Spine & Pain Associates

What Spine & Pain Associates does

Spine & Pain Associates is a physician-owned interventional pain management practice headquartered in Raleigh, North Carolina, operating under the legal entity Spine & Pain Associates, PA (also referenced as PLLC). Founded by Dr. Jasbir Dhaliwal and Dr. Krishna Bhat, both double board-certified in Physical Medicine and Rehabilitation and Pain Medicine, the practice serves patients with acute and chronic pain conditions across the Triangle and Sandhills regions of North Carolina through four physical clinic locations: Raleigh (headquarters), Sanford, Pittsboro, and Wake Forest (opened February 2026). The patient base consists of individuals with musculoskeletal conditions, spine disorders, neuropathic pain, migraines, degenerative joint disease, and post-surgical or post-injury pain, including worker's compensation and Medicare populations.

The practice's service portfolio spans three core modalities: interventional pain procedures (epidural steroid injections, facet injections, medial branch blocks, radiofrequency ablation, nerve blocks, and spinal cord stimulator trials conducted under fluoroscopic or ultrasound image guidance); regenerative medicine through a licensed Regenexx provider arrangement (including platelet-rich plasma and bone marrow concentrate procedures achieving 20x cell concentration); and advanced laser therapy via FDA-cleared MLS Laser Therapy (dual-wavelength infrared). Clinical capacity is provided by two co-founder physicians, one additional physician (Dr. Guirguis), and three board-certified nurse practitioners. The practice operates on a fee-for-service clinical model, billing in-network with 15+ major payers including Medicare, Medicaid, and Tricare, with self-pay options and out-of-network claim filing for uninsured patients. Patient acquisition is driven by physician referrals, self-referrals, organic social media (Facebook, Instagram), and website-published patient testimonials.

Name

Spine & Pain Associates

Legal name

Spine & Pain Associates, PA

Website

https://spineandpainassociates.com

Company type

Private

Operating status

Operating

Headcount range

11–50 employees

Short description

Spine & Pain Associates is a physician-owned interventional pain management practice in North Carolina, operating four clinics that deliver image-guided procedures, regenerative medicine (Regenexx), and laser therapy to patients with acute and chronic pain conditions.

Ownership category

akta.pro rank

Product category

Interventional Pain Management Services

NAICS

Offices of Physicians (62111), Offices of Physical, Occupational and Speech Therapists, and Audiologists (62134)

SIC

Services-Offices & Clinics Of Doctors Of Medicine (8011), Electromedical & Electrotherapeutic Apparatus (3845)

akta.pro primary industry

Pain Management Clinics (Interventional & Medical) (HLAFABAH)

akta.pro secondary industries

Pain Management (Spine & Musculoskeletal) (HLAKALAM), Spine (Orthopedic Spine) (HLAKALAE)

Keywords

• Interventional pain management
• Spine pain treatment
• Regenerative pain medicine
• Image-guided pain procedures
• Chronic pain management

Headquarters

HQ city

Raleigh

HQ country

United States

HQ region

North America

Offices4 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Technology or R&D, Infrastructure, Marketing or Sales

Revenue model

1. Clinical Services Revenue: Revenue generated from patient consultations, evaluation and management visits, and interventional pain procedures performed in-clinic. Billing processed through insurance for in-network providers and self-pay for uninsured or out-of-network patients.

Pricing tiers

Go-to-market motion1 record

Distribution channels1 record

Marketing channels5 records

Core offering

Spine & Pain Associates is a physician-led medical practice that evaluates and treats acute and chronic spine, joint, musculoskeletal, neuropathic, and migraine pain. It sells in-clinic treatment services spanning MLS Laser Therapy, Regenexx regenerative procedures, spinal cord stimulation, and image-guided interventional procedures, together with consultations and physician-led treatment planning.

Product overview

Spine & Pain Associates is a patient-centered interventional pain management practice offering a comprehensive portfolio of treatment services. The practice provides MLS Laser Therapy (advanced dual-wavelength infrared laser treatment), Regenexx regenerative medicine procedures (including PRP and bone marrow concentrate therapies), and a full range of minimally invasive interventional pain procedures such as epidural steroid injections, facet injections, radiofrequency ablation, and spinal cord stimulator trials. All interventional procedures are performed with fluoroscopic or ultrasound guidance. The practice operates multiple locations in North Carolina (Raleigh, Sanford, Pittsboro, and Wake Forest) and is co-founded by Dr. Jasbir Dhaliwal and Dr. Krishna Bhat.

Differentiator

Problem solved

Functional benefit

Brands

• Regenexx: Regenerative orthopedic procedures using the patient's own cells for joint and spine conditions

Products and services

• Pain Management Consultations In-clinic evaluation and management visits for patients seeking diagnosis and treatment planning for pain conditions; services are primarily billed through insurance, with self-pay options for uninsured or out-of-network patients.
• MLS Laser Therapy FDA-cleared, non-invasive laser treatment using dual wavelengths of infrared light to penetrate tissue, reduce pain and inflammation, improve blood circulation, and stimulate cellular regeneration.
• Regenexx Procedures Regenerative orthopedic procedures using a patient's own cells, including platelet-rich plasma injections and bone marrow concentrate procedures, for joints, tendons, ligaments, and spine conditions.
• Spinal Cord Stimulator Implantable spinal cord stimulation treatment intended to interrupt pain signals and manage chronic pain.
• Interventional Pain Procedures A comprehensive range of minimally invasive, image-guided procedures, including epidural steroid injections, facet injections, medial branch blocks, nerve blocks, joint injections, and radiofrequency ablation performed under fluoroscopic or ultrasound guidance.

Quantifiable outcome

• Headache reduction from 10-15 per month to approximately 3 per month with Botox treatment
• +1 more outcomes

Named customers4 records

Segments2 records

Ideal customer profiles1 record

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature4 records

Partnerships

One partnership is on record.

• RegenexxcoreTechnology or IntegrationLicensed Regenexx provider offering regenerative orthopedic procedures using patented bone marrow concentrate and PRP protocols. Regenexx pioneered interventional orthopedics in 2005 and provides proprietary lab processing achieving 20x concentration of healing cells. Procedures address conditions affecting bones, muscles, cartilage, tendons, and ligaments using patient's own cells.

Scale indicators3 records

Recent moves6 records

Expansion highlights5 records

Direct peers

• Premier Pain Solutions: Independent interventional pain management group with multiple Southeast locations — directly comparable multi-site private practice with similar procedure mix, regenerative offerings, and insurance-based revenue model.
• Carolinas Pain Institute: Multi-physician interventional pain management practice serving the Charlotte/Carolinas region. Same clinical model (interventional spine, neuromodulation, regenerative options), same physician-led ownership, and overlapping payer mix, making it the closest regional comparable.
• Triangle Pain Consultants: Interventional pain management practice operating in the Raleigh/Triangle market — direct in-market competitor for referrals, patient share, and payer contracts with materially identical service lines (epidurals, RFA, spinal cord stimulators).

Broad incumbents

• OrthoCarolina: Large independent orthopedic group with spine, pain management, and physical therapy across North Carolina including Triangle-adjacent offices. Offers overlapping interventional and regenerative spine services as part of a much broader orthopedic portfolio, creating competitive and referral-channel pressure.
• Duke Pain Medicine (Duke Health): Academic pain medicine program embedded within Duke Health in Durham, NC. Overlaps with Spine & Pain Associates on interventional pain and neuromodulation but operates at system scale with research, fellowship training, and integrated specialty referral pathways in the same Triangle geography.
• Cleveland Clinic Pain Management Center: National reference academic pain program with comprehensive interventional, multimodal, and neuromodulation services. A benchmark for end-state care delivery and a long-term competitive reference point as Triangle patients may consider broader geographic destinations for complex cases.

Others

• Regenexx: Network provider of patented regenerative orthopedic procedures (PRP, bone marrow concentrate) — license partner of Spine & Pain Associates. Sets protocols and training for the practice's differentiated regenerative service line and is itself a comparable operator of regenerative pain care at scale.

Emerging players

• Mayfield Brain & Spine: Independent neurosurgery group with adjacent interventional spine and pain capabilities. Comparable private-practice specialty care model with similar payor mix and patient acuity, useful as a benchmark for physician-owned specialty valuation.

Regional players

• Raleigh Neurology Associates: Large neurology specialty practice in Raleigh serving headache, neuropathy, and pain patients in the same Triangle geography. Overlaps on migraine/headache management and could refer or absorb interventional pain volumes as scope expands.
• Atlantic Pain Management: Independent pain management practice serving coastal North Carolina with overlapping interventional procedures and regenerative offerings. Comparable clinical model and reimbursement environment, differing primarily by geography within the same state.

Market position

Strengths5 records

Competitive moat4 records

Key risks6 records

Key highlights7 records

Customer concentration

• Xtwitter.com/AssociatesSpine
• Facebookfacebook.com/spineandpainassociates
• Instagraminstagram.com/spineandpainassociates

Revenue estimate

Valuation estimate

Number of profiles

Profiles6 records

Funding overview

Funding rounds

Investors

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

M&A

Investments

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

Frequently asked questions about Spine & Pain Associates