Cincinnati’s Spine & Pain Specialists

Feel Better. Move Better. Live Better.

Expert spine, neuromuscular, and pain care—personalized plans that help you get back to what you love.

Same-week availability

Most major insurance accepted

Compassionate expert care

Pain Management in Cincinnati, OH

Welcome to Tri-State Spine & Neuromuscular Associates

Dr. Shapiro is committed to delivering the highest quality healthcare to every patient he treats. Chronic pain can make relief feel out of reach. His mission is to restore hope—curing when possible and alleviating suffering when a full cure cannot be achieved.

Patient-centered, comprehensive care. We combine traditional medical treatment with innovative, holistic therapies to help you heal and move forward.

Why Choose Tri-State Spine & Neuromuscular Associates?

Whole-Person Treatment

A comprehensive approach integrating medical care with osteopathic manipulation, dry needling, regenerative therapies, and other modalities.

Care When Others Haven’t Helped

This unique blend of conventional and complementary options can provide results where traditional medical and surgical treatments have failed.

Independent & Truly Individualized

Not tied to a hospital system—your plan is built around what’s best for you.

Referrals Based on Outcomes

If a second opinion is needed, referrals are guided by specialist expertise and track record— not hospital affiliations.

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Pain Management Specialists in Cincinnati, OH

Our Services

Comprehensive, patient-centered care designed to reduce pain, restore function, and improve quality of life.

Pain Management

Chronic Neck & Back Pain

Chronic pain in the neck or back can interfere with daily life, mobility, and overall well-being. We focus on identifying the root cause and creating personalized treatment plans that restore function.

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Neuromuscular

Peripheral Nerve Disorders

Peripheral nerve conditions can cause tingling, weakness, or persistent pain. We offer advanced diagnostic and therapeutic options tailored to your needs.

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Specialty Care

Headaches

Recurring headaches or migraines can be debilitating. Our approach is designed to reduce frequency, manage pain, and help you live with fewer disruptions.

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Regenerative Medicine

PRP Injections

Platelet-Rich Plasma (PRP) injections use concentrated platelets from your own blood to support healing in certain joints, tendons, and soft-tissue conditions.

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Aesthetic Services in Cincinnati, OH

Aesthetics

Natural-looking aesthetic treatments designed to refresh, refine, and enhance your features with subtle, elegant results.

Aesthetic Rejuvenation

Botulinum Toxin Injections

Botulinum Toxin treatments help soften dynamic facial lines caused by repeated muscle movement, creating a smoother, more refreshed appearance while maintaining natural expression.

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Facial Enhancement

Dermal Fillers

Dermal fillers are used to restore volume, soften facial folds, and enhance natural contours in areas such as the cheeks, lips, jawline, and around the mouth for refined, balanced results.

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Why Choose Us

Care that’s personal, precise, and built around outcomes.

We blend evidence-based medicine with advanced holistic therapies to help patients find relief, restore function, and return to living fully.

1:1

Individualized treatment plans

Comprehensive

Diagnostics + interventions

Independent

Referrals based on what’s best for you

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Patient-centered care

We listen carefully, explain clearly, and design treatment around your goals—pain relief, mobility, and function.

Root-cause focus

We prioritize accurate diagnosis and targeted therapy—reducing symptoms while improving performance and daily comfort.

Advanced holistic options

Osteopathic manipulation, regenerative therapies, dry needling, and more—integrated with modern medical treatment.

Independent guidance

If a referral is needed, recommendations are based on expertise and outcomes—not hospital affiliations.

Our mission is to restore hope—curing when possible and alleviating suffering when a full cure cannot be achieved.

— Dr. Shapiro