Leave chronic pain behind; get back to being you.

Pain Management & Injury Relief Medical Center

Now Offering Telehealth Services for New Patient Consults and Follow-Ups

The state of California may still be closed, but your pain management care is an essential service. During our business closure, we worked diligently to adopt new safety protocols and re-envision our healthcare delivery system for greater ease and optimal pain care.


Ketamine Infusion Therapy

Positive Effects on Well-Being

Each treatment session provides a deep state of relaxation. Patients report this experience as beneficial to their emotional and physical well-being.


Many patients experience marked improvements within days unlike other medications that may take weeks to become effective.

Long-Lasting Benefits

Ketamine can have a long-lasting positive impact on your well-being, and there are no known negative side effects to Ketamine Infusion Therapy.

Learn More Here

Meet our Pain and Spine Specialists

Whether you’re suffering from back pain, neck pain, headaches or another pain-inducing condition, our goal is to determine the root cause of your pain and help you get back in step with life.


Alexander P. Hersel, M.D.

“I founded PMIR Medical Center because I wanted to help patients experience freedom from pain through advanced pain management. I strongly believe in a mind-body-spirit approach to treating pain that utilizes a combination of Western medicine and alternative therapies.”

Bradley Spiegel, M.D.

“When I was a teenager, my mother contracted breast cancer. She created a multidisciplinary approach to her treatment that included yoga, nutrition, and exercise, which helped her live for another 15 years. This experience became the catalyst for my pain management practice.”

Time for Something Different

At Pain Management and Injury Relief Medical Center, we focus on breaking the cycle of pain by targeting your pain pathways, improving your physical well-being and helping you transform your perspective on pain.


As pain messages travel along your nervous system, they create physiological responses in every major body system. We use minimally invasive procedures and nonnarcotic pain relief options that stop or reduce pain signals, so you can feel better and heal.


Your emotional state can also be affected by pain. Any preexisting anxiety or depression can worsen, and feelings like sadness, anger, or fear can increase your pain. By getting to the source of your pain quickly, we can help alleviate these feelings.


When pain controls your life, your confidence and self-esteem can falter, making daily tasks seem overwhelming. We’ll help you regain your positive outlook on life and re-connect to the best version of yourself—the one that’s free from pain!

New Procedure!

Vertiflex – Superion Minimally Invasive Procedure for Lumbar Stenosis

Superion is a completely new, minimally invasive approach to treating lumbar stenosis that fills a gap in the continuum between conservative care and invasive surgery. Designed with patient safety and comfort in mind. It’s a simple outpatient procedure with a rapid recovery time and no destabilization of the spine.

Talk with the doctors about Superion if you have any of the following symptoms:

  • Leg, buttock, and groin pain
  • Numbness, weakness, cramping or stiffness in the legs or buttocks
  • Difficulty walking or standing but experience relief in the seated or flexed position
Learn More Here

Everyone Deserves to Live Pain-Free

We’ll target and treat the source of your pain. Click on the area where you experience the most pain
to learn more about some of the conditions we treat and the relief we can provide.





The Voice of Our Patients

“Dr. Hersel is so caring, treating the whole person rather than just the site of the pain, and earnestly appears to take pride in helping his patients. In short, he is the ideal when I think of "bedside manner."
Ronni R. – Yelp

“Dr. Spiegel has kept me mobile and active for over 10 years. As an older woman with bad lumbar and cervical disk disease, determined to avoid surgery, Dr. Spiegel's epidural injections have helped me continue to travel, play some golf, and enjoy my life with only minimal pain.”
Jean K. – Yelp

“Dr. Hersel is absolutely amazing, genuinely cares about you and finding a solution to reduce or get rid of the pain you are in. I will never go see another doctor again for pain and or spinal problems.”
- Vitals

“I've been a patient of Dr Spiegel's for about a year now and he is the most caring doctor I have ever been to. He doesn't rush with you,he takes the time to go over everything and makes sure you understand it before he leaves the room.”
- Vitals

“Dr. Hersel is absolutely amazing, genuinely cares about you and finding a solution to reduce or get rid of the pain you are in. I will never go see another doctor again for pain and or spinal problems.”
- Vitals

“Dr. Spiegel is everything you would hope for with regards to pain management. Beyond his knowledge and experience, he is adept and he certainly hit the target during my epidural.”
Mary C. – Healthgrades