Balanced Pain Management

What Balanced Pain Management does

Balanced Pain Management is a privately-held, solo-physician interventional pain management practice founded and operated by Dr. Leslie R DeLaney, MD, at a single office in Walnut Creek, California. The practice serves adult patients in the East Bay region of Northern California suffering from chronic and acute pain conditions including back pain, sciatica, neuropathy, spinal stenosis, joint pain, complex regional pain syndrome, and post-surgical pain. Dr. DeLaney is board-certified in both anesthesiology and chronic pain management, with residency training at Johns Hopkins Hospital and an interventional pain fellowship at The Cleveland Clinic Hospital.

The practice operates a multimodal clinical model built around three technology stacks: (1) traditional interventional pain procedures including epidural steroid injections, nerve blocks, radiofrequency ablation, MILD (Minimally Invasive Lumbar Decompression) procedures, and spinal cord stimulator trials/implantation; (2) BTL electromagnetic body-composition devices — Emsculpt Neo for core strengthening, Emsella for pelvic floor therapy, and EXOMIND transcranial magnetic stimulation for mood, sleep, and pain — packaged in proprietary protocols such as the 'Core to Floor' approach; and (3) HIPAA-compliant telehealth for remote consultations. EMVITAL® was added in 2024 as a new pain solution. Procedures that require a surgical center are referred externally.

Revenue is generated primarily through insurance reimbursements from 14 named payer/provider networks (including Anthem Blue Cross Blue Shield, Blue Shield of California, CHAMPVA, Tricare, and John Muir Physician Network) and patient co-pays for clinical services, supplemented by out-of-pocket elective device treatment series. Patient acquisition runs through physician referrals, self-referral, Google/Yelp reviews (4.88/5 across 491 reviews), and organic local SEO across 30+ condition-specific service pages. The practice has no parent company, no external funding, and no disclosed growth capital signals.

Name

Balanced Pain Management

Legal name

Balanced Pain Management

Website

https://delaneymd.com

Company type

Private

Operating status

Operating

Headcount range

11–50 employees

Short description

Balanced Pain Management is a physician-owned interventional pain management practice in Walnut Creek, California, operated by Dr. Leslie R DeLaney, MD. It treats East Bay patients with chronic and acute pain using interventional procedures, BTL medical devices (Emsculpt Neo, Emsella, EXOMIND), and telehealth.

Ownership category

akta.pro rank

Product category

Pain Management Services

NAICS

Offices of Physicians (6211)

SIC

Services-Offices & Clinics Of Doctors Of Medicine (8011)

akta.pro primary industry

Pain Medicine (Interventional/Neuropathic Pain) (HLAKAIAM)

akta.pro secondary industries

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

Keywords

• Interventional pain management
• Chronic pain treatment
• Spinal cord stimulation
• Body composition therapy
• Telehealth pain care

Headquarters

HQ city

Walnut Creek

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2C

Offering type

Services

Cost components

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

Revenue model

1. Clinical consultation and treatment fees: The practice generates revenue through office consultation fees, interventional procedure fees (injections, nerve blocks, epidural steroid injections, radiofrequency ablation, MILD procedures), and evaluation-and-management visits. As a medical practice, revenue is collected through insurance reimbursements and patient co-pays/deductibles.
2. Medical device treatments (Emsculpt Neo, Emsella, EXOMIND): Revenue from elective body-composition and wellness treatments using BTL devices (Emsculpt Neo, Emsella, EXOMIND). These are typically out-of-pocket or partially covered depending on insurance. The practice offers treatment series (e.g., 4 sessions for Emsculpt Neo over 2-4 weeks, 6 sessions for Emsella over 3 weeks, 6 sessions for EXOMIND over 3 weeks).
3. Telehealth/virtual visit fees: Revenue generated from telemedicine appointments, which may be reimbursed by Medicare, Medicaid, and select private insurers at equivalent rates to in-person visits.

Pricing tiers

Go-to-market motion2 records

Distribution channels3 records

Marketing channels6 records

Core offering

Balanced Pain Management is a physician-owned interventional pain management practice that diagnoses and treats acute and chronic pain conditions including back pain, sciatica, neuropathy, spinal stenosis, and joint pain. The practice delivers a multimodal treatment program combining minimally invasive procedures (nerve blocks, epidural steroid injections, MILD, spinal cord stimulators), BTL body-composition devices (Emsculpt Neo, Emsella, EXOMIND), regenerative medicine, trigger point injections, telehealth visits, and medication management for adult patients in the East Bay region of Northern California.

Product overview

Balanced Pain Management offers a comprehensive pain management practice centered around Dr. Leslie R. DeLaney, MD. The practice provides a multi-modal approach combining interventional procedures (nerve blocks, epidural injections, MILD procedure, spinal cord stimulators), medical devices (Emsculpt Neo for core strengthening, Emsella for pelvic floor support, EXOMIND for TMS brain therapy), telehealth services, and regenerative medicine. The Core to Floor Protocol integrates Emsculpt Neo and Emsella technologies to address muscle weakness as a root cause of chronic pain, while EXOMIND provides brain-based support for nervous system regulation. EMVITAL® was introduced as a new pain solution offering.

Differentiator

Problem solved

Functional benefit

Products and services

• Interventional Pain Management Minimally invasive procedures including nerve blocks, epidural steroid injections, radiofrequency ablation, the MILD procedure for lumbar spinal stenosis, and spinal cord stimulator trials/implantation for adult patients with chronic pain conditions.
• Emsculpt Neo Non-invasive body contouring and core strengthening treatment using BTL HIFEM (High Intensity Focused Electromagnetic) technology combined with radiofrequency to strengthen core muscles and support chronic pain management.
• Emsella Non-invasive pelvic floor strengthening treatment using BTL HIFEM electromagnetic technology to improve pelvic floor strength, core stability, and support for chronic pain conditions.
• EXOMIND (TMS Therapy) Transcranial magnetic stimulation (TMS) treatment directed at the dorsolateral prefrontal cortex of the brain. FDA-approved for major depressive disorder and chronic anxiety, also used for insomnia, brain fog, migraines, tremors, and chronic pain disorders.
• Telehealth / Virtual Care HIPAA-compliant two-way high-definition video consultation platform enabling new and existing patients to have face-to-face visits, submit medical information, receive prescriptions electronically, and access pain management care remotely.
• Regenerative Medicine Advanced treatment approaches utilizing the body's natural healing mechanisms to address chronic pain conditions.
• Trigger Point Injections Injection therapy using local anesthetic with or without steroid to block pain signals and reduce inflammation in targeted muscle areas for patients with myofascial pain.
• EMVITAL® New pain solution introduced at Balanced Pain Management for treating various pain conditions.
• Core to Floor Protocol A comprehensive treatment protocol combining Emsculpt Neo and Emsella to strengthen the body's foundation (pelvic floor) and powerhouse (core muscles) to break the chronic pain cycle.

Quantifiable outcome

• 79% positive outcomes with MILD procedure; increased standing time from 8 to 56 minutes; walking distance from 246 feet to 3,956 feet; 53% pain reduction (clinical study data)
• +2 more outcomes

Named customers1 record

Segments1 record

Ideal customer profiles1 record

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature5 records

Partnerships

One partnership is on record.

• BTL (manufacturer of Emsculpt Neo, Emsella, EXOMIND)coreTechnology or IntegrationBalanced Pain Management uses BTL devices including Emsculpt Neo (core strengthening), Emsella (pelvic floor strengthening), and EXOMIND (transcranial magnetic stimulation). These are FDA-cleared technologies representing a key treatment modality in the practice's multimodal pain management approach. BTL is described as the manufacturer of these devices.

Scale indicators2 records

Recent moves5 records

Expansion highlights4 records

Emerging players

• Sword Health: Virtual MSK and pelvic health care company combining AI-guided exercise therapy with licensed clinician oversight. Addresses the same chronic pain patient base as Balanced Pain Management through a remote-first model and competes for employer/payer contracts in the Bay Area.
• Hinge Health: Digital musculoskeletal care platform offering app-delivered exercise therapy, coaching, and (in select markets) in-person clinician services for back and joint pain. Comparable patient population (chronic MSK pain) but competes via a software-first model rather than an in-office interventional practice, representing a long-term category disruption risk.

Broad incumbents

• Cleveland Clinic Pain Management: The interventional pain medicine program where Dr. DeLaney completed her fellowship. Operates at the top end of the US pain management category and serves as a benchmark for clinical rigor, scale, and reputation that the practice aspires to match in a community setting.
• National Spine & Pain Centers: The largest interventional pain management network in the US, operating dozens of clinic locations across multiple states. Directly comparable to Balanced Pain Management in offering interventional pain procedures, but at national scale with private equity backing — illustrating both the category and the consolidation backdrop.

Direct peers

• Clearway Pain Solutions: Multi-site interventional pain management group offering injections, nerve blocks, spinal cord stimulators, and other procedures analogous to Balanced Pain Management's core service mix. Highly comparable on procedures, patient population, and payor model, but operating as a multi-physician platform rather than a solo practice.
• Advanced Pain Management: Interventional pain management group providing a similar menu of procedures (epidural steroid injections, RFA, spinal cord stimulators) for chronic pain patients. Closely comparable on service offering and patient demographic, though operating across multiple sites.

Regional players

• Stanford Health Care Pain Management: Pain management service within Stanford Health Care providing interventional procedures and multidisciplinary pain care across the Bay Area. Comparable patient base and procedure menu, but anchored in a major academic system with substantially greater scale and payer leverage.
• John Muir Health Pain Management: Pain management services within the John Muir Health system serving the East Bay and Contra Costa County. Comparable patient base to Balanced Pain Management and a direct competitor for the same Walnut Creek-area referrals, though anchored in a larger health system rather than an independent practice.
• UCSF Pain Management Center: Academic pain management program in the San Francisco Bay Area offering interventional procedures, medication management, and behavioral health for chronic pain. Comparable on clinical services and local patient overlap, but operates as a large academic medical center rather than a community practice.

Others

• BTL Aesthetics: Manufacturer of the Emsculpt Neo, Emsella, and EXOMIND devices that anchor Balanced Pain Management's differentiated wellness offering. Not a direct competitor but a critical technology partner whose product roadmap and pricing directly shape the practice's competitive positioning.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks7 records

Key highlights7 records

Customer concentration

Compliance1 record

Revenue estimate

Valuation estimate

Number of profiles

Profiles1 record

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 Balanced Pain Management