Tricity Pain Associates

What Tricity Pain Associates does

Tricity Pain Associates is a Texas-based interventional pain management practice that diagnoses and treats chronic and acute pain conditions affecting the neck, back, spine, joints, and nerves. Operating under the legal entity Spindletop Pain Management Company, Inc. and owned by Spindletop Pain Management Holdings (a Spindletop Capital PE platform formed in May 2018), the practice runs 11+ clinic locations across Texas including San Antonio, Austin, Dallas-Fort Worth, New Braunfels, Fredericksburg, and Corpus Christi. The clinical portfolio spans general treatments (epidural steroid injections, nerve blocks, rhizotomy), advanced interventional procedures (spinal cord stimulation, dorsal root ganglion stimulation, peripheral nerve stimulation, SI joint fusion via iFuse TORQ and iFuse INTRA, VIA Disc NP, vertebroplasty/kyphoplasty, percutaneous discectomy, laser spine surgery, PRP therapy), diagnostic services, and injury/trauma care. The practice is staffed by board-certified, fellowship-trained physicians and advanced practice providers and is supported by two ambulatory surgical centers (Austin Premier Surgery Center, VIP Surgical Center), a COLA-accredited in-house lab (Alamo City Lab), and a physical therapy subsidiary (Barnes Physical Therapy).

The business is a professional services model that bills payers (insurers, workers' comp, attorney LOP cases) for evaluations, diagnostic procedures, and interventional treatments. Patient acquisition is referral-led: HMO and most new patients require physician referral (processed through a dedicated fax line and email), while self-referral is accepted for PPO and other plans. Go-to-market is reinforced by content marketing (blog, video library), SEO-optimized location and service pages, and active online review management. The practice accepts a broad insurance panel (AARP, Aetna, BCBS, Cigna, Humana, Medicare, Medicaid, Tricare, United Healthcare, Wellmed, workers' comp).

Tricity has executed a roll-up strategy under Spindletop Capital, completing five acquisitions between 2019 and 2021 (VIP Surgical Center, Advanced Consultants in Pain Care, Hill Country Pain Associates, Austin Premier Surgery Center, Barnes Physical Therapy) that expanded both clinic count and adjacent services. The leadership team includes President/COO Kenneth Efird, CFO Don Knight, and CMO Joshua Shroll, M.D. Revenue is not publicly disclosed; the company is private with no public listing or funding rounds reported.

Name

Tricity Pain Associates

Legal name

Spindletop Pain Management Company, Inc.

Website

https://tricitypainassociates.com

Company type

Private

Founded year

2018

Operating status

Operating

Headcount range

501–1,000 employees

Short description

Tricity Pain Associates is a Texas-based, PE-backed interventional pain management practice operating 11+ clinics plus two ASCs and a lab, delivering advanced pain procedures (spinal cord stimulation, DRG stimulation, SI joint fusion) to chronic pain, injury, and workers' comp patients.

Ownership category

akta.pro rank

Product category

Pain Management Services

NAICS

Other Ambulatory Health Care Services (6219), Offices of Physical, Occupational and Speech Therapists, and Audiologists (621340)

SIC

Services-Specialty Outpatient Facilities, Nec (8093), Services-Offices & Clinics Of Doctors Of Medicine (8011)

akta.pro primary industry

Pain Management Clinics (Interventional & Medical) (HLAFABAH)

akta.pro secondary industries

Pain Management & Interventional Procedure Centers (HLAFAIAH), Pain Management (Spine & Musculoskeletal) (HLAKALAM)

Keywords

• Interventional pain management
• Chronic pain treatment
• Spinal cord stimulation
• Pain management clinics
• Minimally invasive procedures

Headquarters

HQ city

San Antonio

HQ country

United States

HQ region

North America

Offices15 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Infrastructure, Marketing or Sales, Supply Chain, Others

Revenue model

1. Medical Services and Procedures: Revenue generated from patient evaluations, diagnostic services, and interventional pain management procedures including spinal injections, nerve blocks, ablations, implants, and surgical interventions. Billed through insurance or direct payment.

Pricing tiers

Go-to-market motion1 record

Distribution channels3 records

Marketing channels5 records

Core offering

Tricity Pain Associates provides interventional pain management services for patients with chronic and acute pain conditions affecting the neck, back, spine, joints, muscles, and nerves. Service offerings span diagnostic evaluation and pain mapping, general treatments (epidural steroid injections, nerve blocks, rhizotomy), and advanced minimally invasive procedures (spinal cord stimulation, DRG stimulation, peripheral nerve stimulation, iFuse SI joint fusion, VIA Disc NP, vertebroplasty, kyphoplasty, PRP therapy). The practice also manages injury and trauma cases including workers compensation and personal injury attorney-referred cases, delivered across 11+ Texas clinic locations and ambulatory surgical centers.

Product overview

Tricity Pain Associates is a Texas-based interventional pain management practice offering a comprehensive portfolio of services across 11 clinic locations. The core offering consists of diagnostic services (evaluation/pain mapping, discogram) and general treatments (epidural steroid injections, nerve blocks, rhizotomy) for acute and chronic pain conditions affecting the neck, back, spine, joints, and nerves. The advanced treatments portfolio includes spinal cord stimulation, dorsal root ganglion stimulation, peripheral nerve stimulation, SI joint fusion systems (iFuse TORQ, iFuse INTRA), VIA Disc NP nucleus pulposus allograft, vertebroplasty/kyphoplasty, percutaneous discectomy, lysis of adhesions, laser spine surgery, and platelet rich plasma therapy. The practice also provides specialized care for injury and trauma including motor vehicle accidents, workers compensation cases, and personal injuries.

Differentiator

Problem solved

Functional benefit

Products and services

• Neck and Back Pain Treatment Comprehensive evaluation and treatment for neck and back pain conditions including herniated discs, nerve pain, sciatica, spinal stenosis, pinched nerves, neuropathy, joint pain, facet joint pain, spinal arthritis, degenerative disc disease, myofascial pain syndrome, phantom limb pain, cancer pain, and headaches/migraines.
• Diagnostic Services Evaluation and pain mapping to identify pain sources, plus discogram diagnostic procedures for spine-related pain.
• Epidural Steroid Injections Anti-inflammatory steroid injections to treat inflamed spinal nerves causing neck or back pain.
• Nerve Blocks Targeted injections to block pain signals from specific nerves.
• Rhizotomy Radiofrequency procedure to disrupt nerve signals causing chronic facet joint pain.
• Spinal Cord Stimulation Advanced implantable device delivering mild electrical pulses to the spinal cord to disrupt pain signals before they reach the brain, with customizable stimulation levels for individual pain patterns.
• Dorsal Root Ganglion Stimulation FDA-approved (2016) implantable treatment targeting dorsal root ganglion nerve clusters to modulate pain signals, particularly effective for focal areas like foot, leg, knee, abdomen, and chronic pelvic pain.
• Peripheral Nerve Stimulation Electrical pulse therapy using ultrasound-guided small electrodes placed under local anesthesia to disrupt pain signals from specific damaged nerves, including temporary 60-day devices without implanted batteries.
• iFuse TORQ Implant System Minimally invasive SI joint fusion using three 3D-printed threaded titanium implants placed through a small one-inch incision to stabilize the sacroiliac joint, backed by over 100 peer-reviewed studies.
• iFuse INTRA Minimally invasive SI joint surgery involving insertion of small implants to stabilize and fuse the sacroiliac joint, typically taking less than an hour under general anesthesia with recovery within weeks.
• VIA Disc NP Nucleus pulposus allograft injection for degenerative disc disease that mimics natural spinal disc cushioning, injected directly into damaged discs for minimally invasive non-surgical back pain relief.
• Vertebroplasty Minimally invasive bone cement injection into vertebral compression fractures to stabilize the spine.
• Kyphoplasty Balloon vertebroplasty procedure to repair vertebral compression fractures and restore the spine's natural shape with rapid pain relief.
• Percutaneous Discectomy Minimally invasive procedure to remove disc material relieving pressure on spinal nerves.
• Lysis of Adhesions Procedure to break up scar tissue and adhesions that may be causing pain.
• Laser Spine Surgery Laser-based surgical approach for spinal conditions.
• Platelet Rich Plasma (PRP) Therapy Natural healing therapy using concentrated platelets from patient's own blood via centrifuge to accelerate tissue repair for osteoarthritis, injuries, and muscle damage.
• Injury and Trauma Care Treatment for motor vehicle accidents, slip and falls, and on-the-job injuries including muscle strains, joint dislocations, ligament tears, herniated discs, and concussions.
• Facet Joint Injections Injections to diagnose and treat pain in facet joints of the spine using local anesthetic and anti-inflammatory medication.

Quantifiable outcome

• Most patients experience significant pain relief within a few weeks after iFuse procedures
• +2 more outcomes

Named customers9 records

Segments4 records

Ideal customer profiles2 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature7 records

Partnerships

One partnership is on record.

• Spindletop Pain Management HoldingscoreOthers · 14 May 2018Spindletop Capital created Spindletop Pain Management Holdings and partnered with Tricity Pain Associates and Interventional Pain Management in May 2018. Tricity Pain Associates operates as part of Spindletop Pain Management Company, Inc. (19230 Stonehue, San Antonio, TX 78258).

Scale indicators2 records

Recent moves6 records

Expansion highlights6 records

Broad incumbents

• National Spine & Pain Centers: Large multi-state interventional pain management platform (backed by NMS Capital) operating 100+ clinics offering the same core services as Tricity (SCS, nerve blocks, injections, regenerative therapies) across the Eastern U.S.
• Surgery Partners: Public ASC operator (NASDAQ: SGRY) with significant exposure to pain management and spine procedures; a comparable ASC/institutional channel for Tricity's higher-acuity interventional cases and potential exit/comparable.
• US Anesthesia Partners: Large PE-backed (Berkshire Partners/GIC) anesthesia-focused physician group with growing interventional pain exposure; comparable as a PE-rolled-up specialty practice platform with chronic pain procedure integration.
• HOPCo (Healthcare Outcomes Performance Company): Musculoskeletal-focused PE-backed platform spanning orthopedic and pain management services; comparable as a multi-specialty, multi-site musculoskeletal roll-up anchored in physician-led care.

Direct peers

• Clearway Pain Solutions: PE-backed (Bain Capital) interventional pain management and neurosurgery platform operating multiple clinic and ASC locations in the Mid-Atlantic and Southeast, directly comparable to Tricity's physician-led, multi-location model and acquisition strategy.
• Integrated Pain Management: Mid-size interventional pain management group operating across multiple states with advanced therapies including SCS and DRG - direct comparable in service mix and clinical model to Tricity.

Regional players

• Austin Pain Associates: Texas-based interventional pain management practice serving Austin and Central Texas with overlapping treatments (injections, SCS, nerve blocks); direct regional competitor for Tricity's Austin-area clinics.

Emerging players

• PRP Regenerative Medicine / Regenexx: Specialized regenerative medicine (PRP/stem cell) network with overlapping service lines to Tricity's PRP offering; comparable for benchmarking of the regenerative therapy practice segment.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks5 records

Key highlights7 records

Customer concentration

• Facebookfacebook.com/tricitypaindoc

Revenue estimate

Valuation estimate

Number of profiles

Profiles24 records

Subsidiaries5 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A1 record

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Tricity Pain Associates