Persistent spine pain?
Build a plan for daily life.
Review options for neck, back or radiating nerve pain with a plan tailored to your symptoms, function and previous care.
Request a Pain Evaluation (Form)Telehealth or in person. Your request does not confirm an appointment.
Understand the pain before choosing treatment.
Pain management may combine rehabilitation, activity changes, medication or targeted procedures. Start with an evaluation to understand the likely source and choose a reasonable next step.
Describe your symptoms
Bring a timeline of pain, daily limitations, medications and previous treatments.
Compare nonsurgical options
Discuss rehabilitation, medication and targeted procedures where appropriate.
Plan follow-up
Agree on goals, expected benefits, risks and how your response will be reviewed.
Experience & careful judgment
Meet Dr. Cornacchia.
Louis G. Cornacchia III, M.D., FAANS, FACS
A board-certified neurosurgeon with 30 years of spinal cord stimulation experience.
More about Dr. Cornacchia’s experience and SCS device decisions
Spinal cord stimulation experience
Experienced neurosurgical judgment before device decisions.
A spinal cord stimulator is a medical device decision, but it is also a diagnosis decision. Apteum’s evaluation is designed to clarify whether SCS is reasonable, whether another spine problem needs attention, and what goals should define success for you.
He works with a community of experienced pain-management doctors and with Medtronic, Boston Scientific, and other manufacturers.
Manufacturer relationships do not imply endorsement of a specific device for every patient. Brand and system selection should be based on clinical need, anatomy, MRI considerations, programming goals, prior device history, and shared decision-making.
Additional systems as clinically appropriateYour evaluation focuses on your diagnosis, prior care and goals. Discuss the expected benefits, limitations, risks and alternatives before choosing your next step. An evaluation is not a commitment to surgery or an implant.
Read Dr. Cornacchia’s training and experience →How spinal cord stimulation works
Watch this explanation created by Dr. Cornacchia. Spinal cord stimulation is one option for selected patients after evaluation; it is not appropriate for every cause of pain and does not replace the discussion of the treatment on this page.
Pain Management
Comprehensive non-surgical treatments to manage and relieve chronic pain.
Overview
Our comprehensive pain management program utilizes advanced interventional techniques to target the source of your pain with precision and care. We develop individualized treatment plans that may include injections, medications, physical therapy, and other non-surgical approaches.
What We Offer
Key Benefits
All Services
Need Help?
Contact us to discuss your condition and explore the best treatment options.
Non-Surgical Spine Pain Management
Surgery is not the answer for most spine pain. At Apteum Spine, pain management focuses on relieving back and neck pain through conservative, non-surgical care — reserving surgery for when it is truly necessary. The goal is to reduce pain, restore function, and help you avoid an operation whenever possible.
Conditions We Help Manage
• Chronic low back and neck pain
• Sciatica and radiating nerve pain
• Herniated disc and spinal stenosis symptoms
• Arthritis-related spine pain
• Pain after a previous spine surgery
Treatment Options
• Physical therapy and activity modification
• Anti-inflammatory and other medications
• Epidural steroid injections and selective nerve root blocks
• Facet joint injections and other image-guided procedures
When to Consider Surgery
If conservative care hasn’t resolved your symptoms, or there is progressive weakness or nerve compression, we’ll discuss whether a minimally invasive procedure is appropriate — only when the benefit is clear.
Frequently Asked Questions
Will injections cure my pain?
Injections can provide significant relief and support rehabilitation, though results vary by condition. They are one part of a broader plan.
Can I avoid surgery?
Many patients do. We always pursue effective non-surgical options first when appropriate.
Medically reviewed by Louis G. Cornacchia III, M.D., FAANS, FACS — board-certified neurosurgeon. Last updated: June 2026. This page is for general education and is not a substitute for medical advice. For urgent symptoms, call (609) 831-0998 or go to the nearest emergency room.
Take the next step toward an individualized pain plan.
Request an evaluation to review your symptoms, imaging, goals and prior treatment history.
The team will contact you to discuss your request. No outcome is guaranteed.