Precision Spine and Peripheral Nerve Center

The UCSF Precision Spine and Peripheral Nerve Center diagnoses and treats complex spine, back and nerve pain. Our patients benefit from the combination of advanced imaging technology and expertise in neuroradiology.

During spinal procedures, we use state-of-the-art MRI and CT scanners for unparalleled precision and patient safety. We are the only medical center in Northern California to integrate high-field MRI and high-resolution CT for the diagnosis and treatment of spine and peripheral nerve problems. With this capability, we often can locate the true source of someone's pain and then safely deliver pain medication to that location with pinpoint accuracy. In addition, we use low-dose CT and X-ray fluoroscopy techniques – pioneered by UCSF scientists – to minimize patients' radiation exposure.

Most of our patients experience a dramatic decrease in pain after our CT-guided spinal injection procedures. This relief allows them to participate in physical therapy, return to daily activities and, in some cases, take more time to evaluate surgical options. Some of our patients who have undergone kyphoplasty for compression fractures of the spine (surgical restoration of injured vertebrae) have been able to avoid having to use a wheelchair or enter a nursing home.

Continue reading

Our Services

We offer the following CT- and fluoroscopy-guided spine intervention procedures:

  • Provocative discography
  • Lumbar puncture
  • Myelography
  • Spinal biopsy
  • Selective nerve root block
  • Epidural injection
  • Facet injection and medial branch block
  • Radiofrequency ablation for facet and sacroiliac pain syndromes
  • Sympathetic ganglion block
  • Sacroiliac joint injection
  • Epidural blood patch
  • Spinal tumor ablation
  • Piriformis injection
  • Cyst aspiration and drainage
  • Vertebroplasty, kyphoplasty and sacroplasty
  • Minimally invasive lumbar decompression for spinal stenosis

Conditions Treated

  • Cerebrospinal fluid leak
  • Complex regional pain syndrome
  • Degenerative disc disease
  • Disc herniation
  • Discogenic pain
  • Facetogenic pain
  • Peripheral neuritis and neuropathy
  • Piriformis syndrome
  • Sacral and vertebral compression fractures
  • Sacroiliac joint pain
  • Spinal deformity and spondylosis
  • Spinal stenosis
  • Spinal tumor
  • Synovial cyst

Our locations

Expand Map

    Support services

    Patient Resource

    Case Management and Social Work

    Connect with a team that can help you find resources, solve problems and advocate for you during treatment at UCSF.


    Mindfulness-Based Stress Reduction Class

    This eight-week UCSF class teaches mindfulness practices, such as meditation and body awareness, that can reduce stress and improve your overall health.

    Patient Resource

    Patient Relations

    We welcome feedback about your experience at UCSF Health. Find out how to contact us with comments, questions or concerns.

    Patient Resource

    Spiritual Care Services

    Chaplains representing many faiths are available around the clock to provide support, comfort and counsel to patients, families and caregivers. Learn more.

    Preparing for your appointment

    What to Bring

    • Photo I.D.
    • Health insurance card
    • Insurance authorization, if required
    • Doctor's referral, if required
    • Recent test results related to your condition
    • List of your medications, including dosages, plus any you're allergic to
    • List of questions you may have
    • Device or paper for taking notes

    International Services

    If you live in another country and are coming to UCSF for medical
    treatment, our patient liaisons can help coordinate all aspects of your visit.

    Learn more


    UCSF offers language services at no charge for patients with limited
    English, as well as for patients who are deaf or have trouble hearing.

    Learn more

    Hospital Stays

    Checking into the hospital? Find helpful information by clicking on the relevant “Your Hospital Stay” booklet: Mission Bay, Parnassus or Mount

    Learn more

    Your Doctor Visit

    See our top 10 tips for making your UCSF doctor’s appointment as stress-free and productive as possible.

    Learn more

    Related clinics

    Pain Management Center

    2255 Post St.
    San Francisco, CA 94143

    Peripheral Nerve Center

    400 Parnassus Ave., Eighth Floor
    San Francisco, CA 94143

    Spine Center

    400 Parnassus Ave., Third Floor
    San Francisco, CA 94143

    Can't find what you're looking for?

    UCSF Help Center

    (888) 689-8273