Our approach
Major surgery should be the last resort. Not the first option.
True Precision Medical was built around one conviction: most conditions have a less invasive answer, and the person in pain deserves to hear about it before anyone opens a joint.
Why we start here
A replacement resurfaces the joint. It does not treat nerve.
A great deal of chronic joint pain is neuropathic — it lives in the nerve rather than the cartilage. That is why replacing the joint does not always end it.
40%
of people arriving for a knee replacement already carry neuropathic pain.
20–30%
still report pain afterwards — about half of it neuropathic.
Persistent post-surgical pain literature; PubMed 36608901. These are figures about knee replacement generally, not about any one surgeon.
Side by side
What each option actually asks of you.
Not a summary of our opinion — the attributes themselves, for the two families we work in and for the operation they are alternatives to.
| EmbolizationCatheter-based | NeuromodulationSCS / PNS | Major surgeryReplacement or fusion | |
|---|---|---|---|
| Avoids general anesthesia | Yes | Yes | No |
| No major incision | Yes | Yes | No |
| No bone cut or removed | Yes | Yes | No |
| No large hardware implanted1 | Yes | Yes | No |
| Outpatient — home the same day | Yes | Yes | No |
| Reversible if it doesn’t help | Yes | Yes | No |
| Surgery is still an option afterwards | Yes | Yes | No |
| Back to normal activity2 | 1–2 weeks | Days | 12+ weeks |
| Covered by Medicare and most plans | Yes | Yes | Yes |
| Who performs it | Interventional radiologist | Neurosurgeon, orthopedic surgeon, pain physician or interventional radiologist | Orthopedic or spine surgeon |
- 1Neuromodulation places a lead roughly the diameter of a grain of rice. Nothing is implanted during an embolization.
- 2Six weeks is when many patients resume light daily activity. Most surgeons consider a knee replacement still settling at twelve months.
Starting here costs you nothing. If a minimally invasive procedure doesn’t give you the relief you wanted, surgery is still on the table — we’ve changed nothing about the joint. It does not work the other way around.
The part nobody mentions
If it doesn’t work, you have lost nothing but time.
Nothing is cut. No bone is removed. No hardware is implanted that has to come back out. If a minimally invasive procedure does not give you the relief you wanted, surgery is still on the table — exactly as it was before.
It does not work the other way round. That is the whole argument for starting here.
Who does it
The people, and what stands behind them.
Board-certified
Our physicians hold active board certification; our advanced practice providers are nationally certified.
Specialty-focused
Each provider works on a defined set of conditions, not general practice.
AAAHC accredited
Our centers meet the AAAHC ambulatory healthcare standards.
Our own centers
Not rented hospital time. The room, the team and the schedule are ours.
01
The specialist sees you, not a gatekeeper.
You are evaluated by a specialist who works on your condition specifically — not referred through a general practice first and seen months later.
02
We will tell you when the answer is no.
Some people are not candidates, and some are better served by the operation. You will hear that from us. A practice that recommends its own procedure to everyone is not evaluating anyone.
What it costs to find out
Nothing, and about two minutes.
The assessment is free and takes less than two minutes. If a minimally invasive option fits, we will tell you which one and why. If it does not, we will tell you that too — and you have changed nothing about the choices in front of you.
Medicare and most major plans accepted · 4.9★ from 400+ reviews