# True Precision Medical

> Outpatient, minimally invasive specialty care in Phoenix and Peoria, Arizona. Image-guided, same-day procedures — including genicular artery embolization (GAE), peripheral nerve stimulation (PNS), spinal cord stimulation (SCS), and uterine fibroid embolization (UFE) — as alternatives to joint replacement, chronic opioid/gabapentin use, and major surgery.

## Key pages
- [Conditions](https://trueprecisionmedical.com/conditions): Conditions treated, and how each one is approached
- [Specialists](https://trueprecisionmedical.com/specialists): Board-certified physicians and advanced practice providers
- [Locations](https://trueprecisionmedical.com/locations): Phoenix and Peoria, AZ
- [Our Approach](https://trueprecisionmedical.com/our-approach): How the practice works
- [Editorial Standards](https://trueprecisionmedical.com/editorial-standards): How articles are created and sourced
- [Book a Consultation](https://trueprecisionmedical.com/book)

## Patient resource library

### Knee Pain
- [What Is Genicular Artery Embolization? A Plain-Language Guide](https://trueprecisionmedical.com/articles/what-is-genicular-artery-embolization): It's a newer same-day procedure for knee arthritis pain, done through a pinhole with no open surgery and no general anesthesia. Here's how it works, who it's for, and what the evidence honestly shows.
- [The Stages of Knee Osteoarthritis — and When to Actually Do Something About It](https://trueprecisionmedical.com/articles/knee-osteoarthritis-stages-and-when-to-act): Knee arthritis moves through predictable stages, and where you are on that path changes what helps most. Here's how to read the stages honestly and when acting early quietly protects your options.
- [Your Knee Injections Stopped Working — Here's What That Means and What's Next](https://trueprecisionmedical.com/articles/knee-injections-not-working-next-options): When cortisone shots stop helping your knee, it's not the end of the road — and it doesn't have to mean surgery next. Here's what fading relief actually tells you and the honest options that come after.
- [How to Avoid Knee Replacement: Your Non-Surgical Options](https://trueprecisionmedical.com/articles/how-to-avoid-knee-replacement): Knee replacement is major, permanent surgery — and for many people it isn't the only path. Here's the full ladder of options to climb first, including newer same-day treatments that don't burn any bridges.
- [Chronic Pain After Knee Replacement: Why It Happens and What Helps](https://trueprecisionmedical.com/articles/chronic-pain-after-knee-replacement): Still hurting months after your knee replacement? You're far from alone — and lasting pain doesn't have to mean another major surgery. Here's why it happens and what actually helps.
- [Bone-on-Bone Knee Pain: What You Can Still Do](https://trueprecisionmedical.com/articles/bone-on-bone-knee-pain-options): A 'bone-on-bone' X-ray sounds like the end of the road — but it's a surprisingly poor predictor of your pain, and it doesn't mean surgery is your only choice. Here's what you can still do.
- [Why Does My Knee Hurt Going Down Stairs?](https://trueprecisionmedical.com/articles/knee-pain-going-down-stairs): Sharp knee pain on the way down stairs is one of the earliest signs of joint wear. Here's what it usually means — and the options beyond surgery.

### Shoulder Pain
- [Rotator Cuff Pain: Do You Actually Need Surgery?](https://trueprecisionmedical.com/articles/rotator-cuff-pain-do-you-need-surgery): Not every rotator cuff problem needs an operation. Here's an honest look at when the shoulder heals with time and therapy, when surgery is the right call, and the minimally invasive options in between.
- [Frozen Shoulder: How Long Does It Really Last?](https://trueprecisionmedical.com/articles/frozen-shoulder-how-long-it-lasts): Frozen shoulder tends to run its course in stages that can stretch on for a year or more. Here's the typical timeline, what actually helps each phase, and what to consider when the pain won't let up.
- [Chronic Shoulder Pain and Stiffness: Options Beyond Surgery](https://trueprecisionmedical.com/articles/chronic-shoulder-pain-without-surgery): Shoulder pain and stiffness that won't quit don't always require surgery. Here's what may be driving it — and a minimally invasive, outpatient option for pain that hasn't responded to the usual care.
- [Calcific Tendinitis of the Shoulder: Treatment Options Explained](https://trueprecisionmedical.com/articles/calcific-tendinitis-shoulder-treatment): Calcium deposits in a shoulder tendon can cause sudden, intense pain — but they often dissolve on their own. Here's a clear look at the treatments that help, from simple care to targeted procedures.

### Wrist Pain
- [Wrist Tendinopathy: Why It Lingers and What Actually Helps](https://trueprecisionmedical.com/articles/wrist-tendinopathy-why-it-persists): When wrist tendon pain drags on, it's usually not simple inflammation anymore — it's a wear-and-repair problem. Here's why it persists, the care that works for most people, and an emerging option for stubborn cases.
- [De Quervain's Tenosynovitis: Treatment Options for Thumb-Side Wrist Pain](https://trueprecisionmedical.com/articles/de-quervains-tenosynovitis-treatment-options): That sharp pain on the thumb side of your wrist when you lift or grip has a name — and it usually responds well to simple, non-surgical care. Here's what works, and what to do if it keeps coming back.
- [Chronic Wrist Pain: What to Do When Rest Isn't Enough](https://trueprecisionmedical.com/articles/chronic-wrist-pain-when-rest-isnt-enough): Wrist pain that drags on for months has many possible causes, and most of them start with the same simple care. Here's how to think about persistent wrist pain, and what your options are when it won't settle.

### Foot Pain
- [Plantar Fasciitis vs. Heel Spur: What's Actually Causing Your Pain](https://trueprecisionmedical.com/articles/plantar-fasciitis-vs-heel-spur): An X-ray showed a heel spur, so that must be the problem — right? Usually not. Here's how these two related findings differ, and why the spur is rarely the real source of pain.
- [Plantar Fasciitis That Won't Heal: What to Try When Nothing's Worked](https://trueprecisionmedical.com/articles/plantar-fasciitis-that-wont-heal): Stubborn heel pain that hasn't responded to months of treatment may have another option. Here's what drives chronic plantar fasciitis and an emerging, minimally invasive approach for refractory cases.
- [Why Your Heel Hurts First Thing in the Morning](https://trueprecisionmedical.com/articles/heel-pain-in-the-morning-causes): That sharp stab with your first steps out of bed has a specific cause — and it usually points to one condition. Here's what drives morning heel pain and what actually helps.
- [Stubborn Achilles Pain: Your Options When It Won't Settle Down](https://trueprecisionmedical.com/articles/chronic-achilles-tendon-pain-options): Chronic pain in the back of your heel or lower calf can drag on for months. Here's what's happening in the tendon, the treatment that works for most people, and an emerging option for the cases that don't respond.

### Back & Neck Pain
- [Sciatica: Why Leg Pain Often Starts in Your Back](https://trueprecisionmedical.com/articles/sciatica-leg-pain-from-your-back): That sharp, shooting pain down your leg usually isn't a leg problem at all — it starts at a pinched nerve in your lower back. Here's what causes it, what tends to get better on its own, and the targeted options that help when it doesn't.
- [Heat Treatment for Back Pain: What to Expect](https://trueprecisionmedical.com/articles/radiofrequency-ablation-back-pain-what-to-expect): If your back pain comes from the small joints of your spine, a targeted, outpatient heat treatment can quiet the specific nerves carrying that pain — often for many months. Here's how it works, why a test injection comes first, and what the evidence shows.
- [Still in Pain After Back Surgery? Your Options Explained](https://trueprecisionmedical.com/articles/failed-back-surgery-syndrome-options): When back or leg pain persists — or returns — after spine surgery, it can feel like you're out of options. You're not. Here's an honest look at what helps, including a reversible, well-tested approach that calms the pain signal without another major operation.
- [Chronic Back Pain: Non-Surgical Alternatives to Spinal Fusion](https://trueprecisionmedical.com/articles/back-pain-alternatives-to-fusion): Told you might need spinal fusion for chronic back pain? The evidence for that surgery is weaker than most people expect — and there are targeted, outpatient options worth trying first.

### Neuropathy
- [What Is Spinal Cord Stimulation? A Plain-Language Guide](https://trueprecisionmedical.com/articles/what-is-spinal-cord-stimulation): It's a small, implanted device that quiets nerve pain signals before they reach your brain — and you get to test-drive it for several days before deciding on anything permanent.
- [Peripheral Neuropathy: Symptoms, Causes, and When to See a Specialist](https://trueprecisionmedical.com/articles/peripheral-neuropathy-symptoms-causes): Numbness, burning, tingling, or shooting pain — usually starting in the feet — are the classic signs of nerve damage. Here's what causes it and when it's time to get help.
- [Gabapentin for Nerve Pain: Long-Term Side Effects and What Else Works](https://trueprecisionmedical.com/articles/gabapentin-nerve-pain-side-effects): Gabapentin helps some people with nerve pain — but the benefit is modest, most people get side effects, and long-term use carries real concerns. Here's what to know, and what else can work.
- [Diabetic Neuropathy in Your Feet: How to Get Relief](https://trueprecisionmedical.com/articles/diabetic-neuropathy-feet-relief): Burning, numb, or tingling feet from diabetes are treatable — and when pills fall short, there's now a proven, reversible option that does more than just mask the pain.
- [Chemotherapy-Induced Neuropathy (CIPN): Relief Options for Survivors](https://trueprecisionmedical.com/articles/chemotherapy-induced-neuropathy-relief): Numbness, tingling, or burning in the hands and feet can linger long after chemotherapy ends. Here's what genuinely helps when the usual options fall short.
- [Can Neuropathy Be Reversed? An Honest Answer](https://trueprecisionmedical.com/articles/can-neuropathy-be-reversed): The truthful answer has two parts: established nerve damage often can't be fully undone, but the pain is very treatable and function can genuinely improve — sometimes measurably.
- [Burning Feet at Night: Is It Nerve Damage?](https://trueprecisionmedical.com/articles/burning-feet-at-night-nerve-damage): Burning feet that flare up at night are one of the clearest signs of nerve trouble. Here's what usually causes it, when to get it checked, and the options when medication isn't enough.

### Headache & Neuralgia
- [Occipital Neuralgia vs. Migraine: How to Tell Them Apart](https://trueprecisionmedical.com/articles/occipital-neuralgia-vs-migraine): They can feel alike and even happen together — but occipital neuralgia and migraine come from different places, and telling them apart points you toward the right treatment.
- [Occipital Neuralgia: Why the Back of Your Head Hurts and What Helps](https://trueprecisionmedical.com/articles/occipital-neuralgia-treatment-options): Sharp, shooting pain at the back of the head and neck can be occipital neuralgia — and when medications and injections fall short, targeted options can turn the pain signal down.
- [Nerve Blocks for Headache: What They Are and What They Tell You](https://trueprecisionmedical.com/articles/nerve-blocks-for-headache-what-to-know): An occipital nerve block is a small injection that can quiet stubborn head pain — and, just as valuably, tell you where the pain is coming from and what treatment is likely to work.
- [Cervicogenic Headache: When Your Headache Actually Starts in Your Neck](https://trueprecisionmedical.com/articles/cervicogenic-headache-from-your-neck): Some headaches don't begin in the head at all — they're referred from the upper neck. Recognizing that changes everything about how they're diagnosed and what actually helps.

### Uterine Fibroids
- [UFE Recovery: What to Expect After Fibroid Treatment](https://trueprecisionmedical.com/articles/uterine-fibroid-embolization-recovery-what-to-expect): From the day of your procedure to getting back to normal, here's a realistic, day-by-day picture of recovering from minimally invasive fibroid treatment.
- [Signs Your Fibroids Need Treatment (and When Watching and Waiting Is Fine)](https://trueprecisionmedical.com/articles/signs-your-fibroids-need-treatment): Not every fibroid needs treating. Here's how to tell when symptoms have crossed the line into needing care — and when it's reasonable to simply monitor them.
- [Heavy Periods, Fatigue, and Anemia From Fibroids: What Can Be Done](https://trueprecisionmedical.com/articles/heavy-periods-anemia-fibroids): When fibroids cause bleeding heavy enough to leave you exhausted and low on iron, it's more than an inconvenience. Here's why it happens and how to fix it without losing your uterus.
- [Uterine Fibroids: A Uterus-Preserving Alternative to Hysterectomy](https://trueprecisionmedical.com/articles/fibroids-alternative-to-hysterectomy): Heavy periods and pelvic pressure from fibroids don't have to mean a hysterectomy. Here's a uterus-preserving, outpatient option with a faster recovery — and an honest comparison.

### Peripheral Arterial Disease
- [What Raises Your Risk of Peripheral Artery Disease — and What You Can Change](https://trueprecisionmedical.com/articles/peripheral-artery-disease-risk-factors): Poor circulation in the legs isn't just bad luck. Smoking, diabetes, blood pressure, and cholesterol drive most of the risk — and several are things you can act on starting today.
- [Is It Nerve Pain or Poor Circulation? Why Your Feet Hurt](https://trueprecisionmedical.com/articles/pad-vs-neuropathy-why-your-feet-hurt): Burning, numbness, and aching feet can come from damaged nerves, reduced blood flow, or both at once. Here's how to tell the difference — and why it changes what you should do next.
- [A Sore on Your Leg or Foot That Won't Heal: Why It Shouldn't Wait](https://trueprecisionmedical.com/articles/non-healing-sores-legs-feet-warning-sign): A cut, blister, or sore on the foot or lower leg that hasn't healed in a few weeks can be a sign of seriously reduced circulation. Here's why it deserves prompt attention — and what can be done to save the limb.
- [Leg Pain When You Walk: Could It Be Peripheral Artery Disease?](https://trueprecisionmedical.com/articles/leg-pain-walking-peripheral-artery-disease): Leg cramps or pain when you walk that ease when you rest can be an early warning sign of poor circulation. Here's what it may mean and how it's treated — often without open surgery.