Ponte Vedra Spine & Pain Center
380 Town Plaza Ave, Suite 420, Ponte Vedra Beach, FL 32081
Ponte Vedra Beach · Nocatee · St. Johns · Jacksonville
Find the cause of your pain.
Dr. Eli Loch, D.O. is double board-certified in anesthesiology and interventional pain management. Precision diagnosis first — then image-guided injections, nerve treatments and regenerative therapy aimed at lasting relief and better function.
5.0 from 217 Google reviews
What brings people here
Most patients arrive after months of pain and at least one opinion that led nowhere. Start with the problem you actually have.
Back & spine pain
Lower back pain, herniated and bulging discs, spinal stenosis, arthritis of the spine, pain that persists after back surgery.
Back & spineSciatica & nerve pain
Pain that radiates into the leg or arm, pinched nerves, radiculopathy, peripheral neuropathy, burning and numbness.
Sciatica & nerve painNeck pain
Cervical disc problems, facet arthritis, whiplash, headaches that start in the neck.
Neck painKnee pain
Osteoarthritis, meniscus pain, knees that hurt on stairs — including genicular artery embolization for arthritis that has not responded to injections.
Knee painShoulder & joint pain
Rotator cuff and shoulder arthritis, hip pain, tendon problems that have outlasted physical therapy.
Shoulder & jointSomething else
Complex regional pain syndrome, abdominal and pelvic pain, cancer-related pain, pain after an injury.
Other conditionsHow it works
Precision diagnosis, then the least invasive thing that works.
The order matters. Treating a pain generator you have not identified is how people end up with a drawer full of prescriptions and no answer.
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01
Find the pain generator
A full history and exam, then imaging read in the room with you. Diagnostic ultrasound lets us watch a joint or tendon move under load; live X-ray and prior MRI fill in the rest.
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02
Confirm it
Where the source is unclear, a targeted diagnostic block tells us whether a specific nerve or joint is actually the one producing your pain — before committing to a treatment aimed at it.
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03
Treat precisely
Image-guided injections, radiofrequency ablation, nerve stimulation, regenerative therapy or SoftWave — chosen for your diagnosis, done under image guidance rather than by landmark.
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04
Rebuild function
Relief is the opening, not the finish. Dr. Loch is also a certified medical exercise specialist, so the plan includes what to do with the window the treatment opens.
Your physician
Eli Loch, D.O.
We believe that only through trying to correct the root cause of the pain can patients achieve long-lasting relief and improvement in function.
Dr. Loch founded Ponte Vedra Spine and Pain Center to bring advanced pain treatment to Nocatee and the surrounding area. He is double board-certified in anesthesiology and interventional pain management by the American Board of Anesthesiology, trained through residency and fellowship at the University of Florida, and has performed more than 10,000 spine, joint and nerve injections over more than a decade in North Florida.
He trained in orthobiologics through the Interventional Orthobiologics Foundation, is a member of the Regenexx physician network, and serves as an investigating physician for FDA-approved clinical trials.
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Anesthesiology + Interventional Pain Management
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10,000+
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10+ years in North Florida
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5.0 from 217 reviews
Treatments
Every procedure below is performed in our Ponte Vedra Beach office under image guidance.
Pain management injections
Epidural steroid injections, facet and medial branch blocks, joint injections, nerve blocks — placed under live X-ray or ultrasound so the medication reaches the structure that hurts.
InjectionsNerve stimulation & radiofrequency ablation
Radiofrequency ablation to quiet the nerves carrying a joint's pain signal, and spinal cord or peripheral nerve stimulation for pain that has not responded to anything else.
Nerve treatmentsRegenerative therapy
Platelet-rich plasma and bone marrow concentrate for tendon, ligament and joint problems, delivered through Regenexx protocols.
Regenerative therapySoftWave therapy
Non-invasive shockwave treatment for chronic tendon and soft-tissue pain. No needles, no downtime, done in the office.
SoftWaveIn their words
What patients say
5.0
Every review below is a real Google review, synced from the practice's Google Business Profile.
★★★★★
Great experience from start to finish. Staff is super friendly and knowledgeable. Exceptional customer service. Dr. Loch is awesome at explaining everything and painting the full picture so I can make decisions based on my needs. Highly recommended. 11/10
★★★★★
I go to the top position and must’ve been but lots alike so that sits at the very top. I refer him to anybody. I know that’s in pain because I know he has the knowledge and skills to help him.
★★★★★
I have been to many Pain Management Doctors and have finally found Dr Loch. I never feel rushed or uncomfortable. Dr. Loch and his amazing staff are extremely friendly and supportive. Instead of treating me as a patient, I am treated with compassion.
★★★★★
Over too many years I have seen too pain management guys. This one is different. First, he caught something on an MRI that only one other health professional had caught, including those reading the MRI, a cyst at the base of my spine pushing again the nerve. Second, his (their) treatment of it was first class. He took his time, was gentle. Concerned about my pain level throughout the process. Talked. Was funny, or at least amused by my jokes, a nervous habit and caring. Great experience!
★★★★★
My first visit with the "Ponte Vedra Spine & Pain Center" was "exceptional". The staff were very friendly & welcoming as well as professional. My meeting with Dr Loch was equally "exceptional." He carefully reviewed the MRIs & and evaluations of previous physicians, listened attentively while I reported the origins of my back problem through my current condition. He then fully explained the available procedures to treat my back pain & was very frank about how effective each procedure could be in alleviating my pain. Our visit concluded with a thorough plan to address my condition until our next meeting; Dr Loch prescribed medication to manage my pain, and set up a follow up appointment. I could not be more impressed with the Spine & Pain Center and happier with my decision to seek treatment with Dr. Loch & staff. J. B. Egan CAPT. USCR Ret.
★★★★★
The staff is amazing and always friendly. After just a couple treatments, my shoulder is feeling better. Definitely recommend to anyone with back or joint pain.
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Synced from Google on 24 July 2026
The office
Nocatee Town Center, suite 420.
Procedure suite, diagnostic ultrasound and live X-ray under one roof — so diagnosis and treatment do not require a second appointment somewhere else.
Visit us
In Nocatee Town Center, off Crosswater Parkway — about 20 minutes from Jacksonville Beach and 25 from downtown St. Augustine.
Eliminate pain and reclaim your life.
Request an appointment with Dr. Loch, or call the office at (904) 750-3787. Most patients are seen within a week.