Pain & Spine Specialists that focus on breaking the cycle of pain by targeting pain pathways, improve physical well-being and transform perspective on pain
At PMIR, our pain clinic approach is all about YOU. Our goal is to help you achieve lasting pain relief and improved quality of life. We start by really listening to what’s going on with you and asking questions that will help us correctly diagnose your pain. And because everyone experiences pain differently, we create a personalized treatment plan to minimize your pain, increase your functionality, and get you back to being you as soon as possible.
12/30/2025
Thank you, Sharon, for your thoughtful words! Your feedback is greatly appreciated. 🙏💚
If you have visited our facility, we would greatly appreciate it if you could consider leaving a review! Your honest opinion can have a significant impact and help others make informed decisions about visiting Pain Management Injury Relief.
12/29/2025
Stop letting knee pain hold you back! Discover relief tailored to your needs with PMIR.
Take the first step towards a pain-free life today 👉 805-209-4303.
12/25/2025
Happy Holidays from PMIR! We hope you enjoy the holidays with the people you hold close!
12/24/2025
If climbing stairs makes your knees ache, you’re not alone. Pain going up the stairs can be a key sign of certain underlying knee issues—especially involving the kneecap (patella) or the cartilage beneath it.
Here are a few common causes:
🔹 Patellofemoral Pain Syndrome (Runner’s Knee) – Often caused by muscle imbalances or poor alignment that puts pressure on the kneecap during movement.
🔹 Chondromalacia Patella – A softening or breakdown of the cartilage under the kneecap, which can make stairs particularly painful.
🔹 Quadriceps Weakness – Weak thigh muscles can shift more load to the knee joint, making elevation harder on your knees.
🔹 Early Arthritis – Going upstairs requires more joint flexion and load-bearing—both of which can aggravate arthritic changes.
Thank you, Karen, for your thoughtful words! Your feedback is greatly appreciated. 🙏💚
If you have visited our facility, we would greatly appreciate it if you could consider leaving a review! Your honest opinion can have a significant impact and help others make informed decisions about visiting Pain Management Injury Relief.
12/22/2025
As we age, it’s common to feel a little more stiffness or soreness in the knees—but chronic knee pain isn’t something you just have to “accept.”
Here’s why age-related knee pain happens—and what you can do about it:
🔹 Cartilage Wears Down – Years of movement naturally thin the protective cartilage in your joints, which can lead to osteoarthritis.
🔹 Muscles & Tendons Weaken – Supporting muscles may lose strength or flexibility, adding stress to the joint.
🔹 Inflammation Increases – Age-related conditions like arthritis can cause swelling and stiffness that limit your mobility.
But here’s the good news: Knee pain doesn’t have to be your new normal. With the right care it’s possible to manage symptoms and stay active at every stage of life.
📞 Want to explore your options? Call 805-209-4303 to schedule a consultation and move with less pain. bit.ly/PMIRBookAppointment
12/19/2025
Thank you, Jennifer, for your thoughtful words! Your feedback is greatly appreciated. 🙏💚
If you have visited our facility, we would greatly appreciate it if you could consider leaving a review! Your honest opinion can have a significant impact and help others make informed decisions about visiting Pain Management Injury Relief.
12/17/2025
Not all knee pain is the same—and finding the source is key to long-term relief. Here are some of the most common causes:
🔹 Osteoarthritis – Wear-and-tear that breaks down cartilage and causes stiffness, swelling, and aching.
🔹 Meniscus Tears – Often from twisting injuries; can lead to locking, clicking, or instability.
🔹 Tendonitis – Inflammation of tendons from overuse or repetitive motion.
🔹 Ligament Injuries – ACL or MCL tears often result from sports or sudden stops/turns.
🔹 Bursitis – Irritation of fluid-filled sacs that cushion your joint.
🔹 Patellofemoral Pain Syndrome – Pain around the kneecap, often worsened by stairs, squatting, or sitting long periods.
Whether your pain came on suddenly or built up over time, it’s important to get an accurate diagnosis. Call 805-209-4303 to schedule a consultation and get clarity on your next steps.
bit.ly/PMIRBookAppointment
12/15/2025
Living with knee arthritis doesn’t have to mean living in constant pain—or jumping straight to surgery.
Many people find relief through non-surgical approaches like:
✔️ Viscosupplementation (Hyaluronic Acid Injections) – Helps lubricate the joint and reduce friction
✔️ Physical Therapy – Strengthens the muscles that support your knees
✔️ Medication Management – Reduces inflammation and helps manage daily discomfort
✔️ Lifestyle Modifications – Simple changes to activity levels and weight can make a big difference
Call 805-209-4303 to schedule a consultation and learn which non-surgical options may be right for you.
bit.ly/PMIRBookAppointment
12/12/2025
Knee pain from osteoarthritis can wear you down—but you may have more options than you think. One approach used to manage symptoms is hyaluronic acid injections, which can help:
✔️ Lubricate the joint
✔️ Reduce inflammation
✔️ Cushion the knee to ease pain signals
While not for everyone, these injections are one of several tools used to help relieve chronic knee pain.
Thank you, Nicole, for your thoughtful words! Your feedback is greatly appreciated. 🙏💚
If you have visited our facility, we would greatly appreciate it if you could consider leaving a review! Your honest opinion can have a significant impact and help others make informed decisions about visiting Pain Management Injury Relief.
12/09/2025
Don't let knee pain control your life. Discover relief tailored to your needs with PMIR.
Take the first step towards a pain-free life today 👉 805-209-4303.
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Founded in 2003 by Dr. Alexander P. Hersel, the PMIR Medical Center is staffed by Pain and Spine Specialists and Anesthesiologists whose mission is to ease your suffering associated with chronic pain, and to achieve long-term relief.
As first responders for pain, we understand the nuances between intense pain, constant pain, acute pain, and pain caused by injuries or accidents. For each PMIR patient, we listen to your history of pain, diagnose your symptoms and create a customized, effective treatment plan with an innovative approach for pain relief.
We’re Committed to Our Patients’ Pain Relief
PMIR Medical Center is committed to helping our patients achieve lasting freedom from pain. We believe that optimal pain relief is attained when patients take an active role in their pain management. Using a team approach, our doctors and specialists collaborate with our patients throughout the treatment process, increasing their sense of control over their pain while helping to decrease the feelings of isolation that often accompany chronic pain.
We utilize:
The latest technologies
The most advanced equipment
Truly innovative procedures to diagnose and treat the underlying causes of your pain and its associated conditions
A continuum of services – and often a combination of several services – from targeted pain-relieving injections to minimally invasive procedures to nonnarcotic pain relief methods