Dr. Bruning has been an expert in pain management services for over 37 years. He is triple boarded in Pain Management and provides comprehensive evaluations and detailed explanations to all his patients in pain about their treatment options. When other physicians have a pain condition or questions about pain treatments, he is the doctor they usually call for treatment or advice.

He is a pioneer in fluoroscopic and ultrasound-guided treatment of joints, nerves, tendons and muscles. He treats neck, back, hip, shoulder, elbow, knee, and ankle pain as well as arthritic pain of the hands and feet.  He has performed over 35,000 epidural injections and offers sedation to patients. He also performs Regenerative Medicine therapies Platelet Rich Plasma and Prolotherapy.