PrecisionSpine

Interventional Pain — New York

Precision to the nerve. Relief from the source.

Fluoroscopy-guided injections that reach the exact millimeter of your compressed nerve root — for patients who've exhausted conservative care and need a precise, surgical-grade alternative.

Find Your Injection Match View Procedures

Interventional pain specialist in surgical loupes studying fluoroscopy imaging screen with focused concentration

"Precision to the nerve.
Relief from the source."

Dr. Jonathan Mercer, MD · Interventional Pain Medicine

Fellowship-Trained

Interventional Pain

Fluoroscopy-Guided

Real-Time Imaging

2,400+ Procedures

Since 2017

Same-Day Results

Most Patients

Epidural Steroid Injection◆Facet Joint Block◆Sacroiliac Joint Injection◆Medial Branch Block◆Radiofrequency Ablation◆PRP Disc Injection◆Celiac Plexus Block◆Sympathetic Nerve Block◆Trigger Point Injection◆Lumbar Discography◆Epidural Steroid Injection◆Facet Joint Block◆Sacroiliac Joint Injection◆Medial Branch Block◆Radiofrequency Ablation◆PRP Disc Injection◆Celiac Plexus Block◆Sympathetic Nerve Block◆Trigger Point Injection◆Lumbar Discography◆

Procedure Comparison

Four paths.
One precise target.

Every injection is guided in real-time under fluoroscopy. Compare procedures side by side to understand which addresses your specific anatomy.

Attribute	Most Common Epidural Steroid Injection	Diagnostic + Therapeutic Facet Joint Block	Often Overlooked Sacroiliac Joint Injection	Steroid-Free Hyaluronic Acid Injection
Target Anatomy	Nerve root / epidural space	Zygapophyseal joint	SI joint capsule	Facet joint / epidural
Injectate	Corticosteroid + saline	Corticosteroid + anesthetic	Corticosteroid + anesthetic	High-MW hyaluronate
Procedure Duration	15–20 min	10–15 min	10–15 min	15–20 min
Recovery Window	Same day, rest 24h	Same day	Same day	Same day, rest 24h
Typical Relief	3–6 months	1–6 months	2–4 months	6–12 months
Repeatability	Up to 3× / year	Up to 3× / year	Up to 3× / year	Annual
Best Indicated For	L4-L5 disc herniation, radiating leg pain (sciatica)	Axial back pain, post-surgical facet arthropathy	SI joint dysfunction, post-fusion adjacent pain	Steroid-intolerant patients, long-term lubrication
Best Match	Assess fit	Assess fit	Assess fit	Assess fit

† All procedures performed under real-time fluoroscopic guidance. Results vary by patient anatomy, diagnosis, and prior treatment history. Consultation required.

Patient Outcomes

Measured results.
Real patients.

Outcomes documented at 30-day follow-up. Procedure type, relief duration, and patient profile recorded for each case.

Epidural Steroid Injection

"I cancelled my surgery."

My neurosurgeon had already scheduled a microdiscectomy. Three weeks after the ESI, I called to cancel. The leg pain was simply gone.

Robert M., 52L4-L5 herniation, 14 months duration

Relief at 8 days, sustained 5 months

Lumbar ESI — Transforaminal

"First full night's sleep in fourteen months."

Diana K., 47L5-S1 radiculopathy, post-PT failure

Relief at 5 days, 4-month duration

Sacroiliac Joint Injection

"Back on the trail."

Chris W., 44SI dysfunction, weekend runner

Full activity at 3 weeks

Facet Joint Block — L3-L4

"No more bracing for the stairs."

Margaret H., 61Lumbar facet arthropathy, post-fusion

Diagnostic confirmation + 4-month relief

Transforaminal ESI — L4

"My GP had run out of ideas."

Eleven months of numbness in my right foot. The transforaminal injection reached the exact nerve root the MRI showed. Two weeks later, sensation started returning.

David L., 55L4 nerve root compression, post-surgical

Sensory improvement at 12 days

Hyaluronic Acid Facet Injection

"Steroid-free — finally."

Sandra T., 58Facet arthropathy, diabetic patient

6-month relief, no glycemic impact

Cervical ESI — C5-C6

"The imaging changed everything."

James R., 49Cervical radiculopathy, office worker

Relief at 6 days, 3-month duration

Facet Block — Post-Surgical

"Three years post-fusion, finally comfortable."

Karen O., 63Adjacent segment disease, L5-S1 fusion 2021

First pain-free month post-fusion

89%

Report meaningful relief at 30 days

4.2mo

Average relief duration, first injection

76%

Avoid surgical referral at 12 months

2,400+

Procedures performed since 2017

Personalized Assessment

Find Your Injection Match

Five questions. A personalized procedure recommendation based on your specific anatomy, history, and imaging.

Step 1 of 50% complete

Where is your pain primarily located?

Select the region on the spine diagram or use the buttons below.

Free Resource

The Patient's Guide to
Spinal Injections

A 32-page clinical reference written for patients — not physicians. Understand every procedure, ask the right questions, and arrive at your consultation informed.

Understanding Spinal Anatomy & Pain Generators
Fluoroscopy vs Ultrasound Guidance — What the Difference Means
Epidural Steroid Injections: Indications, Technique, Outcomes
Facet Joint Blocks & Radiofrequency Ablation
Sacroiliac Joint Dysfunction: Diagnosis & Injection Protocol
What to Expect: Before, During & After Your Injection
Questions to Ask Your Interventional Pain Specialist

PDF — 32 pages

Instant download after submission

Research-Phase Resource

Not ready to book?
Read first.

Most patients spend weeks researching before calling. This guide answers the questions your GP didn't have time to — so your consultation becomes a decision, not a discovery session.

Precision to the nerve. Relief from the source.

Four paths.One precise target.

Measured results.Real patients.