Chronic pain, no matter where it is in the body, can be difficult to live with. Pain may make it difficult to perform the activities you love as well as fulfilling your daily functions to live a happy and productive life. You may benefit from consulting with the pain medicine specialists at Virgin Islands Pain & Spine, a division of Comprehensive Orthopaedic Global.

Our pain medicine doctors in St. Thomas and St. Croix work directly with you to form a comprehensive treatment plan for your specific needs. Your condition will be evaluated to customize your treatment plan for the best results. Please click on the link to see the most commonly treated conditions at Virgin Islands Pain & Spine.


  • Abdominal pain
  • Achilles Tendinitis
  • Acute headaches
  • Arthritis
  • Back Pain
  • Bulging Disc
  • Cancer Pain
  • Car Accident Injuries
  • Carpal Tunnel Syndrome
  • Chronic Pain
  • Complex Regional Pain Syndrome
  • Compression Fractures*
  • Degenerative Disc Disease*
  • Diabetic Peripheral Neuropathy
  • Extruded Discs
  • Face Pain
  • Fibromyalgia
  • Foot Pain
  • Headaches
  • Heel Spur
  • Hip and Leg Pain
  • Knee Pain
  • Lower Back Pain
  • Migraine Headache
  • Motor Vehicle Injuries
  • Neck Pain
  • Osteoarthritis
  • Pelvic Pain
  • Phantom Limb Pain
  • Piriformis Syndrome
  • Plantar Fasciitis
  • Post-Herpetic Neuralgia
  • Post-Laminectomy Syndrome
  • Reflex Sympathetic Dystrophy
  • Rotator Cuff Tear
  • Sacroiliac Joint Pain*
  • Sciatica
  • Shingles
  • Shoulder Pain
  • Spinal Stenosis
  • Tension Headaches
  • Testicular Pain
  • Trigeminal Neuralgia
  • Upper Back Pain
  • Vertebral Compression Fractures
  • Whiplash Pain


  • Ankle Injections
  • Back Pain Treatments
  • Carpal Tunnel Syndrome
  • Caudal Steroid Injection
  • Celiac Plexus Block
  • Cervical Steroid Injection
  • Dorsal Root Ganglion (DRG)
  • Epidural Steroid Injection*
  • Facet Injections*
  • Ganglion Impar Block
  • Hip Injections
  • Hypogastric Block
  • Intercostal Nerve Block
  • Joint Injections
  • Knee Joint Injections
  • Medial Branch Block*
  • Neuroma Injection
  • Occipital Nerve Block
  • Opioids
  • Peripheral Nerve Stimulation
  • Radiofrequency Ablation
  • Sacroiliac Joint Injection*
  • Sphenopalatine Ganglion Block
  • Spinal Cord Stimulation*
  • Stellate Ganglion Block
  • Sympathetic Block
  • Trigger Point Injections
  • Vertebroplasty & Kyphoplasty
Normally the above treatment options are sufficient to lessen or eliminate your pain. If you and your doctor decide interventional therapy is a viable option, you will always be informed of the potential risk and benefits of the proposed procedure and the recovery involved. In addition, you might be recommended for physical therapy and rehabilitation therapy to ensure you have the most effective results.

Payment Options

Managing your pain does not have to be expensive. We are happy to work with attorneys and insurance companies to ensure your pain management is affordable for you. We can also work with you to create a payment plan, ensuring that you are not faced with the entire cost of your procedure or treatment all at one time. Please contact Virgin Islands Pain & Spine at (340) 779-2663 for more information about payment options and insurance billing.

About Dr. Artemus Flagg

It’s easy to look at Dr. Flagg’s (Director of Virgin Island Pain & Spine) resume and see plenty of accolades and recognizable names, such as studying at Johns Hopkins University School of Medicine, or being named Chief Resident of the Year in 2011 at Johns Hopkins. The list goes on, but at the end of the day, the attentive and enthusiastic physician talks sincerely about the most important thing in his practice.

“You hear a lot of doctors and clinics say how much they care about their patients,” he said. “But here at Comprehensive Orthopaedic Global (COG) we truly believe that taking care of our patients is like helping a family member or a neighbor. I treat every patient like a family member—we love them and want what’s best for them, and honestly are focused on doing the right thing for each one.”

Read Dr. Flagg’s Bio to Learn More

Why Choose Virgin Islands Pain & Spine?

At Virgin Islands Pain & Spine, a division of Comprehensive Orthopaedic Global, we are proud to have an experienced team of pain management doctors who are specially trained in treating your pain. Our specialists have both the expertise and the training to assess and treat a wide range of cases, offering personalized treatment options for every patient.

Even after your initial procedure is complete, we consistently check in with you to ensure your pain is manageable or fully gone. We will assist you in the recovery process to make sure no complications arise. Throughout the entire process, your pain management doctor will be happy to answer any questions you may have or explain part of your treatment process.

To request an appointment at Virgin Islands Pain & Spine please use our online portal or contact us via phone via phone at (340) 779-2663