Carolinas Pain Institute

What Carolinas Pain Institute does

Carolinas Pain Institute is a private interventional pain management practice founded in 2004 by Dr. Richard L. Rauck and currently led by Dr. Christopher Gilmore, operating two office locations in Winston-Salem and Charlotte, North Carolina. The practice specializes in the treatment of acute, chronic, and cancer-related pain through a comprehensive procedural menu that includes epidural steroid injections, nerve blocks, radiofrequency ablation, spinal cord and peripheral nerve stimulation (including SPRINT PNS and neuromodulation for chronic migraine), PRP and trigger point injections, ultrasound-guided procedures, minimally invasive spine interventions, ketamine infusions, Botox injections, kyphoplasty, basivertebral nerve ablation, sympathetic blocks, and viscosupplementation, with conditions treated spanning chronic back and neck pain, neuropathy, CRPS, fibromyalgia, arthritis, migraines, and lumbar stenosis.

The practice differentiates itself through an integrated clinical research center—the only private pain practice in the region with this capability—affiliated with the Center for Clinical Research and Queen City Clinical Research, enabling participation in national neuromodulation and migraine trials alongside device partners Abbott, Boston Scientific, and Nevro. Physicians include Dr. Leonardo Kapural (250+ publications, former professor at Cleveland Clinic Lerner College of Medicine and Wake Forest), Dr. Christopher Gilmore, and Dr. Carey-Walter Closson (Charlotte Medical Director, joined October 2024 from National Spine & Pain Centers), supported by a team of physician assistants and nurse practitioners.

Carolinas Pain Institute generates revenue through professional services billed to insurance, serving individual patients (45,000+ treated annually) referred primarily via a primary-care physician referral network, with a secondary workers' compensation services line. The go-to-market is sales-led and referral-driven, with new patients scheduled within two weeks of physician referral. The practice has no disclosed venture capital or private equity backing and appears to be physician-owned and operated.

Name

Carolinas Pain Institute

Legal name

Carolinas Pain Institute

Website

https://carolinaspaininstitute.com

Company type

Private

Founded year

2004

Operating status

Operating

Headcount range

11–50 employees

Short description

Carolinas Pain Institute is a private interventional pain management practice in Winston-Salem and Charlotte, NC, treating 45,000+ patients annually with procedures including spinal cord stimulation, nerve blocks, and minimally invasive spine interventions. Founded in 2004, it serves chronic and cancer pain patients via physician referrals and operates an integrated clinical research center.

Ownership category

akta.pro rank

Product category

Pain Management Services

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

Keywords

• Interventional pain management
• Chronic pain treatment
• Neuromodulation therapy
• Spinal cord stimulation
• Minimally invasive spine procedures

Headquarters

HQ city

Winston Salem

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, Supply Chain, Marketing or Sales, Infrastructure

Revenue model

1. Clinical Services Revenue: Direct patient care services including consultations, diagnostic procedures, therapeutic injections, nerve stimulation treatments, and minimally invasive surgical procedures for acute, chronic, and cancer-related pain conditions

Go-to-market motion1 record

Distribution channels1 record

Marketing channels5 records

Core offering

Carolinas Pain Institute is a private medical practice that provides interventional pain management services for acute, chronic, and cancer-related pain. Treatments include epidural steroid injections, nerve blocks, spinal cord and peripheral nerve stimulation, radiofrequency ablation, PRP injections, ketamine infusions, ultrasound-guided injections, and minimally invasive spine procedures. Services are delivered across two North Carolina offices in Winston-Salem and Charlotte, supported by an affiliated clinical research center that enables access to cutting-edge therapies.

Product overview

Carolinas Pain Institute is a medical practice offering a comprehensive portfolio of interventional pain management services. The practice provides treatment across two locations (Winston-Salem and Charlotte, NC) and specializes in both acute and chronic pain conditions. Services include epidural steroid injections, nerve blocks, radiofrequency ablation, spinal cord and peripheral nerve stimulation, PRP injections, ketamine infusions, and minimally invasive spine procedures. The practice also offers Botox injections, kyphoplasty, basivertebral nerve ablation, and viscosupplementation. Treatments target conditions such as chronic neck and back pain, neuropathy, arthritis, fibromyalgia, migraines, lumbar stenosis, CRPS, and abdominal/pelvic pain. The practice operates an affiliated Center for Clinical Research to advance pain medicine treatments.

Differentiator

Problem solved

Functional benefit

Products and services

• Interventional Pain Management Services Comprehensive interventional pain management services spanning the treatment of acute, chronic, and cancer-related pain, including chronic neck pain, chronic back pain, neuropathy and nerve pain, chronic headaches and migraines, fibromyalgia, arthritis pain, chronic hip, shoulder and joint pain, chronic abdominal and pelvic pain, complex regional pain syndrome, lumbar stenosis, degenerative disc disease, and pinched nerve treatment. Services are delivered at Winston-Salem and Charlotte offices for referred patients.
• Epidural Steroid Injections Injections delivering steroid medication into the epidural space of the spine to reduce inflammation and relieve pain. Targets patients with spinal pain conditions.
• Nerve Block Injections Injections that block pain signals from specific nerves to provide targeted pain relief for patients with nerve-related pain conditions.
• Spinal Cord Stimulation (Neurostimulators) Implantable neurostimulation devices that deliver electrical signals to the spinal cord to interrupt pain signals and provide neuromodulation therapy for chronic pain patients.
• Peripheral Nerve Stimulation Stimulation of specific peripheral nerves through implanted or external devices to manage chronic pain conditions, including the SPRINT PNS temporary peripheral nerve stimulation system.
• Radiofrequency Ablation and Facet Joint Injections Radiofrequency energy used to heat and disable nerves causing facet joint pain, often combined with targeted steroid injections for facet joint pain relief.
• PRP Injections for Pain Platelet-rich plasma injections using the patient's own blood components to promote healing and reduce pain for musculoskeletal and chronic pain conditions.
• Trigger Point Injections Injections into tight muscle knots to relieve pain and reduce muscle tension for patients with myofascial pain.
• Ultrasound-Guided Injections Precise injections guided by ultrasound imaging to ensure accurate placement of medication at targeted areas for improved outcomes.
• Minimally Invasive Spine (MIS) Procedures Advanced minimally invasive surgical techniques that minimize tissue damage while treating spinal conditions, including kyphoplasty and basivertebral nerve (BVN) ablation.
• Ketamine Infusions Intravenous ketamine therapy for treatment-resistant chronic pain and complex pain conditions.
• Botox Injections Botulinum toxin injections for chronic pain conditions including migraine and muscle-related pain.
• Workers' Compensation Services Specialized pain management services for work-related injuries delivered under workers' compensation programs and payor requirements.

Quantifiable outcome

• 45,000+ patients treated annually
• +1 more outcomes

Named customers1 record

Segments1 record

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.

• Center for Clinical ResearchcoreStrategic or Co-development PartnerAffiliated research organization located within the Carolinas Pain Institute office building, providing access to clinical trials and advancing pain medicine through research partnerships
• Queen City Clinical ResearchcoreStrategic or Co-development PartnerAffiliated clinical research organization supporting national studies including migraine treatment trials; Dr. Leo Kapural serves as lead investigator on clinical studies

Scale indicators3 records

Recent moves7 records

Expansion highlights4 records

Broad incumbents

• HCA Healthcare: Largest U.S. for-profit hospital operator with extensive ambulatory and outpatient pain services, comparable in delivering interventional pain procedures but as one offering within a broad acute-care and outpatient network.
• Cleveland Clinic: Large academic health system where Dr. Kapural previously served as Professor of Anesthesiology. Operates interventional pain services at scale, competing for referrals and physician talent in the broader pain medicine space, though as part of a much wider portfolio.

Others

• Abbott: Medical device partner supplying neuromodulation and spinal cord stimulation technologies used in the practice's core procedures; comparable as a supplier enabling the practice's interventional offering rather than a competitor.
• Nevro: Spinal cord stimulation device vendor supplying the practice's chronic pain management procedures; functions as an enabling technology partner whose device portfolio directly determines which neuromodulation treatments the practice can offer.
• Boston Scientific: Device partner providing neuromodulation systems for chronic pain management procedures delivered by the practice; an enabling supplier rather than a competitor, but its commercial priorities directly shape the practice's technology roadmap.

Direct peers

• Millennium Pain Center: Interventional pain medicine practice specializing in neuromodulation, spinal cord stimulation, and similar minimally invasive procedures, closely comparable in clinical scope and physician-led specialty positioning.
• Advanced Pain Management: Multi-specialty interventional pain practice network with a similar service mix (neuromodulation, RFA, injections, minimally invasive procedures) and physician-led operating model serving patients in multiple U.S. regions.
• Premier Pain & Spine: Physician-led interventional pain practice offering comparable procedures including spinal cord stimulation, injections, and RFA, serving patients in the Southeast U.S. with a similar referral-driven model.
• National Spine & Pain Centers: One of the largest U.S. interventional pain management platforms with multiple offices across the Mid-Atlantic and Southeast. Dr. Closson previously served as Medical Director here (2007-2024), directly making it a like-for-like peer offering the same interventional pain procedures and neuromodulation services.
• The Pain Center (USA): Network of pain management clinics providing interventional therapies, neuromodulation, and minimally invasive spine treatments under a multi-site specialty-practice model comparable in clinical and operational design.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks6 records

Key highlights6 records

Customer concentration

• Facebookfacebook.com/CarolinasPainInstitute
• LinkedInlinkedin.com/company/carolinaspaininstitute

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 Carolinas Pain Institute