Most people don't need to rush into spine surgery. They need the truth first.
Dr. Sethuraman is a Mayo-trained spine surgeon who built this practice on one principle: your interest comes before ours. An honest read of your imaging, every option on the table, and surgery recommended only when it's genuinely the right call.
- A fellowship-trained surgeon who tells you the truth β including when you don't need surgery
- Regenerative and minimally invasive options, not just the operating room
- A clear path from first question to long-term care
What working with us is like
Honest, unhurried, and built around your result. Here's how a patient typically moves through the practice.
Your imaging, read honestly
Dr. Sethuraman personally reviews your MRI and history and explains what it actually shows β in plain language, not jargon.
Every option on the table
Surgical, minimally invasive, and non-surgical paths, with a straight recommendation β and surgery only when it's truly warranted.
Progress you can measure
If you move forward, results are tracked against your own imaging and labs, so improvement is documented β not just felt.
Conditions we help with
If your problem is on this list, you're in the right place β and if it isn't, we'll tell you honestly and point you where you need to go.
Herniated & bulging discs
Disc problems in the neck or lower back, with or without nerve involvement.
Sciatica & radiating pain
Pain, numbness, or tingling that travels down an arm or a leg.
Spinal stenosis
Narrowing of the spinal canal causing pain, weakness, or trouble walking.
Degenerative disc disease
Wear-related changes driving chronic neck or back pain over time.
Chronic neck & back pain
Persistent pain that hasn't resolved with the care you've tried so far.
A surgery recommendation
You've been told you need an operation and want a straight second opinion first.
It's the standard we hold ourselves to β and the reason a surgeon will tell you when you don't need surgery. It even begins with a free review of your MRI, before you owe us anything.

Venkat Sethuraman, MD
The work, in their words
Three patients, three different paths β surgery avoided, regenerative medicine, and chronic pain resolved.
"He did a thorough evaluation and helped me avoid surgery. He referred me to physical therapy with his team⦠I am back to my usual activities. I'd highly recommend Dr. Sethuraman."
Google Review
"I had regenerative knee injection with exosomes. I was on crutches when I came, now back to golf and my pickleball game has really picked up. Pain is minimal."
Google Review
"Had a herniated disk for a year and was in incredible pain 24/7. Dr. Seth immediately spotted the problem and got rid of the pain. I haven't had any pain since."
Google Review
Dallas, Texas
3450 Forest Lane, Suite 200
Dallas, TX 75234
Two neighborhood chiropractic access points in North Dallas and McKinney connect into the same surgeon-led practice.
Before you sign for surgery you can't undo
Get a complete read from a Mayo-trained surgeon whose only interest is yours β not the operating schedule. Two minutes to find your starting point.
Surgery only when it's truly the answer
Every program is built around your interest, not the operating schedule. It always starts with a free MRI review β then, if you move forward, care is matched to how much your case actually needs.
Choose your depth
The same surgeon-led standard, matched to your case. Below each tier is a plain-language note on what it actually does for you.
Core
- Surgeon-directed diagnosis & plan
- Regenerative treatment round
- Structured physical therapy
- Baseline labs & imaging review
- Progress reviews at every milestone
Enhanced
- Everything in Core
- Additional regenerative rounds
- Recovery peptide protocol
- Red-light & cryotherapy recovery
- Targeted imaging & expanded labs
- Priority access
Comprehensive
- Everything in Enhanced
- Extended regenerative & peptide protocol
- Hyperbaric (HBOT) sessions
- Comprehensive labs & imaging
- Weekly reviews & concierge access
- Take-home recovery device
Spread any program into predictable monthly payments β 0% interest for 24 months when paid in full, or lower payments over up to 60 months. A quick application gives an instant decision.
Every program carries our commitment: measurable improvement by the program's end, or we keep working at no additional cost. Treatment counts are set by Dr. Sethuraman based on your case. Monthly figures are estimates using CareCredit's published payment factors; your actual terms depend on approval and the plan you choose. 0% offers charge deferred interest if not paid in full within the promotional period.
Two more surgeon-led paths
Nerve Program
For when nerve symptoms β numbness, tingling, or radiating pain down an arm or leg β are the primary problem, not the spine structure itself.
Regenerative
PRP and exosomes as a standalone treatment β using your body's own repair signals to reduce inflammation and support healing, for the spine or other joints.
Before you sign for surgery you can't undo
Get a complete read from a Mayo-trained surgeon whose only interest is yours.
Walk me through it βGetting better is the goal. Staying better is the plan.
Insurance pays for procedures, not for keeping you well β so the system waits for something to break. Membership is the opposite: an ongoing, surgeon-led relationship accountable to your result.
Your spine doesn't stop needing attention the day a program ends
Muscles weaken, inflammation returns, life happens. Membership keeps the same surgeon-led team watching your progress, catching flare-ups early, and protecting the gains you worked for β the difference between a one-time repair and a relationship.
Foundation
- Annual comprehensive baseline
- Physician-led coordination
- Direct messaging access
- Member pricing across programs
Performance
- Everything in Foundation
- Hormone & metabolic optimization
- Recovery & sleep protocol
- Quarterly performance reviews
Optimized
- Everything in Performance
- Advanced imaging & early detection
- Comprehensive longevity panels
- Concierge surgical access
Premier
- Everything in Optimized
- Family coverage
- Private surgical concierge
- Lifetime member relationship
By invitation, seat-limited. Everything in Premier, one program included each year, all programs at member pricing, and a private surgical concierge.
Simple monthly membership. Pay month-to-month at the rate shown β or prepay and save 10%. Founding members lock their rate for life; pricing rises as the practice matures.
One clinic. One surgeon. One record.
Modern medicine is fragmented by design β a different specialist for every symptom, none of them talking. We built the opposite: a surgeon-led practice under one roof, organized around a single idea.
Built around the patient, not the insurance algorithm
Insurance-based care often limits time, options, and depth of evaluation. A cash-pay structure lets us spend real time with you and keep your interests β not an insurer's β at the center of every decision. When the plan is built around you, better decisions become possible.
Unhurried evaluation
The room isn't scheduled to the minute by a billing code. Real time to read the whole picture.
Every option, not just covered ones
Recommendations aren't shaped by what an insurer will approve β only by what's right for you.
No six-referral runaround
Your entire picture lives with one surgeon-led team, transparent on price before you commit to anything.
Come in through whichever door fits today
From there, the whole system β and the same surgeon β works on your behalf.
Specialty Spine Surgery
The anchor β complex spine care from a Mayo-trained surgeon who operates only when it's genuinely warranted.
Regenerative Medicine
FDA-compliant, surgeon-delivered regenerative procedures β the bridge between surgical and longevity care.
Membership & Longevity
Diagnostics, hormone and metabolic optimization, and early detection β the relationship that keeps you well after recovery.
Chiropractic Access
Convenient neighborhood entry points in North Dallas and McKinney that connect you into the surgeon-led system.
Wellness Modalities
Cryotherapy, red light, infrared, recovery β the daily-application layer that keeps the framework working between visits.
Three easy places to start
Our Dallas clinic anchors the practice. Two neighborhood chiropractic access points β North Dallas Parkway and McKinney β are walk-in-friendly front doors into the same surgeon-led system: one record, one standard, one team.
Dallas β Forest Lane
Dallas, TX 75234
π (469) 529-0497
MonβFri, 8amβ5pm
North Dallas Parkway
Dallas, TX 75248
A convenient front door into the practice.
McKinney
McKinney, TX 75069
Serving Collin County and the north suburbs.
Start with a free MRI review from home β we'll route you to the closest location if in-person care is warranted.
Facing a spine decision? Let's walk through it together.
A few simple questions β no medical jargon, nothing you have to know in advance. About two minutes, and you're not committing to anything.
Privacy Policy
Spine Physicians Institute (βSPI,β βwe,β βus,β or βourβ) respects your privacy. This Privacy Policy explains what information we collect through our website and related communications, how we use it, and the choices you have. It does not replace the Notice of Privacy Practices that governs your protected health information.
Information We Collect
We collect information you provide directly β such as your name, email address, telephone number, age range, and the reason for your inquiry β when you request a free MRI review, book a consultation, or otherwise contact us. We also collect limited technical information automatically, such as your IP address, browser type, and pages visited, to operate and improve the site.
How We Use Your Information
We use the information you provide to respond to your inquiry, schedule and confirm appointments, deliver the services you request, send administrative and informational messages, and improve our website and care. We use information only for the purposes for which you provided it.
SMS / Text Messaging
If you provide your telephone number and opt in, we may send you SMS text messages related to your appointment, your free MRI review, and your care, including scheduling, confirmations, reminders, and informational follow-ups. Message frequency varies. Message and data rates may apply. You can opt out at any time by replying STOP, and you can request help by replying HELP. Opting in to text messages is not a condition of receiving care or of any purchase. For full details, see our SMS Terms.
Mobile information sharing. No mobile information will be shared with third parties or affiliates for marketing or promotional purposes. Information you share when opting in to text messaging β including your phone number and your consent β will not be shared with any third parties. All other categories of data sharing described in this policy exclude text-messaging originator opt-in data and consent.
How We Share Information
We share information only as needed to operate our practice β for example, with service providers who host our website, schedule appointments, or process communications on our behalf, under contracts that require them to protect your information. We may share information when required by law. We do not sell your personal information, and, as stated above, we do not share mobile opt-in data or consent with third parties for marketing purposes.
Protected Health Information
Any protected health information (PHI) you share with us as a patient is handled in accordance with the Health Insurance Portability and Accountability Act (HIPAA) and our Notice of Privacy Practices. Please do not include detailed medical information in website forms or text messages; we will collect clinical information through secure, appropriate channels.
Data Security
We use reasonable administrative, technical, and physical safeguards designed to protect your information. No method of transmission or storage is completely secure, and we cannot guarantee absolute security.
Your Choices
You may opt out of text messages at any time by replying STOP. You may request that we update or delete the contact information you provided by contacting us using the details below. You may also disable cookies in your browser settings, though some site features may not function as intended.
Childrenβs Privacy
Our website and services are intended for adults. We do not knowingly collect personal information from children under 13.
Changes to This Policy
We may update this Privacy Policy from time to time. The βlast updatedβ date above reflects the most recent revision.
Spine Physicians Institute
3450 Forest Lane, Suite 200, Dallas, Texas 75234
Phone: (469) 529-0497
Email: privacy@spinephysiciansinstitute.com
SMS Terms & Conditions
The Program
Spine Physicians Institute (βSPI,β βwe,β βusβ) offers an SMS text-messaging program to communicate with people who request a free MRI review, book a consultation, or otherwise ask to hear from us. These Terms govern your participation in that program.
Your Consent (Opt-In)
By providing your mobile telephone number to SPI β for example, on our booking or contact forms β and indicating your agreement, you consent to receive recurring SMS text messages from SPI at that number, including messages sent using automated technology. Consent is not a condition of receiving care or of any purchase.
Types of Messages
Messages may include appointment scheduling, confirmations and reminders, responses to your inquiry, information about your free MRI review and your care, and related administrative updates.
Message Frequency
Message frequency varies based on your interactions with us.
Cost
Message and data rates may apply. Such charges are billed by and payable to your mobile service provider. We are not responsible for charges imposed by your carrier.
Opt-Out
You can cancel the SMS service at any time by texting STOP to the number from which you received messages. After you send STOP, we will send a confirmation message and will not send any further messages unless you opt in again. You may also opt out by contacting us using the details below.
Help
For help, text HELP to the number from which you received messages, or contact us at (469) 529-0497.
Carriers
Carriers are not liable for delayed or undelivered messages. Supported carriers may change, and message delivery is subject to effective transmission by your mobile carrier.
Privacy
Your information is handled in accordance with our Privacy Policy. No mobile information will be shared with third parties or affiliates for marketing or promotional purposes, and text-messaging opt-in data and consent will not be shared with any third parties.
Changes
We may update these SMS Terms from time to time. The βlast updatedβ date above reflects the most recent revision.
Spine Physicians Institute
3450 Forest Lane, Suite 200, Dallas, Texas 75234
Phone: (469) 529-0497
Email: privacy@spinephysiciansinstitute.com
