We are your St. Louis pain relief specialist

Better Doctors Better Care

Dealing with neck or back pain? Turn to our experienced pain management and physical rehabilitation physicians.

Request Appointment

Why Choose Us


Signature Orthopedics physicians are independent practitioners and experts in orthopedic care.

Personalized Care

We believe in patient-centered care. Our priority is to work in with you to determine the best treatment.


Our physicians will discuss non-invasive and alternative options in addition to traditional treatments.


With over 10 convenient locations we offer accessible and affordable health care close to home. Telehealth appointments too!

Why Choose Us

We Specialize in Pain Management and Spine Care

The experienced pain management and physical rehabilitation physicians at Signature Orthopedics specialize in the diagnosis and treatment of conditions that cause or contribute to neck or back pain. By providing you with an accurate diagnosis and a personalized treatment program, we can help you overcome your discomfort, achieve your full physical potential, and remain healthy and pain-free for life.

Highly-Rated St. Louis Pain Doctors

Our pain management and physical rehabilitation physicians take a multi-modal approach to spine care, utilizing the latest techniques and technologies to create an optimal plan for each patient, which may include lifestyle modifications, physical therapy, medications, ultrasound-guided injections, implantable devices, and more. Emphasizing conservative treatment whenever possible, we can help you manage your neck or back pain caused by osteoarthritis, degenerative disc disease, a pinched nerve, a strained muscle, poor posture, a bulging or herniated disc, spinal stenosis, whiplash from a car accident, stress, and many other underlying sources. We’ll thoroughly explain all of your options, allowing you to make fully informed treatment decisions so you can reclaim your active lifestyle as quickly and safely as possible.

Additionally, if you ultimately elect surgical treatment for your neck or back pain, you can feel confident entrusting your care to our board-certified, fellowship-trained Signature Orthopedics orthopedic surgeons. Our team performs both traditional and advanced surgical procedures, including minimally invasive and computer-navigated spine surgery, discectomy, laminotomy, foraminotomy, spinal decompression, alternatives to spinal fusion, and motion-sparing spine surgery.

Safety First

During the COVID-19 crisis, doctors’ offices and healthcare facilities are considered essential services. Therefore, Signature Orthopedics continues to treat patients while taking extra precautions to maintain the safety and well-being of the patients in our care.

Signature Orthopedics continues to be a “one-stop shop,” providing onsite imaging (X-ray and MRI), casting, splinting, injections, and other immediate pain or orthopedic care services.

Don't Live in Pain Any Longer

If you’d like to request an appointment with a pain management and physical rehabilitation physician at Signature Orthopedics, please contact us today.

Some of Our Specialties:

  • Epidural Steroid Injections
  • Facet Joint Blocks/Injections
  • Joint Injections
  • Kyphoplasty
  • Nerve Blocks
  • Nerve Conductions and Electromyography
  • Neuromuscular and Electrodiagnostic Medicine
  • Pain Management
  • Physical Therapy and Outpatient Rehabilitation
  • Radiofrequency Neurotomy/Ablation
  • Sacroiliac and Peripheral Joint Injections
  • Sports Medicine
  • Trigger Point Injections
  • Ultrasound-Guided Procedures


Alexander J. Heck, MD

Alexander J. Heck

Fenton, MO

1011 Bowles Avenue
Suite 100
Fenton, MO 63026

Ashok Kumar, MD

Ashok Kumar

St. Louis, MO

12639 Old Tesson Road
Suites 100 and 115
St. Louis, MO 63128

Amy M. Zippay, MD

Amy M. Zippay

St. Louis, MO

12639 Old Tesson Road
Suites 100 and 115
St. Louis, MO 63128
  • 170k Patient Visits
    Every Year
  • 40 Orthopedic Physicians &
    Advanced Clinicians
  • 9 St. Louis Area