Dr. Hilgenhurst’s Message to Prospective Patients:

Dear Prospective Patient,

I would be honored to be your physician, and am pleased that you are considering Precision Pain Care as you evaluate the options for pain treatment.

Untreated pain – in addition to being debilitating – can lead to various health problems including depression, decreased mobility, high blood pressure, gastrointestinal problems, muscle fatigue and spasms, sleep difficulties, and a weakened immune system.

Early intervention is crucial, as important as accurately diagnosing the underlying source of your pain…a precision diagnosis means that treatment can more effectively provide relief. When treated promptly, the risk of additional damage to nerves, discs, and other structures is reduced in some conditions.

I have been treating pain for many years both as an anesthesiologist and an interventional pain management physician. My specialty is in diagnosing and treating neck and back pain, which may also present as radiating pain down the arms or legs. As an IPM physician, I specialize in minimally invasive procedures, including injections into and around the spine to treat the root cause of pain.

I hope that our highly personalized and targeted approach will put you at ease, while we help you get back to an active, productive life with less pain. The entire staff is here to help alleviate any fears you may have, and will take the time to listen, as well as to clearly explain how we can be of assistance in minimizing your pain.

Thanks for taking the time to learn about Precision Pain Care. If you need a referral, have your primary physician contact our office.


Precision Pain Care specializes in leading-edge, minimally invasive treatment options

Below Are Links To Our Patient’s Most Common Pain Points

Back Pain

80% of Americans will experience back pain in their lifetime.

Neck Pain

The first step toward overcoming your nerve pain is to visit a physician.

Shoulder Pain

Is shoulder pain preventing you from living your fullest?

Hip Pain

Is hip pain preventing you from living your fullest?

Knee Pain

Is knee pain preventing you from living your fullest?

Head Pain

Treatment for chronic headaches and migraines

Body Pain

Neurological and musculoskeletal conditions that can cause body pain.

Nerve Pain

80% of Americans will experience back pain in their lifetime.

Joint Pain

80% of Americans will experience back pain in their lifetime.


80% of Americans will experience back pain in their lifetime.


80% of Americans will experience back pain in their lifetime.

Middle Tennessee’s Premier Spine and Pain Surgery Center.

Minimally invasive procedures to relieve spine and pain discomfort associated with disc herniations, sciatica, spinal stenosis, degenerative disc disease, compression fractures, and other painful conditions. Learn More

About Precision Pain Care

“Helping Chronic Pain Sufferers in Smyrna, TN Get Back to Better.”

Located in Smyrna, Precision Pain Care is a leading interventional pain management practice. Founded in 2006 by Dr. Graf Hilgenhurst, a distinguished pain medicine specialist and anesthesiologist, our mission is to empower adults with musculoskeletal or neuropathic conditions to regain strength, mobility, and function without narcotics or major surgeries. We specialize in:

  • Minimally invasive procedures for neck and back pain

  • Regenerative medicines for joint pain
  • Advanced treatments for chronic pain including radiculopathy, nerve pain, whiplash, and migraines

Dr. Graf Hilgenhurst: Leading the Charge Against Chronic Pain

With decades of experience, Dr. Hilgenhurst is board-certified in pain medicine. He has held prominent roles, including past president of the Tennessee Society of Interventional Pain Medicine Physicians and board member of the Tennessee Pain Society. As the founder of Rutherford County’s only interventional pain surgery center, he’s dedicated to minimally invasive spinal procedures.

At Precision Pain Care, we understand that each pain is unique. That’s why Dr. Hilgenhurst personalizes treatments to match your specific needs, ensuring genuine, effective solutions over temporary fixes.

For a consultation, call us at 615-223-6200 or request an appointment online. Our team is here to help you resume the activities you love.

Educational Library

Expand your knowledge on conditions that lead to pain as well as leading-edge treatment options