Carolina Pain & Spine

What Carolina Pain & Spine does

Carolina Pain & Spine is an interventional pain management medical practice headquartered in Wake Forest, North Carolina, operating a second location in Raleigh under its parent Raleigh Neurosurgical Clinic, Inc. The practice treats patients with acute and chronic pain conditions — including low back and neck pain, arthritis, sciatica, neuropathy, sports injuries, work injuries, and cancer pain — using non-surgical procedures such as epidural steroid injections, facet joint and medial branch blocks, radiofrequency and cryoablation, spinal cord stimulator trials and implants, intrathecal pumps, joint injections, MILD (Minimally Invasive Lumbar Decompression), and ultrasound-guided peripheral nerve injections. Procedures are performed under fluoroscopic or ultrasound guidance, and the practice is one of the few in the Triangle offering ultrasound-guided peripheral nerve work, with Dr. Shrimanker being the first in the region to perform MILD and among the first to perform dorsal root ganglion stimulation.

The practice is staffed by a multidisciplinary team of double board-certified physicians in anesthesiology and pain management (Drs. Shrimanker, Chen, and Yelle), supported by nurse practitioners and physician assistants with specialized pain medicine training, collectively representing over 100 years of combined clinical experience. It is the only pain specialty practice approved by all three major Raleigh hospital systems (Rex, WakeMed, Duke Raleigh) for both inpatient and outpatient care, and integrates with EPIC for electronic direct referrals from Rex- and WakeMed-affiliated physicians.

Revenue is generated through professional services billed to insurance plans and workers' compensation carriers, with patients responsible for copayments, coinsurance, and deductibles. The go-to-market motion is sales-led via a physician referral network across the Triangle (Raleigh-Durham), with self-referrals accepted case-by-case. Effective April 1, 2025, the practice became part of Raleigh Neurosurgical Clinic, Inc., continuing to operate under the Carolina Pain & Spine brand from its Wake Forest flagship and a new Raleigh co-located clinic.

Name

Carolina Pain & Spine

Legal name

Carolina Pain & Spine

Website

https://carolinapainandspine.com

Company type

Private

Founded year

2003

Operating status

Operating

Headcount range

11–50 employees

Short description

Carolina Pain & Spine is an interventional pain management practice in North Carolina's Triangle region, treating acute and chronic pain patients through non-surgical procedures. Staffed by double board-certified physicians and supported by all three major Raleigh hospital systems, it now operates as part of Raleigh Neurosurgical Clinic, Inc.

Ownership category

akta.pro rank

Product category

Pain Management Services

NAICS

Offices of Physicians (6211)

SIC

Services-Offices & Clinics Of Doctors Of Medicine (8011), Services-Health Services (8000)

akta.pro primary industry

Pain Medicine (Interventional/Neuropathic Pain) (HLAKAIAM)

akta.pro secondary industries

Pain Management (Spine & Musculoskeletal) (HLAKALAM), Spine (Orthopedic Spine) (HLAKALAE), Spine Implants & Motion Preservation (Fusion/Disc/Interspinous) (HLAHAEAC)

Keywords

• Pain management services
• Interventional pain procedures
• Chronic pain treatment
• Spine pain management
• Anesthesiology pain medicine

Headquarters

HQ city

Wake Forest

HQ country

United States

HQ region

North America

Offices2 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

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

Revenue model

1. Clinical Services Revenue: Revenue generated from patient consultations, diagnostic evaluations, and therapeutic procedures including spinal injections, nerve blocks, radiofrequency ablation, and other interventional pain management treatments. Services are billed to insurance plans and/or workers' compensation carriers.
2. Insurance Reimbursement: The practice accepts most major insurance plans and files claims with insurance companies and workers' compensation carriers. Patients are responsible for copayments, coinsurance, and deductibles at time of visit.

Go-to-market motion1 record

Distribution channels2 records

Marketing channels1 record

Core offering

Carolina Pain & Spine is a multidisciplinary pain management medical practice that diagnoses and treats acute and chronic pain conditions using interventional, non-surgical procedures. The practice offers comprehensive evaluation, diagnostic imaging, and therapeutic treatments including MILD, epidural steroid injections, nerve blocks, radiofrequency ablation, spinal cord stimulators, and ultrasound-guided injections for spine, joint, and nerve-related pain.

Product overview

Carolina Pain & Spine is a medical practice offering a single, unified pain management service rather than a software product platform. The practice provides comprehensive diagnostic and therapeutic procedures for acute and chronic pain conditions, with particular emphasis on spine disorders. Services include MILD (Minimally Invasive Lumbar Decompression), various injection therapies (epidural steroid injections, facet joint injections, trigger point injections, sympathetic blocks), neuromodulation (spinal cord stimulators, dorsal root ganglion stimulation), intrathecal pumps, radiofrequency ablation, and ultrasound-guided peripheral nerve injections. The practice operates as a multi-disciplinary team of double board-certified physicians, nurse practitioners, and physician assistants specializing in anesthesiology and pain management.

Differentiator

Problem solved

Functional benefit

Products and services

• Pain Management Services

Quantifiable outcome

• Patients can stand longer and walk farther with less pain after MILD procedure
• +1 more outcomes

Segments2 records

Ideal customer profiles2 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature4 records

Partnerships

Two partnerships are on record, tiered core.

• Raleigh Neurosurgical Clinic, Inc.coreStrategic or Co-development Partner · 1 April 2025Effective April 1, 2025, Carolina Pain & Spine became part of Raleigh Neurosurgical Clinic, Inc. This corporate affiliation allows the practice to continue providing excellent pain management care to the community while benefiting from the broader neurosurgical network and resources.
• Major Hospital Systems (Rex, WakeMed, Duke Raleigh)coreStrategic or Co-development PartnerCarolina Pain & Spine has affiliations with major hospital systems and is the only pain specialty practice approved by all three major hospitals in Raleigh for their inpatient and outpatient care. This approval demonstrates their broad knowledge in spinal and non-spinal pain disorders and excellent patient safety record.

Scale indicators2 records

Recent moves9 records

Expansion highlights4 records

Direct peers

• EmergeOrtho: Large multi-specialty orthopedic group in North Carolina with dedicated spine and pain management subspecialties. Comparable outpatient interventional pain offering and Triangle-area presence; competes for the same physician referral base.
• Wake Spine & Pain Specialists: Raleigh-area interventional pain management practice offering injections, spinal cord stimulation, and similar procedures. Direct local competitor for physician referrals and self-referred patients in the Triangle market.
• National Spine & Pain Centers: Large multi-state interventional pain management platform with similar procedural mix (epidural injections, RF ablation, spinal cord stimulation). Comparable business model and referral-driven outpatient delivery, though at greater geographic scale.
• Carolinas Pain Institute: Southeast regional interventional pain practice with overlapping service offering (injections, neuromodulation, fluoroscopic guidance). Comparable clinical model and referral ecosystem; Dr. Shrimanker trained here.

Broad incumbents

• Duke Health Pain Medicine: Academic pain medicine program within Duke Health serving the Triangle with comprehensive interventional and multidisciplinary pain services. Comparable procedural portfolio and competes for hospital-system referrals (note: 2018 Duke Raleigh Hospital Pain Clinic exit).
• UNC Health Pain Management: Academic pain medicine service within UNC Health providing interventional pain procedures across the Triangle. Comparable patient mix and academic-grade credentials; competes for the same hospital-employed and community referrals.
• Raleigh Neurosurgical Clinic: Carolina Pain & Spine's parent organization as of April 2025, providing overlapping neurosurgical and spine-related care in the Triangle. Directly comparable patient population, referral ecosystem, and Triangle geography.
• American Anesthesiology (MEDNAX): Large national anesthesiology and pain management services group (Carolina Pain Consultants previously affiliated via American Anesthesiology events). Comparable subspecialty footprint and managed-payer contracting capability.

Regional players

• Center for Spine & Pain Medicine: Southeast-based interventional pain and spine practice. Similar procedural breadth and physician-referral GTM, providing a relevant regional benchmark rather than direct Triangle competition.
• Southeast Pain & Spine Care: Multi-location interventional pain practice serving the Carolinas. Comparable procedural catalog and outpatient delivery model; relevant for benchmarking scale and reimbursement execution.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks6 records

Key highlights6 records

Customer concentration

• Facebookfacebook.com/CarolinaPainandSpine

Compliance2 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles9 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 Carolina Pain & Spine