal respect.

Board Certified Pain Management Specialist
Patient Care Liaison: Crystal (760) 547-6537

About The Doctor

Dr. Yogesh Patel has dedicated his life to the eradication of pain. Dr. Patel practices evidence based medicine and the multi-disciplinary approach to pain management, giving his patients the most options and the best care possible. He has helped many patients with difficult and advanced debilitating pain conditions. Dr. Patel is double board certified in Anesthesiology and Interventional Pain Medicine from the American Board of Anesthesiology. Dr. Patel is admired by his colleagues and adored by his patients. Dr. Patel trained at UCSD, one of the highest rated interventional pain fellowship programs in the country. There he trained with pioneers in the field of Pain Medicine, and developed a strong interest in patient education and prevention. At UCSD, he received outstanding acknowledgement in excellent patient care.

Dr. Patel is the founder of MyPainTools, a chronic pain education and prevention program. He feels that knowledge is empowerment, and that educated patients have the best chance for a pain-free lifestyle. Along with MyPainTools and the Coastal Pain eClub, he is actively developing programs to bring support groups and community education opportunities to North County. Dr. Patel has also worked extensively with other physicians and has placed strong emphasis on developing a strong working relationship with referring physicians with the end result of providing excellent and timely patient care.

Dr. Patel is at the forefront in the advances in pain management. He has a strong interest in research as well as the development of new and innovated treatments and techniques in pain medicine. He is dedicated to Coastal Pain’s mission to bring the highest quality, and compassionate pain services to North County. In his free time Dr. Patel devotes his time to his family and outdoor activities.

PRACTICE SPECIALTIES

West Coast Chiropractic Center is a full service clinic offering personalized quality chiropractic care, massage therapy, nutritional counseling and physiotherapy. We specialize in personal injury rehabilitation, sports injuries and effective care for the whole family.

ABOUT THE DOCTOR

Dr. Derek Rupp is a 1996 graduate of Cleveland Chiropractic College in Los Angeles. Dr. Rupp has been a chiropractor treating patients in the Carlsbad area for 17 years.  He loves the family atmosphere of his office, and enjoys getting to know the patients and their families.

Dr. Rupp uses a variety of techniques in his clinic including Pettibon, Chiropractic Biophysics (CBP), the Palmer method and Gonstead.  Dr. Rupp is also certified in the Webster Technique and is a member of the International Chiropractic Pediatric Association.

Liens are accepted, attorney and medical referrals are available upon request.

DRIVING DIRECTIONS

West Coast Chiropractic Center is location near the corner of Carlsbad Village Drive and El Camino Real in Carlsbad.  Exit the 78 Freeway, and head South until you reach 3144 El Camino Real.  You will need to make a U-Turn at Carlsbad Village Dr.

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