UP Family Medicine

Regenerate. Renew.

UP Family Medicine at Pacific Wellness is your stop for regenerative care. Offering the following services: Regenerative Medicine, Trigger Point Injections, Botox, Juvederm, Kybella, and Decompression Traction.

Regenerative Medicine

Regenerative Medicine is used to treat many medical conditions, including but not limited to, degenerative joint conditions and sports injuries

Trigger Point Injections

Trigger points are found in tight bands of muscles that can feel like a knot or be tight and painful. Many patients report feeling restricted in their movements and feeling weakness in the muscle due to trigger points. Our office uses a local anesthetic to inject the trigger point allowing blood to flow to the muscle. The muscle will be allowed nutrients and oxygen, which it has been lacking due to the trigger point blocking these vital components.


BOTOX® cosmetic is the first and only treatment FDA approved to temporarily make moderate to severe frown lines, crow's feet, and forehead lines look better in adults. It's a quick 10 minute treatment with minimal downtime. You may begin to notice results within 24 to 48 hours, with results lasting up to 4 months for moderate to severe frown lines.

Decompression Traction

Spinal decompression therapy is a painless, conservative, and effective way to treat back and neck pain, sciatica, stenosis, and degenerative disc disease. It involves a slow controlled stretching of the spine, using a computer-aided traction table. This slow gentle stretching creates negative pressure within the discs of the spine creating a vacuum that helps pull the discs material back into place, thus taking pressure off of pinched nerves.


Kybella® is administered to treat the area under the chin, destroying fat cells and producing gradual results. Everyone's chin profile is different, so our physician will tailor treatment to you.


JUVÉDERM® is the #1 selling collection of hyaluronic acid fillers in the U.S. Each product in the JUVÉDERM® collection of fillers adds volume to a different area of the face, without surgery. Different formulations are approved to either lift cheeks, smooth parentheses lines, smooth vertical lip lines, or plump the lips. The results are subtle and long lasting.

Refresh & Restart

Dr. Tiffany Friesen

Dr. Tiffany grew up in Helena, MT. She graduated from Idaho State University with a BS in Biochemistry and a BA in Chemistry. While in college, she did research in organic chemistry and drug synthesis. She attended the University of Nevada School of Medicine with three years of additional doctoral training in the Cell and Molecular Biology program. After graduating from medical school, she completed a Family Medicine Residency at Exempla St Joseph Hospital in Denver, CO. 

Dr. Tiffany is Board Certified in Family Medicine and spent the last 14 years working in rural and under served settings doing "full spectrum" Family Medicine. She worked as a residency faculty member during the last 7 years, teaching resident physicians how to do a variety of procedures, from delivering babies to injecting joints, bursas, muscles, and tendon sheaths using patient anatomy and ultrasound guidance. 
Dr. Tiffany has been working in Seattle and Tacoma for the past couple years doing a variety of injections for pain management as well as aesthetic injections to help men and women feel and look their best.

Michelle McElhaney ARNP

Bio coming soon...

Pacific Wellness and Spa

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