Beautiful landscape shot at the Grand Canyon in Colorado

Dr. Tristan Pico

Co-Founder & Physician



While the excitement of the operating room was difficult to leave, Dr. Tristan Pico found he wanted more personal interaction with his patients. This, paired with his desire to treat pain led him to the field of pain management, which not only provides the opportunity to connect with his patients during their time of greatest difficulty, but also alleviate their suffering. There is a great diversity of treatment options for patients who suffer with chronic pain.

While a resident in Anesthesiology at the University of Alabama, Dr. Pico learned many different techniques to treat both acute and chronic pain. His training at MD Anderson, the nation’s premier cancer treatment facility, helped him master the most advanced pain treatment techniques that can be offered to patients.

Dr. Pico is an advocate of providing patients with a wide array of treatments to ensure that pain treatment is tailored to each patient’s unique pain profile. Dr. Pico witnessed the devastating consequences of pain during his grandfather’s battle with colon cancer. At MD Anderson, he learned that pain is a highly personal experience and does not affect any one person in the same way. All patients who endure pain on a day-to-day basis can have their lives immeasurably improved with advanced pain treatment.

I discovered my passion for pain management while watching my Grandfather suffer with cancer pain.  My goal for all patients is to reduce pain, increase activity, and bring greater enjoyment to life.

Post Graduate Training

2009 – 2010 Fellowship  M.D. Anderson Cancer Center, Houston TX

July 1st 2009 – June 30th 2010 Interventional Pain Management fellowship

  • Multidisciplinary chronic pain service with broad exposure to cancer and non-cancer patients in inpatient and outpatient settings
  • Intrathecal pump, spinal cord stimulator, peripheral nerve stimulator trials and implants
  • Kyphoplasty, vertebroplasty, plasma-mediated ablation of spinal column tumors
  • Trigeminal, stellate, celiac plexus, lumbar sympathetic, superior hypogastric, and ganglion impar blocks and neurolysis
  • Facet injections, medial branch nerve blocks and radiofrequency ablations
  • Sacroiliac joint blocks and strip lesioning using radiofrequency ablation
  • Transforaminal, translaminar, and caudal epidural steroid injections
  • Greater and lesser occipital, supraorbital, suprascapular, ilioinguinal nerve blocks and radiofrequency ablations
  • Extensive experience with management of opioid and non-opioid analgesics, adjuvants
  • Glenohumeral, acromioclavicular, knee, hip, bursa, bicipital tendon injections

2006 – 2009 Residency  University of Alabama School of Medicine, Birmingham AL

June 30th 2006 – June 30th, 2009 Anesthesiology residency

  • Extensive experience with acute and chronic pain management
  • Performed numerous interscalene, supraclavicular, axillary, femoral, sciatic, and popliteal nerve blocks and catheters using both ultrasound guidance and nerve stimulation
  • Performed numerous transforaminal, interlaminar, facet, medial branch, sacroiliac, and greater trochanteric bursa steroid injections
  • Selected for liver transplant team CA-1 through CA-3 years

2005 – 2006 Internship  Baptist Health System, Birmingham AL

June 15th 2005 – June 20th 2006 Transitional Medicine internship

  • General Surgery and Emergency Medicine provided extensive suturing experience
  • Rotations in Cardiology, Radiology, Internal Medicine, Critical Care

Medical Doctorate

2001-2005 University of Alabama School of Medicine, Birmingham AL
June 4th 2005 Doctor of Medicine

Bachelor of Arts

1997-2001 Claremont McKenna College, Claremont CA
May 13th 2001 BA in Biology and Economics, Cum Laude

1997-1998 University of California, Los Angeles
Study in Biology and Economics

1994-1997 Santa Barbara City College, Santa Barbara CA
Study in Biology