Neuromusculoskeletal Medicine Physician
777 37th Street
Suite C-101
Vero Beach, FL
32960
Top reviews
Went smooth
I was extremely impressed with Dr. Soto‘s first visit. He explained exactly what was going on, showed me on his personal iPad what my MRI looks like. I’m anxiously awaiting surgery on Monday of next week.
Got questions for
Issachar Devine, DO?
Dr. Issachar Devine's journey into interventional pain medicine was a natural evolution of his passion for hands-on problem-solving. As an osteopathic physician, he initially used manual techniques to address pain and dysfunction, which later led him through training in general surgery before ultimately specializing in interventional pain management.
"Pain management is a rapidly evolving field, offering cutting-edge advancements that allow physicians to provide innovative solutions for both common and complex pain conditions," he said. "Chronic pain can be physically and emotionally debilitating, and my greatest reward is seeing the relief and happiness on a patient’s face when their pain is alleviated."
As part of Interventional Spine & Pain Institute, Dr. Devine brings over nine years of experience as an osteopathic physician practicing at multiple facilities across New Jersey, Pennsylvania, and Florida. He also holds a faculty appointment as OMM Lab Facilitator at Orlando College of Osteopathic Medicine (OCOM) in Winter Garden, FL, facilitating hands-on Osteopathic Manipulative Medicine instruction and mentoring students in clinical reasoning, palpatory proficiency, and procedural competency ahead of their practical exams and clinical clerkships.
He also serves as a Physician Contributor to the Broward County Opioid Fatality Review Committee in Fort Lauderdale, FL, a multidisciplinary committee convened under Florida's Opioid Fatality Review framework to examine opioid-related deaths and inform county-level prevention, treatment-access, and harm reduction strategy.
He earned a Doctor of Osteopathic Medicine and a graduate certificate in biomedical sciences from Philadelphia College of Osteopathic Medicine, and a Bachelor of Science in finance and management information systems from La Salle University, both in Philadelphia, PA. He completed a General Surgery internship at Hackensack Meridian Health Palisades Medical Center in New Jersey, followed by a residency in Neuromusculoskeletal Medicine and a fellowship in Interventional Pain and Spine in Fort Lauderdale and Miami, Florida, along with a Harvard Medical School Executive Certification in Artificial Intelligence (AI) in Healthcare.
Dr. Devine specializes in kyphoplasty, basivertebral nerve ablation, and regenerative treatments such as platelet-rich plasma (PRP) therapy and Viadisc. "These innovative treatments offer promising solutions for chronic pain and degenerative conditions," he said. "I am passionate about helping patients with osteoporosis prevent compression fractures and improve long-term spinal health, and I incorporate fluoroscopy- and ultrasound-guided techniques to enhance precision, along with Botox therapy for migraines and spasticity to improve patients’ quality of life."
Having trained in an area where pain and addiction were prevalent, Dr. Devine has developed a balanced, patient-centered approach to pain management. "My goal is not just to manage pain — but to resolve it whenever possible. I view pain management as a spectrum."
He takes a stepwise approach: conservative therapies first (physical and occupational therapy, osteopathic manipulation, manual therapy, topical or over-the-counter medications), then minimally invasive interventions (ultrasound- and fluoroscopy-guided injections, regenerative medicine, radiofrequency ablation), with surgery reserved as a last resort. "I emphasize a multidisciplinary approach, incorporating therapy, psychological support, and wellness strategies to help patients regain a balanced, pain-free life," he said. "I believe trust and communication form the foundation of an effective doctor-patient relationship. Some patients build trust quickly, while others take time, and I make it a priority to create an environment where patients feel heard, respected, and actively involved in their treatment plans."
Dr. Devine's approach to patient-centered care is to educate patients on their condition and available options, empower them to make informed decisions, and collaborate with other specialists for comprehensive, team-based treatment. "Ultimately, my goal is to guide patients toward long-term pain relief and improved quality of life through personalized and compassionate care," he said.
Dr. Devine is driven by the ability to solve complex pain problems and improve his patients' quality of life. "Pain can be debilitating and discouraging, and I take pride in helping patients regain their function and well-being," he said. "I enjoy the problem-solving aspect of pain management — each case is like a puzzle, and I am dedicated to finding the most effective solutions. I also enjoy teaching and mentoring, encouraging trainees to think critically and develop a solution-oriented mindset in patient care."
Outside of work, Dr. Devine is an avid Philadelphia sports fan, with his favorite teams being the Eagles and 76ers. He also enjoys learning about new technologies, playing basketball, singing, and dancing. He can also be found traveling to explore and learn about different countries and cultures, spending time outdoors including hiking, going to the beach, and staying active.
Spinal Stenosis
Arthritis and Joint Pain
Neuropathy
Failed Back Surgery
Back and Neck Pain
Compression Fractures
Complex Regional Pain Syndrome
Auto Accident & Workers Comp
Location
Interventional Spine and Pain Institute
777 37th Street
Suite C-101
Vero Beach, FL, 32960
More About Issachar Devine, DO
Practice
Interventional Spine and Pain Institute
Specialties
Insurance
NPI Number
1750886503
Provider's Gender
Male
Reviews
Went smooth
I was extremely impressed with Dr. Soto‘s first visit. He explained exactly what was going on, showed me on his personal iPad what my MRI looks like. I’m anxiously awaiting surgery on Monday of next week.
First visit. Staff pleasant and helpful. Met Dr. Soto. I felt confident and comfortable with his approach to my pain situation. I look forward to being in Dr. Soto's care.
I am a transplant from Orlando. I thought I was getting good care but Dr Soto on 2 different occasions has done things that show his ability to look at the big picture. We had to reduce a medication based on the medical guides as they were not healthy for my kidneys for which I’m in the beginning stage of kidney disease. The second was in administration of my cortisone shots where administered. In Orlando they were administering it in a different location and was not efffective past a couple days maybe a week. . The choice of the location truly addressed my concerns. I have no complaints now. He takes his time to listen and remembers me without reading from his chart. I feel very valued as a patient. I had no wait with any of my appointments.
The procedure was a little more painful than I was expected. Gain brings a littlepain
Great experience, friendly staff.
Doctor Soto listens to what you have to say and forms a plan to solve the problem. He is really great, always to please his patients. Answers any questions and sometimes funny. So glad found him.
Dr spent a lot of time explaining the different options. I felt comf
Living with pain for a long time it's not good for your mental well-being or your physical well-being. Dr Soto and today procedure on me last night and I have to say I feel much better today.
Always friendly and caring never rushed
very knowledgable and shows genuine interest in his patients. speaks spanish which was very helpfull for my mom.
His latest treatment stopped my pain.
Already submitted a glowing review
Dr Soto and his team are very professional in communications and procedures They are a smooth team
Great experience
I have No Pain !! after 10 yrs of Gr 10+ ! Cannot recommend Highly enough!
Explained everything beforehand
I am satisfied with Dr. Soto’s injections & since my surgery has been re-scheduled to 10/22, if it would be beneficial to receive any additional treatment before the surgery. There has been an improvement from pain. Thank you, Diane Kittleson
My experience was flawless,
Dr Soto was very helpful and concerned. He didn’t rush me at all, Thanks, Gary
Everyone seems very caring.They run on time !!!! I feel much better.
Amable atención Excelente profesional
Awesome
Personable and knowledgeable
Great person Great doctor that really cares and wants to help,I was barely able to walk until I went to Dr.Soto, I went through a series of injections and with just a couple of visits I'm now back to work and feeling alot better, thank you so much Dr.Soto
Upon arrival Dr Soto was kind explaining with demonstration via spine the issue with my back as well as the pain and available therapy for me. The doctor and nurse assistants were very helpful and all interventions were discussed. This was a very helpful session and look forward to the treatment plan Thank you Miss Barb
Great Very professional
Your awesome! Everyone!!
Everything was explained to me so I could understand it the staff was very friendly and kind and Dr Solo was kind and explained things to me unlike the pain clinic in Sebastian that treated me like I was stupid I would recommended it to all my family and friends
He pays attention to what I explain I feel and we come to a conclusion as to what to do to proceed. He will make the pain stop I am confident of that.