Common symptoms
- Comprehensive spine & neck evaluation
- Same-day imaging at most offices
- Conservative-first care plan tailored to your goals
- Coordinated specialty referrals when needed
- In-network insurance for most major carriers
Pain management at LAOSS.
Non-surgical and interventional treatments for chronic pain and injuries. Our pain management specialists work alongside the LAOSS orthopedic team to build a plan that addresses your pain at the source, not just the symptoms.
See a specialist this week
Board-certified surgeons and podiatrists across eight Los Angeles area neighborhoods.
Book a visitOr call (323) 264-7600
Key takeaways
- Non-surgical and interventional pain management, for cases where surgery isn't the right path.
- Coordinated with the LAOSS orthopedic team: your pain specialist talks directly to your surgeon and PT.
- Treatments include image-guided injections, nerve blocks, regenerative options, and medication management.
- In-network with most major insurers across all eight LAOSS offices.
About pain management
Pain management is part of the spine & neck care we offer at LAOSS. Below, we walk through the anatomy involved, who benefits from this service, what it looks like at our clinics, and the recovery and risk considerations to weigh.
Our specialists move stepwise: start with the least-invasive option that fits, escalate only when it doesn't.
Watch: Pain Management (Overview)
If you suffer from pain, you know how hard it can be to live with. Pain management is a branch of medical care that specializes in pain control. It can help you enjoy a better quality of life.
Inside the spine & neck.
The spine has 33 vertebrae stacked in five regions. Discs cushion them; the spinal cord and nerve roots run through the canal.
What we offer with pain management.
Common causes
- New patients exploring an orthopedic complaint
- Existing LAOSS patients continuing care
- Patients seeking a second opinion
- Athletes and active adults of every age
How we start treatment
When you book with LAOSS for pain management, here's the flow:
- Initial visit: detailed history, focused exam, on-site X-ray when needed
- Diagnosis & plan: most patients leave with imaging-confirmed answers and a written treatment plan
- Treatment: whether that's PT, an injection, or surgery, your specialist stays involved at every step
- Follow-up: measured benchmarks, direct line to your care team, plan adjustments as recovery progresses
Spine & neck care, conservative-first.
We start with the least-invasive option that fits, and escalate only when it doesn't.
Conservative care
Step 1Conservative care first
Non-surgical options designed to relieve pain, restore movement, and avoid the OR when possible.
- Physical therapy & core stabilization
- Image-guided epidural steroid injections
- Facet joint or medial branch blocks
- Radiofrequency ablation
- Chiropractic care
Surgical care
When neededSurgical options when needed
Minimally invasive and reconstructive procedures performed by board-certified orthopedic surgeons.
- Microdiscectomy
- Laminectomy
- Cervical or lumbar spinal fusion
- Kyphoplasty
- Spinal cord stimulation
Why experience matters.
Why experience matters
Spine & neck care is highly technique-dependent. Volume, training, and judgment together determine the outcome you feel six months later.
- Precise diagnosis from imaging and exam
- Conservative-first care that avoids unnecessary surgery
- Technique refined over thousands of cases
- On-site imaging + coordinated PT through your in-network provider
The LAOSS approach
Our spine & neck specialists move stepwise: start with the least-invasive option that fits, escalate only when it doesn't.
- Same-day imaging at most offices
- PT coordinated in your insurance network
- Board-certified specialists performing the procedures themselves
- Direct access to your specialist between visits
Am I a candidate?
If most of these match your situation, an evaluation with a spine & neck specialist is the next step.
You may be a candidate if
These signs typically point toward this service being a good fit.
- Spine & neck pain or dysfunction lasting more than a few days
- Swelling, instability, or noticeable change in function
- Symptoms that limit walking, lifting, sleep, or work
- Previous treatment that didn't fully resolve the problem
- Imaging or exam findings that suggest an underlying issue
What evaluation includes
Your first visit is built to give you an answer the same day, not just another referral.
- Detailed history: onset, mechanism, what makes it better or worse
- Hands-on exam focused on the affected joint or region
- On-site imaging at most offices (X-ray, ultrasound)
- Clear plan with options ranging from conservative to surgical
- Same-day or next-day scheduling for any follow-up tests
ImportantGo to the emergency room or call 911 for loss of bowel or bladder control, numbness in the groin or inner thighs, or weakness in the arms or legs that is getting worse quickly. Seek urgent evaluation for sudden severe pain, new numbness, or any sign of infection (fever, increasing redness or swelling).
Your spine & neck recovery roadmap.
Recovery is rarely a straight line, but a clear plan with measurable milestones makes the path predictable.
- Days 0 to 14
Right after care
In the first two weeks we focus on protecting the spine & neck, calming inflammation, and restoring basic motion.
- Activity modification with clear do/don't guidance
- Ice and pain control as needed
- Gentle range-of-motion within safe limits
- Follow-up scheduled to track healing
- Weeks 2 to 8
Rehabilitation
Targeted physical therapy rebuilds strength, mobility, and confidence in the spine & neck.
- Progressive strengthening and neuromuscular work
- Manual therapy and soft-tissue treatment
- Sport- or job-specific movement re-training
- Coordinated PT through your in-network provider
- Months 2+
Long-term care
Once function is restored, the focus shifts to keeping you there, and catching any recurrence early.
- Return-to-activity plan with measured benchmarks
- Home program tailored to your sport or job
- Maintenance visits or imaging if symptoms change
- Direct line back to your specialist if needed
Risks & considerations
What to weigh before you decide.
We talk through the risks and benefits with every patient. Informed consent is a conversation, not a form.
General considerations
Every orthopedic intervention carries a small set of standard risks. We screen, prepare, and monitor for these on every patient.
- Infection (rare with modern technique and prophylaxis)
- Bleeding or bruising at the treatment site
- Reaction to anesthesia or medications
- Need for additional procedures in some cases
Spine and neck considerations
Some risks are tied to the structures we're treating in the spine & neck. We discuss these in detail at your visit so you can weigh them against the benefits.
- Temporary stiffness or weakness during recovery
- Incomplete pain relief in a small percentage of cases
- Nerve or vessel irritation near the treatment area
- Need for follow-up therapy to fully restore function
Meet our spine & neck specialists
At LAOSS, our spine & neck specialists are board-certified and treat these problems every day. From minimally invasive techniques to coordinating your rehab, our physicians bring decades of experience to every case. We have cared for Los Angeles patients since 2007, with one goal for each: less pain, better movement, and a return to the activities you love.
Specialists, not generalists.
Compare up to 34 providers
Accepting new patients
Jose Antonio Acosta, MD
Pain Management & Rehabilitation
Speaks English and Spanish
Habla español
- Glendale
- Encino
- Valencia
- +1 more
Reliable pain management care starts here
With same- or next-day appointments at eight Los Angeles-area offices, you'll never wait weeks or months for answers. Whether you need physical therapy, injections, or surgery, we plan it with you and coordinate each step.
Call or schedule online today to see a spine & neck specialist in Los Angeles.
From our Google reviews
Read all 9,626 reviews on GoogleWhat patients say
“I love Dr Jose aAcosta. He is my hip and back (and also pain management) doctor and I highly recommend him. Just treated for SI joint pain and I am currently relishing how pain free ai am for the first time in months!”
Lisainpasadena O.Google reviewJun 2026
“I can’t say thank you enough to the staff at this office. Dr. Jose Antonio Acosta, my pain management Dr. I am so thankful for his kindness, compassion and understanding of my pain, he just made my like so much easier and pain free. I would definitely recommend Dr. Acosta to help you manage the pain. Thank you again”
Raisa H.Google reviewMay 2026
“Great doctor dealing with my pain management has given me back my quality of life”
Leslie P.Google reviewEncinoOct 2024
Selected 5-star reviews from Google, shown as written. Individual results vary.
Pain management: FAQ.
- Rarely, and only when other options have been exhausted. Our pain management approach is centered on identifying and treating the source of pain, not masking it long-term with medication.
Book a visit at LAOSS.
Same-week appointments available across eight Los Angeles-area offices.
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21 specialists · 8 offices
Greater Los Angeles
On-site X-raySame visit
Most insurers acceptedIn-network