Providing world-class, non-surgical orthopedic medicine is the ground breaking approach to pain management and at the heart of the programs offered at the Palm Beach Spine & Diagnostic Institute.

Surgery is not the best choice for everyone nor is it indicated in every circumstance. Surgery is not always the “last resort”, nor does it always “fix the problem”. With the advancements in the field of regenerative medicine and interventional modalities, many acute and chronic injuries and pain can be diagnosed and managed using non-surgical approaches. The physicians at the Institute understand the complex nature of pain and how it adversely affects every aspect of your life. Through a thorough evaluation of your symptoms, examination, and comprehensive intake of your lifestyle and medical history, the team will create an efficient, progressive, individualized plan for pain management and long-term relief. Our programs do not include narcotic pain management. The Palm Beach Spine & Diagnostic Institute offers the expertise, the resources to handle complex cases, and access to the latest medical advances. Our team is a leader in ground-breaking changes to how pain is managed by combining modalities to provide maximum relief so that you can get back to enjoying your life.


Lawrence Gorfine, M.D.

Lawrence Gorfine, M.D.

Board Certified in Anesthesiology Board Certified in Pain Medicine by the American Board of Anesthesiology. Board Certified by the American Board of Pain Medicine Dr. Gorfine is Past-Chairman of the Pain Committee of the Florida Society of Anesthesiologists, and is Past-President of the Florida Academy of Pain Medicine. He was Director of Pain Medicine, Associate Professor and Fellowship Director of Pain Management at the Medical College of Virginia. As a leader in his field, Dr. Gorfine has over 25 years of experience in anesthesiology and pain medicine. He has lectured and educated both residents and fellows at university medical centers throughout the country. 


  • B.S., Dickinson College, Carlisle, PA
  • M.D., University of Bologna, Bologna, Italy 


  • Medicine and Surgery, Brown University Hospitals, Providence, RI


  • Anesthesiology and Pain Medicine, Tufts New England Medical Center Hospitals, Boston, MA

Hospital Privileges:

  • JFK Medical Center, Lake Worth
  • JFK Medical Center-North Campus, West Palm Beach




From car accidents to work related injuries or pain due to ageing or disease processes, the team at the Institute has the expertise to provide you with a plan of care focused on getting you back to work and to enjoying your life. The team has proven expertise in caring for patients with both acute and chronic pain. The physicians at the Palm Beach Spine & Diagnostic Institute are well respected among their colleagues often caring for other physicians and their families. Many of our patients come for a second opinion or because they do not want to have surgery and want to seek out other treatment options. Patients living in South Florida and around the country have found the programs and treatments offered at Palm Beach Spine & Diagnostic Institute get them back to work and life more quickly because of the innovative and ground-breaking treatment plans created for them. Palm Beach Spine & Diagnostic Institute is focused on creating experiences that exceed your expectations. Our staff respects your time as well as your privacy. Our Institute is designed to decrease stress while offering a relaxing non-rushed atmosphere. Patients from around the country and the world come to the Institute to find solutions to their discomfort and management of pain. The physicians at the Institute are all boarded in pain medicine and have been practicing for many years.



Patients often come to us for a second opinion regarding a recommendation for surgery or regarding a treatment plan presented by other physicians. Second opinions offer insight into other treatment options that may or may not have been recommended by your first doctor. Seeking a second opinion provides benefit from an expert team of specialists who are leaders in their field. Our pain doctors in West Palm Beach specialize in diagnosing difficult medical, orthopaedic and pain problems. Taking the time to complete a comprehensive evaluation and examination along with review of diagnostic tests allows our team to get to the root of your issue and not just treat symptoms but rather the cause of your pain.


The Palm Beach Spine & Diagnostic Institute accepts worker’s compensation, auto insurance, and some insurance plans. If the Institute does not accept your insurance, we will work with your out-of-network benefits. Our billing team will submit insurance claims on your behalf. Payment is due at the time of service. We accept cash, checks, Visa, Mastercard, Discover, and American Express. Please call 561.649.8770 to discuss cost of service.

Will My Health Insurance Pay for PBSDI medical services?
Benefits vary by insurance plan. Our billing team will do a complete check of your benefits and review the determination with you.
What Is My Financial Responsibility?
Patient responsibility depends on the benefits and structure of your insurance plan. Each plan is different.  We will verify your benefits before your appointment and we can help you understand your insurance coverage, and your financial responsibility.
If I Have No Health Insurance Coverage, What Is the Cost of My Treatment?
Costs can vary depending on what type of treatment is needed. Our billing team will meet with you to review the cost for treatment. We also work with non-insured patients, please call 561.649.8770 for more information.
Do I Have to Get My Insurance Pre-authorization or Do You Do It?
If your insurance requires a pre-authorization, our office will attempt to obtain it from your plan carrier.
Do I Need a Referral in Order to Be Evaluated?
You do not need a referral to be seen at our office.  Based on your insurance there maybe out of pocket costs. If you have not found the answer to your questions, please call us at 561.649.8770. We are happy to answer any questions.


Palm Beach Spine & Diagnostic Institute offers concierge services for patients living outside of South Florida as well as internationally providing innovative patient-centered, non-surgical orthopedic care for pain management. Combining interventional therapies and regenerative medicine, our team is dedicated to finding a unique plan to get you back to your life. Located in Palm Beach County, Florida, and less than an hour from Miami International Airport and ten minutes from Palm Beach International Airport, Palm Beach Spine & Diagnostic Institute offers world-class outpatient non-surgical orthopedic medicine. You and your family can enjoy the luxuries of world class sporting events, shopping and beaches in South Florida while receiving your medical care. Each year patients from all over the country come to the Institute for specialized minimally invasive interventional and regenerative medical care not readily available close to home. Sometimes patients come because a physician needs to refer a difficult case that requires a higher level of expertise or because of the Institute’s reputation for higher quality care. Regardless, our professional staff is committed to providing patients with the best care possible and experience. Our Medical Concierge Team helps to coordinate care and for any special arrangements visiting patients and their families may require. Once your medical appointment is scheduled, our concierge representative can help with any additional arrangements including transportation, lodging, medical appointments, and more.