Tacoma night line with bridge and Tacoma dome

Referring Providers

Looking for Forms? They can be found on the Patients Page.

Dr Sueno is an independent provider with affiliations at Franciscan Health System and Multicare.

He is here to assist you with your physiatry and pain medicine needs. Dr Sueno also sees Worker Compensation patients and performs IME's. Whether you require an EMG to evaluate for radiculopathy or compression neuropathy; injection to palliate spine pain while considering surgery; comprehensive chronic pain consultation; opioid recommendations; and other interventional pain and physiatry needs ... we will do our best to accommodate your practice.

Here are some examples of how Dr Sueno can help your practice be more efficient in patient encounters and spending more time in the OR.

For Surgeons:

  • Establish a comprehensive non-surgical approach prior to initiating considerations for operative treatments to Sports and Spine conditions
  • EMG to evaluate complicated pain pattern concerning for radiculopathy or peripheral neuropathy
  • Epidural injections to treat acute radicular pain and palliate stenosis/sciatica pain while considering surgery
  • Injections to large joints, e.g., shoulders, hips, knees, etc.
  • Optimizing perioperative pain management for opioid tolerant patients
  • Consideration for neuromodulation
  • General physiatry consultation and other procedures
  • And much more!

For PCP's and Specialists:

  • Comprehensive consultation for chronic debilitating pain conditions, e.g.:
    • fibromyalgia, CRPS, RSD, cancer pain
    • migraine, headache, post herpetic neuralgia
    • painful diabetic polyneuropathy, etc
  • Strategies to optimize, minimize, and ultimately taper off opioids for those without malignant cancer pain.
  • Medial branch denervations for facet mediated spine pain
  • Consideration for neuromodulation
  • General physiatry consultation and other procedures
  • And much more!

Lastly, we offer our services to the South Puget Sound area as a resource for the Washington State Pain Management Law.

Opioid and Marijuana Policy

Dr Sueno’s privilege to prescribe opioids and other controlled substances falls under federal jurisdiction. At this time, marijuana is a federally illegal substance to prescribe. Despite Washington State law legalizing marijuana, Dr Sueno will not prescribe marijuana. If your patient is already on medical marijuana, Dr Sueno will gladly see your patient and incorporate other multidisciplinary strategies to the pain management plan.

Because Dr Sueno feels strongly in restricting opioid use to post-surgical and acute injury pain (e.g., fracture, surgery, etc) and malignant cancer pain (i.e., limited life expectancy), Dr Sueno will offer his services to the community more to guide its use rather than maintenance prescribing. Short term prescriptions of opioids will be considered on a case-by-case basis, with the ultimate goal of tapering-down/weaning-off the opioids.

In some cases, chronic opioid use may be helpful. However, not only must pain levels be improved but there must also be demonstrable functional gains. We will work with referring and primary care providers on such patients, where a stable low-dose opioid may be needed for optimized function.

As such, our clinic asks that the Referring or Primary Care Provider continue being the primary opioid prescriber.

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Contact Us

Dr Paul Sueno is accepting new patients!

Read more about our clinic throughout this website.

Come see our clinic in Tacoma, Washington.

Tel (253) 302-5189


"I have found the paradox, that if you love until it hurts, there can be no more hurt, only more love."

Mother Teresa

An elderly couple strolling across a trial bridge, walking a bicycle.

"No gains without pains."

Benjamin Franklin
(Old proverb paraphrased)

A comprehensive pain medicine plan is incomplete without its allied providers. Dr Sueno will work with these providers to optimize our pain patients' condition.

If you are one of the following, who specializes or has an interest in pain medicine, please contact us.

  • Addictionologist
  • General Psychiatrist
  • Physical Therapist
  • Occupational Therapist
  • Pain Psychologist

We will work our best to get patients to a physician or therapist covered on their insurance plan.

If you are a referring provider or PCP and prefer your patient be seen by a specific provider, please let us know as well.

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A patient doing therapeutic exercises guided by a physical therapist

Dr Sueno was born in Detroit, Michigan, and raised by his parents, Joseph and Nena Sueno, in the Pacific Northwest. His parents were pioneers for the Asian-American physician community in the South Puget Sound, where Dr Joseph Sueno started his own practice in the 1980's. As a family business, his parents' outpatient rehabilitation center in Olympia (First Rehabilitation and Physical Therapy) was Paul's daycare and place where he ultimately helped operate the business. His dad (the original Dr Sueno) also had a solo physiatry clinic in Olympia and Tacoma.

With the passion for medicine and community service instilled in him, Dr Paul Sueno began his journey through Academia starting on the banks of the Charles River. Due to his father being ill, he came back to the Pacific Northwest, and then ventured into Silicon Valley for a few years. Returning to Tacoma, Washington, Dr Sueno is now separately board certified as a Physiatrist and a Pain Medicine subspecialist.

In his free time, Dr Sueno enjoys his time with his immediate and over-100-member-extended family club. Time with family and friends are spent in the sea, travelling to far-gone places, on the ski slopes, on the tennis court, in the city arts -- most especially dance, music, gastrology, and ballet -- and other urban and outdoor activities. When spending time alone, Dr Sueno gets in the zone with his swims and runs.

Academic History

Areas of Interest

  • Sports and Spine Medicine
  • Electromyography and Nerve Conduction Studies
  • Interventional and Chronic Pain Medicine
  • Neuromodulation

Research and Other Media

  • Kolakowsky-Hayner SA, Hammond FM, Wright J, Novack TA, Englander J, Diaz-Arrastia R, Dennison A, Sueno P. Aging and Traumatic Brain Injury: Age, decline in function, and level of assistance over the first 10 years post-injury. Brain Inj. 2012;26(11):1328-37.
  • Sueno P. Letters: traumatic brain injuries. All things considered. National public radio. Air date, 21 Dec 2010.
    • Letter was read by Robert Siegel on air.
    • News piece referenced by Dr Sueno's letter can be found on NPR.
  • Sueno PA, Bluto M, Kao MJ, Mitra R. Medial epidural contrast dye spread as a predictor of response to transforaminal epidural steroid injection. PM R. 2010;2(9S):S150. Poster presentation at AAPM&R Annual Assembly, Seattle, November 2010.
  • Bluto M, Sueno PA, Kao MJ, Mitra R. Facet-loading maneuver as a predictor of response to fluoroscopy-guided facet-joint injection. PM R. 2010;2(9S):S120. Poster presentation at AAPM&R Annual Assembly, Seattle, November 2010.
  • Sueno PA and Klima R. Lumbar pyogenic discitis-osteomyelitis presenting as suicidality. Am J Phys Med Rehabil. 2010;89(4S):S3. Poster presentation at AAP Annual Meeting, Bonita Springs, Florida, April 2010.
  • Sueno PA and Smuck M. New from the journals: the rate of detection of intravascular injection in cervical transforaminal epidural steroid injection with and without digital subtraction angiography. Spineline. January 2010.

You can find more information about these topics on the Education page.

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Dr Sueno facing forward in a head shot
Stanford University tower with bicycles in foreground.
OHSU tram in fog with Mount Hood in background.