Precision Spine and Pain Management

What Precision Spine and Pain Management does

Precision Spine and Pain Management is a privately held interventional pain management medical practice headquartered in San Antonio, Texas, operating two clinic locations — Castle Hills (1642 Lockhill Selma Rd.) and Westover Hills (9026 Culebra Rd., Suite 101) — and serving individual chronic-pain patients across the San Antonio metro. The practice was founded in 2012 per firmographic records (a 2016 founding date also appears in the company history event log) and operates Monday through Friday, 8:00am to 5:00pm. It is independently owned with no disclosed parent company, investors, or external funding, and is led by a single named physician, Dr. Yurii D. Borshch, MD, who brings 28 years of combined medical experience, fellowship training in Pain Management, and prior service as Chronic Pain Clinic Director at Queen's University. The practice is structured as a small, single-physician-anchored clinical operation with 19 total employees.

The practice's service offering is a comprehensive menu of minimally invasive, image-guided procedures for spine, joint, and nerve-related chronic pain, including epidural steroid injections, caudal and transforaminal injections, facet joint injections, medial branch blocks, discography, radiofrequency neurotomy, spinal cord stimulation, kyphoplasty, bursa and sacroiliac injections, lumbar sympathetic blocks, and PRP therapy (launched May 2024). Procedures rely on fluoroscopic x-ray guidance for needle placement, supporting both diagnostic and therapeutic use cases. Supporting infrastructure consists of a website with patient education content, online appointment booking, downloadable new-patient packets, medication refill requests, and online bill payment via PayPal; no proprietary software platform, API, or AI tooling is disclosed.

The business model is professional-services fee-for-service, billed through a diversified payer mix that includes Medicare, Medicaid, and multiple commercial insurers (Humana, Blue Cross, Aetna, Cigna, United Healthcare, Tricare) plus workers' compensation. Go-to-market is direct-to-patient via phone and online booking, supplemented by a structured physician-to-physician referral channel ('For Offices') with downloadable referral forms. Revenue figures are not publicly disclosed, no M&A, partnership, leadership-change, or regulatory activity has been recorded, and the practice carries no disclosed patents, certifications, or third-party awards.

Name

Precision Spine and Pain Management

Legal name

Precision Spine and Pain Management

Website

https://precisionpaindoctor.com

Company type

Private

Founded year

2016

Operating status

Operating

Headcount range

11–50 employees

Short description

Precision Spine and Pain Management is a privately held, two-location interventional pain management medical practice in San Antonio, Texas, providing image-guided injection therapies and procedures for chronic spine and musculoskeletal pain patients, led by Dr. Yurii D. Borshch, MD.

Ownership category

akta.pro rank

Product category

Interventional 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 Management Clinics (Interventional & Medical) (HLAFABAH)

akta.pro secondary industries

Pain Medicine (Interventional/Neuropathic Pain) (HLAKAIAM), Pain Management (Spine & Musculoskeletal) (HLAKALAM), Spine (Orthopedic Spine) (HLAKALAE), Pain Management & Interventional Procedure Centers (HLAFAIAH)

Keywords

• Interventional pain management
• Spine pain treatment
• Chronic pain therapy
• Minimally invasive injections
• Spinal cord stimulation

Headquarters

HQ city

San Antonio

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. Medical Procedures and Treatments: Revenue generated from interventional pain management procedures including epidural steroid injections, facet joint injections, nerve blocks, radiofrequency ablation, spinal cord stimulation, kyphoplasty, and PRP injections. The practice accepts multiple insurance plans including Medicare, Medicaid, and various commercial insurers.

Pricing tiers

Go-to-market motion1 record

Distribution channels2 records

Marketing channels3 records

Core offering

Precision Spine and Pain Management is a single-specialty interventional pain management medical practice that diagnoses and treats chronic spine and musculoskeletal pain conditions using image-guided, minimally invasive procedures. Core offerings include epidural steroid injections, facet joint injections, medial branch blocks, PRP therapy, spinal cord stimulation, radiofrequency neurotomy, kyphoplasty, and diagnostic discography. The practice operates two clinics in San Antonio, Texas, and accepts Medicare, Medicaid, and a wide range of commercial insurance plans.

Product overview

Precision Spine and Pain Management is a medical practice specializing in interventional pain management treatments. The practice offers a comprehensive suite of injection-based therapies and procedures for chronic pain conditions affecting the spine and musculoskeletal system. Core treatments include epidural steroid injections, facet joint injections, PRP therapy, spinal cord stimulation, and kyphoplasty. The practice operates two locations in San Antonio, Texas (Castle Hills and Westover Hills offices), accepts multiple insurance plans including Medicare, and provides online patient services for appointments, payments, and medical records. The practice is led by Dr. Yurii D. Borshch, MD, a pain management specialist with 28 years of medical experience.

Differentiator

Problem solved

Functional benefit

Products and services

• Epidural Steroid Injections Minimally invasive injection delivered to the epidural space to reduce pain caused by spinal stenosis or disc herniation resulting in inflammation of the spinal nerves. For patients with spinal nerve inflammation.
• Facet Joint Injections Dual-purpose diagnostic and therapeutic procedure using fluoroscopic x-ray guidance to detect afflicted areas and deliver corticosteroid anti-inflammatory medication to facet joints. For patients with facet joint pain.
• Facet Radiofrequency Neurotomy (Facet RF) Radiofrequency ablation procedure that produces lesions on nerves using heat to disrupt pain signals to the brain for facet joint or sacroiliac joint pain caused by arthritis or degenerative issues. For patients with facet or sacroiliac joint pain.
• Spinal Cord Stimulation Technique using a small pacemaker-like device inserted into the body to deliver electrical signals to the spinal cord, disrupting pain signals before they reach the brain. For patients with chronic pain refractory to other treatments.
• PRP Injections (Platelet-Rich Plasma) Platelet-rich plasma therapy that uses the body's own concentrated growth factors to heal injured tendons, ligaments, muscles, or joints by injecting concentrated platelets at the affected area. For patients with joint pain, tendon, or ligament issues.
• Kyphoplasty Method of stabilizing spinal compression fractures by injecting bone cement into the damaged vertebrae area, frequently resulting from osteoporosis. For patients with vertebral compression fractures.
• Discography Diagnostic tool that helps physicians identify if a particular disc or discs is the origin of back pain by injecting a sterile substance to produce pressure and induce pain. For patients needing diagnosis of discogenic pain.
• Medial Branch Block Potent anesthetic injection in the medial branch nerves that supply the facet joints, used both as a diagnostic tool and pain-relief therapy with real-time feedback. For patients with suspected facet joint pain in lumbar or cervical regions.
• Bursa Injections Steroid injection delivered into the bursa (fluid-filled sac) to ease joint pain from inflammatory diseases including arthritis and bursitis. For patients with bursa-related joint inflammation.
• Sacroiliac Injections Injections used to alleviate pain from swollen SI joints located at the bottom of the spine, serving both diagnostic and therapeutic purposes. For patients with sacroiliac joint pain.
• Transforaminal Injections Steroid injection used to mitigate pain in the lower back, legs, and feet produced by herniated discs and other spinal issues by reducing nerve inflammation. For patients with radicular pain from herniated discs.
• Caudal Epidural Injections Outpatient procedure involving steroid-anesthetic medication injection into the sacral region opening to treat chronic pain from herniated discs, sciatica, or bone spurs. For patients with chronic lower back and sciatic pain.
• Lumbar Sympathetic Block Medical injection used to alleviate pain in the lower back or legs (sciatica), treating conditions including reflex sympathetic dystrophy, CRPS, and herpes zoster infections. For patients with sympathetic-mediated lower back or leg pain.
• Online Patient Portal Services Digital patient services including online appointment scheduling, new patient packet download, medication refill requests, and secure online bill payment through PayPal. For patients of the practice.
• Chronic Pain Conditions Treatment Program Comprehensive treatment program for chronic pain conditions including neck pain, back pain, migraines, whiplash, arthritis, herniated discs, fibromyalgia, facet joint disease, bursitis, spinal stenosis, leg pain, sciatica, radiculopathy, CRPS, and post-surgical pain. For patients with chronic musculoskeletal and neuropathic pain conditions.

Quantifiable outcome

• First PRP injection only requires payment for supplies, reducing patient cost barrier to regenerative therapy
• +1 more outcomes

Named customers3 records

Segments3 records

Ideal customer profiles2 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration1 record

Feature7 records

Scale indicators3 records

Recent moves3 records

Expansion highlights3 records

Direct peers

• Boston PainCare: Boston PainCare is a multi-physician interventional pain management practice offering comprehensive spine injections, nerve blocks, regenerative medicine, and chronic pain programs. Comparable in offering breadth and physician-led delivery model.
• Pain Specialists of America (Texas): Pain Specialists of America is a Texas-based interventional pain management group offering epidural steroid injections, facet blocks, radiofrequency ablation, kyphoplasty, and spinal cord stimulation. Direct regional competitor with broader Texas coverage and multiple physicians, highly comparable in service offerings and patient population.
• Clearway Pain Solutions: Clearway Pain Solutions operates a network of physician-led interventional pain management clinics across multiple states, providing image-guided injections, nerve blocks, spinal cord stimulation, and chronic pain treatment programs. Closely comparable in modality mix and chronic-pain focus, with greater scale and geographic reach.
• National Spine & Pain Centers: National Spine & Pain Centers is one of the largest interventional pain management platforms in the U.S., offering epidural injections, facet and joint injections, radiofrequency ablation, spinal cord stimulation, and regenerative therapies. Directly comparable to Precision Spine and Pain Management in service mix and patient segments, with a significantly larger multi-state footprint.
• Advanced Pain Management (APM): Advanced Pain Management operates multi-specialty interventional pain clinics offering epidural injections, facet and joint procedures, spinal cord stimulation, and regenerative therapies. Directly comparable service line and chronic pain patient base, with a larger physician group and broader insurance network.
• U.S. Pain & Spine Institute: U.S. Pain & Spine Institute operates multiple pain management clinics providing interventional procedures, regenerative therapies, and minimally invasive spine treatments. Comparable to Precision Spine in modality mix and chronic-pain patient focus.
• Spine & Pain Institute of New York: Spine & Pain Institute of New York is a physician practice specializing in interventional spine and pain procedures including epidural injections, facet blocks, radiofrequency neurotomy, and spinal cord stimulation. Comparable clinical model and treatment menu in a single-metro market.
• Texas Pain Relief Group: Texas Pain Relief Group provides interventional pain management in the Dallas-Fort Worth area with a comprehensive suite of injections, nerve blocks, and minimally invasive procedures. Comparable to Precision Spine and Pain Management in modality and patient profile, serving a different Texas metro.

Regional players

• Hospital Corporation of America (Methodist Healthcare San Antonio): Methodist Healthcare and other San Antonio-area hospital systems operate interventional pain management programs offering spinal injections, nerve blocks, and chronic pain services. Direct same-metro competitor with hospital-affiliated infrastructure, employed physicians, and integrated imaging and surgery backup.

Broad incumbents

• HCA Healthcare (Sarah Cannon / HCA Pain Services): HCA Healthcare is one of the largest U.S. hospital operators offering interventional pain management, spine surgery, and rehabilitation services through its hospital networks and employed physicians. Competes for chronic pain referrals in the same Texas markets with substantially broader resources and integrated care capabilities.

Market position

Strengths1 record

Weaknesses1 record

Competitive moat3 records

Key risks6 records

Key highlights6 records

Customer concentration

• LinkedInlinkedin.com/company/precision-spine-and-pain-managemen

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 Precision Spine and Pain Management