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20 Years
experience
Minimally Invasive Pain Management Experts
Precision Pain Care was founded in 2006 by Dr. Graf Hilgenhurst, a board-certified pain medicine specialist and anesthesiologist with decades of experience. Our practice specializes in minimally invasive procedures for neck and back pain, regenerative medicines for joint pain, and advanced solutions for chronic pain conditions like radiculopathy, nerve pain, whiplash, and migraines. Dr. Hilgenhurst, past president of the Tennessee Society of Interventional Pain Medicine Physicians, personalizes treatments to address the root cause of each patient's pain rather than offering temporary fixes. We utilize fluoroscopic guidance and leading-edge therapies such as spinal cord stimulation, radiofrequency ablation, and platelet-rich plasma injections. Our mission is to empower adults with musculoskeletal or neuropathic conditions to regain strength and mobility without narcotics or major surgeries.

The practice holds License 843 and operates Middle Tennessee's Premier Spine and Pain Surgery Center. Our team emphasizes early intervention, precision diagnosis, and multidisciplinary approaches to reduce long-term health complications from untreated pain. We serve patients in Smyrna, TN, and surrounding areas with personalized care focused on restoring quality of life. With decades of combined experience, our staff ensures patients receive evidence-based treatments tailored to their specific needs. Our approach combines advanced medical techniques with compassionate care to address both acute and chronic pain conditions effectively.
Services
Back Pain Treatment Neck Pain Management Joint Pain Relief Nerve Pain Therapy Minimally Invasive Procedures Spinal Cord Stimulation Radiofrequency Ablation PRP Injections Epidural Steroid Injections Vertebroplasty
Details
  • Year established: 2006
Highlights and features
  • Board-certified pain medicine specialist with decades of experience
  • Personalized treatment plans targeting root causes of pain
  • Advanced fluoroscopic-guided injection therapies and regenerative medicine
  • Multidisciplinary approach avoiding narcotics and major surgeries
  • Specialized in treating complex conditions like radiculopathy and neuropathy
What people say
Life changing Precision diagnosis Targeted relief Expert technique Personalized care
Services
Back Pain Treatment
Our back pain specialists diagnose and treat conditions like herniated discs, spinal stenosis, and degenerative disc disease using minimally invasive techniques. We employ fluoroscopic guidance for precise epidural steroid injections and radiofrequency neurotomy to target nerve pain sources. Patients benefit from reduced recovery times compared to traditional surgery while maintaining long-term pain relief effectiveness.
Joint Pain Relief
We address osteoarthritis and other joint conditions through ultrasound-guided injections and platelet-rich plasma therapy. Our approach combines regenerative medicine with targeted pain management for shoulders, knees, hips, and wrists. Treatment plans integrate functional rehabilitation to improve mobility while minimizing reliance on pain medications.
Nerve Pain Therapy
Specialized treatments for neuropathic pain include spinal cord stimulation implants and peripheral nerve blocks. We address conditions like sciatica, occipital neuralgia, and diabetic neuropathy through advanced neuromodulation techniques. Our protocols focus on restoring nerve function while providing immediate pain relief through targeted interventions.
Radiofrequency Ablation
This minimally invasive procedure uses heat to disrupt pain signal transmission in specific nerves. We employ real-time imaging to ensure precise placement for treating facet joint pain, sacroiliac joint pain, and other chronic conditions. Patients typically experience 6-12 months of pain relief per treatment session.
Spinal Cord Stimulation
Our implantable spinal cord stimulators deliver low-voltage electrical currents to interrupt pain signals. This advanced therapy treats complex regional pain syndrome, failed back surgery syndrome, and severe neuropathy. The trial-based approach ensures treatment effectiveness before permanent implantation, with adjustable settings for personalized pain control.
People
Graf Hilgenhurst
Medical Director
Board-certified pain medicine specialist with 20+ years of experience. Past president of Tennessee Society of Interventional Pain Medicine Physicians. Founder of Rutherford County's only interventional pain surgery center. Specializes in minimally invasive spinal procedures.
Questions
What conditions do you treat?
We specialize in chronic pain conditions including back pain, neck pain, joint pain, nerve pain, sciatica, spinal stenosis, and migraines.
Are your treatments covered by insurance?
Most procedures are covered by major insurance plans. Our staff will verify your specific benefits before treatment.
What makes your approach different?
We focus on precision diagnosis and minimally invasive techniques that target pain sources rather than just masking symptoms with medication.
How soon can I get an appointment?
We typically schedule new patients within 1-2 weeks. Emergency pain cases may be seen sooner with physician referral.
Do you offer alternatives to pain medication?
Yes, our treatments include injection therapies, regenerative medicine, and neuromodulation techniques that reduce or eliminate medication dependence.
What should I bring to my first visit?
Please bring current medications list, prior imaging reports, and any relevant medical records for comprehensive evaluation.