
Michael Guiles, PA-C Physician Assistant
Using the five pillars of pain management- physical, pharmacological, interventional, psychological and adjunct therapies we give complete pain management care.
Michael Guiles is a native of Montana, studied at the University of Montana, Montana State University of Billings and received his BS Physician Assistant degree at Rocky Mountain College School of Allied Health.
He is a board certified Physician Assistant and a member of the American Academy of Physician Assistants. Michael has previously worked as a neurosurgical Physician Assistant, an orthopedic spine Physician Assistant and in an Internal Medicine practice.
Mr. Guiles has experience in treating opioid addiction.
In 2002 he served in the Immunization Project in Billings, Montana administering routine immunizations to hundreds of underserved community members.
Michael's hobbies include fishing, golf, music and travel.
Patient Informational Videos
Spine Diagnosis
- Complex Regional Pain Syndrome
- Degenerative Disc Disease
- Disc Herniation
- Fibromyalgia
- Hip Bursitis
- Osteoporosis
- Peripheral Neuropathy
- Radiculopathy
- Scoliosis
- SI Joint Pain
- Spine Anatomy
- Spinal Stenosis
- Spondylolisthesis
- Spondylosis
Injections and Procedures
- Discogram
- Dorsal Root Ganglion Stimulation
- Epidural Injection
- Facet Joint Injections
- Genicular Nerve Block
- Intracept By Relievant (Basivertebral Nerve Ablation)
- Neuromodulation
- Radiofrequency Rhizotomy
- Spinal Cord Stimulator Implant
- Sympathetic Nerve Block
- The mild® Procedure for Spinal Stenosis
- X-ray Guided Hip Injections
- X-ray Guided Sacroiliac Joint Injections
Orthobiologics
Behavior Modification
- Am I Depressed?
- Be Kind to Yourself
- Feeling at a Loss or Overwhelmed
- How to Deal with Negative Intrusive Thoughts
- Pain Journaling
- Your Mind Lies to You
Muscle Rehabilitation
Nutrition
Medical Imaging
Medications and More
- Adjuvant Medications for Pain
- Detoxification
- Short and Long-Term Effects of NSAIDs
- Opioid-Induced Hyperalgesia
- Short and Long-Term Side Effects of Opioids




