LogoRelief
CervicalThoracicMid-backLumbar L4/L5Sacral
Interventional Pain Management

Find where it starts.
Stop where it lives.

Nerve blocks, joint injections, and spinal cord stimulators — mapped precisely to your anatomy. Not your symptom.

Construction injuriesChronic disc diseasePost-surgical painSciaticaFailed back surgery
62%avg. pain reduction
5 daysto first appointment
3 clinicsBay Area locations
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What you've tried
vs. what works.

Most chronic pain patients spend 2–4 years in a cycle of general practitioners, referrals, and medications that address the signal — not the source. Here's where that cycle ends.

Average patient journey

2.8 years

from first symptom to first interventional consultation — time most patients spend on approaches that don't reach the source

Aspect
What You've Tried
What Relief Does
Diagnostic Method
Patient history + physical exam only
Fluoroscopic-guided nerve mapping

Real-time imaging pinpoints the exact anatomical source

First Response
OTC ibuprofen, rest, heat pad
Nerve conduction velocity studies

Measures signal speed to identify compressed or damaged nerves

Referral Pathway
GP → Ortho → Wait list (avg. 4–6 months)
Direct specialist intake within 5 business days

No referral chain — you speak to the interventionalist directly

Pain Classification
Scale of 1–10, self-reported only
Quantitative sensory testing + pain mapping

Objective measurement of pain thresholds by nerve territory

Treatment Approach
Medication management, physical therapy
Targeted interventional procedures

Address the structural source, not the symptom pathway

Outcome Tracking
Subjective follow-up at next appointment
Structured 4-week functional reassessment

Pain scores, medication use, and activity metrics tracked together

02/

Three tools. One goal.
No jargon left unexplained.

Every treatment we offer is mapped to a specific type of pain, a specific anatomical structure. Compare them below — then ask us which one fits your case.

ESIEpidural Steroid Injection

Anti-inflammatory corticosteroid delivered directly to the epidural space surrounding the spinal cord.

Procedure Time15–20 min
Recovery Window24–48 hours
Expected Relief3–6 months
CandidatesHerniated disc, spinal stenosis, sciatica, nerve root compression

Fluoroscopic guidance ensures the needle reaches the exact epidural space. Steroid reduces inflammation compressing the nerve root. Pain signals decrease as swelling subsides.

MetricESIRFASCS
Procedure Time15–20 min30–60 minTrial: 45–60 min · Permanent: 2–3 hrs
Recovery Window24–48 hours1–3 weeks2–4 weeks (full)
Expected Relief3–6 months12–24 monthsLong-term (device lifespan 5–10 years)

Treatment recommendations are made only after diagnostic consultation. The comparison above reflects general clinical data — individual outcomes vary based on pain etiology, duration, and overall health.

03/

Not promises.
Measured results.

These numbers come from our patient outcomes database — 847 patients, tracked at 30, 60, and 90 days post-procedure. Specificity is our standard.

Patient cohort

847

patients tracked across ESI, RFA, and SCS procedures · 2022–2025

Pain Reduction

Average Pain Scale (0–10)

62% reduction
Before7.4 / 10
After Relief2.8 / 10

Measured at 90 days post-procedure using validated NRS scoring

90 days
Medication Use

Opioid Dependency Rate

69% decrease
Before68% of patients
After Relief21% of patients

Patients actively using opioid prescriptions at intake vs. 6-month follow-up

6 months
Return to Activity

Patients Back to Full Work Capacity

62 pts increase
Before12% of patients
After Relief74% of patients

Defined as returning to pre-injury occupational duties without restriction

6 months
Sleep Quality

Reporting Restorative Sleep

53 pts increase
Before18% of patients
After Relief71% of patients

PSQI score improvement, pain-related sleep disruption measured at intake and 60-day follow-up

60 days
Construction ForemanLumbar L4/L5 Herniation

Marcus Delgado

I hadn't lifted anything over 20 lbs in two years. Three weeks after the RFA I was back on-site.
Outcome: Returned to full physical duty at 5 weeks post-RFA
Office ManagerChronic Lumbar Disc Disease

Sandra Okonkwo

My GP kept adjusting my prescription. Relief found the disc that had been compressing my nerve since 2019.
Outcome: 68% pain reduction via ESI series, off opioids at 4 months
Post-Surgical PatientFailed Back Surgery Syndrome

Raymond Chu

Two surgeries and the pain was still there. The SCS trial changed everything — I actually slept through the night.
Outcome: SCS implant, 71% pain reduction, discontinued 3 medications
Start here

Your pain has a location.
Let's find it.

The assessment takes 3 minutes. A specialist calls you within one business day. There's no commitment — just a conversation about what you've been carrying.

01

Pain mapping call

A specialist reviews your assessment and asks clarifying questions about your history

02

Diagnostic consultation

In-clinic evaluation including nerve conduction studies and fluoroscopic imaging

03

Treatment plan

A specific, evidence-based protocol — not a generic prescription

We accept Aetna, BCBS, Cigna, Humana, UnitedHealthcare, Medicare, Medicaid, and Workers' Compensation. Self-pay options available.

Pain Assessment

3 minutes · No commitment

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Pain LocationDurationHistoryContact

Where is your primary pain?

Select the area that bothers you most

Not ready to book? Download our free treatment guide first.