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Integrity Pain provides the most advanced and effective treatment for spine, joint, and neurologic pain. Our practice specializes in minimally invasive and non-invasive solutions for spine, joint, and nerve pain, with locations in Scottsdale, Mesa, Glendale, and Prescott, AZ.

Our team focuses on interventional treatments, which minimize reliance on oral medications.  The goal is to treat pain directly at the source, utilizing fluoroscopic and ultrasound guidance.  We aim to reduce or avoid the use of addictive opioid medications.  

Committed to providing compassionate pain relief to patients throughout the entire Valley, we always provide an individualized approach to care, based on diagnostic studies and symptoms.

At Integrity Pain, the focus is always to address the core issues causing the pain with the goal of returning function while minimizing pain for each patient as fast as possible.

 

ELECTIVE PROCEDURES

• Regenerative Medicine: Platelet-Rich Plasma (PRP) Therapy

At Integrity Pain & Wellness, we are committed to offering cutting-edge treatments to promote healing and restore function. Platelet-Rich Plasma (PRP) therapy is a cornerstone of our regenerative medicine offerings. PRP involves using a patient’s own blood, which is processed to concentrate the platelets and growth factors, and then injected into damaged tissues to stimulate natural healing. This minimally invasive treatment is effective for conditions such as joint pain, tendon injuries, and osteoarthritis. By harnessing the body’s own healing mechanisms, PRP offers a safe and innovative approach to pain relief and tissue repair, helping patients return to their active lifestyles.

• PTSD Treatment with Stellate Ganglion Block

Our interventional pain practice is uniquely qualified to offer stellate ganglion block (SGB) for the treatment of post-traumatic stress disorder (PTSD). SGB is a targeted injection of local anesthetic near the stellate ganglion, a collection of nerves in the neck, to help regulate the body’s “fight or flight” response, which is often overactive in PTSD. Interventional pain specialists, like those at Integrity Pain & Wellness, are highly trained in image-guided procedures, ensuring precision and safety during SGB. Our expertise in managing complex pain conditions and performing advanced nerve blocks allows us to deliver this specialized treatment with the highest level of skill, offering patients relief from PTSD symptoms such as anxiety, hypervigilance, and emotional distress.

• Ketamine Infusion Therapy for Pain, PTSD, and Depression

Ketamine infusion therapy is a transformative treatment we offer for chronic pain, PTSD, and depression. Administered in a controlled, low-dose setting, ketamine works by modulating pain pathways and promoting neuroplasticity, which can help alleviate symptoms of these conditions. As an anesthesiology practice, Integrity Pain & Wellness is uniquely positioned to provide ketamine infusions safely and effectively. Our anesthesiologists have extensive training in pharmacology, patient monitoring, and managing medications with sedative properties, ensuring precise dosing and patient safety during infusions. Unlike other specialties, our expertise in anesthesiology allows us to tailor treatments to each patient’s needs while minimizing risks, making us the ideal choice for this advanced therapy.

 

Jessica is a board certified Physician Assistant. She completed her Bachelor of Science in Biology and Chemistry from the University of Sioux Falls, followed by her Master of Science in Physician Assistant Studies at Union College in 2009. She spent over 8 years in the field of Family Medicine prior to specializing in Pain Management and Rehabilitation. Her time spent in primary care was essential to develop her understanding of acute and chronic pain, including its potentially debilitating effects. Jessica believes in building trusting relationships with her patients, and does this by listening and providing a comprehensive plan of care. She believes in teaching and empowering patients to make lifestyle changes, in conjunction with medical treatments, to take control of their pain. 

Melissa Alaimo, PA-C, is a nationally certified physician assistant at Grayhawk Medical Group, PLLC, serving patients throughout the Scottsdale and Greater Phoenix, Arizona area. 

Melissa is dedicated to providing compassionate, patient-centered care. Born in Chicago and raised in Arizona, she earned her Bachelor of Science in Exercise Science from Northern Arizona University. Before attending PA school, she gained valuable experience working in various areas of medicine for three years, which strengthened her passion for helping others improve their health and well-being.

Melissa went on to earn her Master’s in Physician Assistant Studies from Mount St. Joseph University in Cincinnati, Ohio, where she also earned her national certification. With a strong background in fitness, nutrition, and preventive health, she is committed to helping patients understand their options and take proactive steps toward achieving their wellness goals.

When she’s not caring for patients, Melissa enjoys hiking in the mountains, traveling, and spending quality time with her loved ones. Her approachable nature and dedication to personalized care make her a trusted partner in supporting her patients’ overall health.

Laura Hafez is a board-certified Family Nurse Practitioner. She completed her BS in Nutrition from ASU in 2014, MS in Nursing from the UofA in 2017 respectively. Not settling for the typical level of education for practicing nurses, Laura decided to continue her education and pursue the Family Nurse Practitioner role to provide better care. She graduated from NAU with a Post Masters Nurse Practitioner with a specialization in family practice in 2019. Laura is a current member of the AANP, as well as Sigma Theta Tau. Laura believes in the promotion of health and well-being, alongside patient education to achieve the best outcomes. She believes in education and research, and applies this to her patient base, making certain her treatment protocols are truly the latest, most effective, and proven remedies available. Laura is passionate about her belief in applying preventative medicine to her patent population, reducing the incidence of disease, both in the short term and later in life.

Jennifer is a board-certified Family Nurse Practitioner. She completed her BS in Nursing from ASU in 2012. From there, she decided to start her career as a Registered Nurse in an Intensive Care Unit. She was determined to continue on with her education and pursued her MS in Nursing from GCU, where she graduated from in 2024. Jennifer is a current member of the American Nurses Association and Sigma Theta Tau. She is passionate about providing holistic, quality care that promotes health and wellbeing. She believes her patients should have the opportunity to be active participants in the management of their healthcare as she feels shared decision making is vital to positive patient outcomes. She also believes it is important to provide treatment options based on the best evidence-based recommendations. It is her goal to establish patient relationships which allow open communication and improved long-term outcomes for all of her patients.

Integrity Pain provides the most advanced and effective treatment for spine, joint, and neurologic pain. Our practice specializes in minimally invasive and non-invasive solutions for spine, joint, and nerve pain, with locations in Scottsdale, Mesa, Glendale, and Prescott, AZ.

Our team focuses on interventional treatments, which minimize reliance on oral medications.  The goal is to treat pain directly at the source, utilizing fluoroscopic and ultrasound guidance.  We aim to reduce or avoid the use of addictive opioid medications.  

Committed to providing compassionate pain relief to patients throughout the entire Valley, we always provide an individualized approach to care, based on diagnostic studies and symptoms.

At Integrity Pain, the focus is always to address the core issues causing the pain with the goal of returning function while minimizing pain for each patient as fast as possible.

 

ELECTIVE PROCEDURES

• Regenerative Medicine: Platelet-Rich Plasma (PRP) Therapy

At Integrity Pain & Wellness, we are committed to offering cutting-edge treatments to promote healing and restore function. Platelet-Rich Plasma (PRP) therapy is a cornerstone of our regenerative medicine offerings. PRP involves using a patient’s own blood, which is processed to concentrate the platelets and growth factors, and then injected into damaged tissues to stimulate natural healing. This minimally invasive treatment is effective for conditions such as joint pain, tendon injuries, and osteoarthritis. By harnessing the body’s own healing mechanisms, PRP offers a safe and innovative approach to pain relief and tissue repair, helping patients return to their active lifestyles.

• PTSD Treatment with Stellate Ganglion Block

Our interventional pain practice is uniquely qualified to offer stellate ganglion block (SGB) for the treatment of post-traumatic stress disorder (PTSD). SGB is a targeted injection of local anesthetic near the stellate ganglion, a collection of nerves in the neck, to help regulate the body’s “fight or flight” response, which is often overactive in PTSD. Interventional pain specialists, like those at Integrity Pain & Wellness, are highly trained in image-guided procedures, ensuring precision and safety during SGB. Our expertise in managing complex pain conditions and performing advanced nerve blocks allows us to deliver this specialized treatment with the highest level of skill, offering patients relief from PTSD symptoms such as anxiety, hypervigilance, and emotional distress.

• Ketamine Infusion Therapy for Pain, PTSD, and Depression

Ketamine infusion therapy is a transformative treatment we offer for chronic pain, PTSD, and depression. Administered in a controlled, low-dose setting, ketamine works by modulating pain pathways and promoting neuroplasticity, which can help alleviate symptoms of these conditions. As an anesthesiology practice, Integrity Pain & Wellness is uniquely positioned to provide ketamine infusions safely and effectively. Our anesthesiologists have extensive training in pharmacology, patient monitoring, and managing medications with sedative properties, ensuring precise dosing and patient safety during infusions. Unlike other specialties, our expertise in anesthesiology allows us to tailor treatments to each patient’s needs while minimizing risks, making us the ideal choice for this advanced therapy.

 

Daniel Talamo, DO, is a primary care physician. He serves patients at HealthyU Clinics at our Avondale, Arizona, clinic. 

Dr. Talamo began his professional career with Adelante Healthcare in Goodyear, Arizona, where he worked for two years. In 2021, he joined Amwell Medical Group and then in 2022, he joined HealthyU Clinics at their first clinic in Avondale, Arizona.

Before working as an osteopathic medical doctor, Dr. Talamo attended Binghamton University in New York, receiving his bachelor's degree in cell and molecular biology. After graduating, Dr. Talamo graduated from the NYIT College of Osteopathic Medicine in Old Westbury, New York, and completed his family medicine residency at Houston Medical Center in Georgia in 2019.

In his free time, Dr. Talamo enjoys exercising and working out. After work, you can find him boxing/kickboxing. On the weekends, you can find him hiking or preparing for his next half marathon. He also enjoys traveling, trying new foods, plant care, baking, and spending time with his family in Arizona and New York. 

Dr. Ricardo La Grotta, MD is a primary care physician. He serves patients at HealthyU Clinics at our Chandler, Arizona clinic.

With over two decades of medical experience, Dr. La Grotta brings his passion and commitment to HealthyU Clinics. Motivated by the organization's dedication to prioritizing patients, he joins with enthusiasm and a belief that the clinic is truly upholding the oath in primary care by putting people first.

Having spent his formative years in diverse regions such as South America, the Caribbean, and the Pacific Northwest, Dr. La Grotta has cultivated a unique perspective. His focus on Primary Care and Urgent Care stems from a seamless blend of practical experience and scientific knowledge.

Although his family has been in the Pacific Northwest for four decades, Dr. La Grotta eagerly embraces Arizona as his new home. He looks forward to immersing himself in the beauty of the state, connecting with its vibrant communities, and indulging in the rich gastronomy that Arizona has to offer.

Siomara Hercules is a certified Nurse Practitioner with over eight years of nursing experience in orthopedic trauma, palliative care, and colorectal surgery. Her diverse clinical background has shaped her into a well-rounded provider who approaches patient care with empathy, attention to detail, and a deep respect for each individual’s unique health journey. 

Siomara earned her Bachelor of Science in Nursing from Grand Canyon University and her Master of Science in Nursing from United States University. She chose to specialize in urology because of her passion for helping patients feel comfortable, informed, and empowered—especially when navigating personal and often sensitive health concerns. 

Fluent in both English and Spanish, Siomara is committed to creating a welcoming and inclusive environment for all patients. 

Outside of work, Siomara is a proud mom of three and can often be found cheering from the sidelines at her kids' sports games or exploring new restaurants around town. She brings the same energy, warmth, and curiosity to her personal life as she does to every patient encounter.

Carla is an enthusiastic Board Certified Physician Assistant who works closely with Dr. Bashir. Carla is an Arizona native and completed her undergraduate education, locally, at the University of Arizona, graduating with a Bachelor of Science in Physiology. She then earned her Master’s degree in Physician Assistant studies from Creighton University in Omaha, Nebraska. She developed a strong interest in cardiology during PA school and is enthusiastic about learning all there is in cardiac care. In her free time, Carla enjoys playing tennis, hiking, traveling, and skiing.

John Monroe, MD, founded Healthy Life Family Medicine in Goodyear, Arizona, in 2007. As a board-certified family physician, Dr. Monroe provides compassionate, patient-focused care to people of all ages. He’s committed to helping families in and around the communities west of Phoenix improve and protect their health. 

Dr. Monroe completed his undergraduate studies at Arizona State University in Tempe. He went on to earn his Doctor of Medicine at the University of Arizona in Tucson. Dr. Monroe served his family medicine residency at Banner Good Samaritan Medical Center in Phoenix, including a year as chief resident. He’s certified by the American Board of Family Medicine. 

Dr. Monroe diagnoses, treats, and manages a wide range of health concerns such as high blood pressure, diabetes, and back and joint pain. He also offers physical exams and acute medical care for illnesses and injuries. Dr. Monroe also provides chronic care services to help patients manage chronic diseases and maintain their health and quality of life.