Pain Refer a patient 325-326-3433Call or text
Conditions we treat
We diagnose the source, then treat it.
We specialize in diagnosing and treating a broad range of chronic and complex pain conditions through advanced, minimally invasive techniques — so you can regain function, improve quality of life, and get back to the activities you enjoy.
Lumbar Spine & Low Back Pain
Chronic back pain can affect every part of life. Whether caused by arthritis, disc herniation, or spinal stenosis, we specialize in pinpointing the pain generator and providing targeted treatments that relieve pain and restore mobility.
Common diagnoses
- Chronic low back pain
- Lumbar spondylosis (arthritis)
- Herniated or bulging disc
- Sciatica / lumbar radiculopathy
- Spinal stenosis
- Facet joint pain
- Sacroiliac (SI) joint dysfunction
- Degenerative disc disease
- Post-laminectomy syndrome
- Vertebral compression fractures
- Neurogenic claudication
Common treatments
- Lumbar epidural steroid injections for disc herniation and nerve irritation
- Facet joint injections and medial branch blocks to confirm facet-mediated pain
- Radiofrequency ablation (RFA) for long-term relief of arthritic facet pain
- Sacroiliac joint injections or fusion for SI-related pain
- Basivertebral nerve ablation (Intracept) for vertebrogenic pain
- MILD — minimally invasive lumbar decompression for spinal stenosis
- Kyphoplasty for vertebral compression fractures
- Intradiscal injections (Viadisc)
- Neuromodulation — spinal cord stimulation, dorsal root ganglion, peripheral nerve stimulation
Treatments we use most for this: injections, nerve blocks & ablation — See how they work →
See the evidence: Spine injections & nerve ablation →
Patient guide: Lumbar spinal stenosis and neurogenic claudication →
Cervical, Neck & Upper Back Pain
Neck pain can result from disc disease, arthritis, nerve compression, or injury. We offer image-guided treatments that precisely target the affected area to relieve pain and improve function.
Common diagnoses
- Cervical spondylosis (neck arthritis)
- Cervical disc herniation
- Cervical radiculopathy (pinched nerve)
- Cervical facet joint pain
- Myofascial neck pain
- Whiplash injury
- Post-surgical cervical pain
Common treatments
- Cervical epidural steroid injections for disc and nerve inflammation
- Cervical medial branch blocks and RFA for facet joint pain
- Trigger point injections for myofascial pain and tension headaches
- Neuromodulation — cervical spinal cord or peripheral nerve stimulation for chronic neuropathic neck pain
- Occipital nerve blocks for upper cervical and headache-related pain
- Botox for cervical dystonia and neck muscle spasms
Treatments we use most for this: injections, nerve blocks & ablation — See how they work →
Nerve & Neuropathic Pain
Nerve-related pain can feel sharp, burning, or electric. We offer advanced treatments like nerve blocks, radiofrequency ablation, and spinal or peripheral nerve stimulation to interrupt pain signals at their source.
Common diagnoses
- Peripheral neuropathy (diabetic, idiopathic)
- Complex Regional Pain Syndrome (CRPS I & II)
- Postherpetic neuralgia (shingles pain)
- Occipital neuralgia
- Trigeminal neuralgia
- Intercostal neuralgia
- Pudendal neuralgia
- Ilioinguinal / genitofemoral neuralgia
- Meralgia paresthetica
- Post-surgical nerve injury
- Phantom limb pain
Common treatments
- Peripheral nerve blocks for diagnostic and therapeutic relief
- Pulsed or thermal radiofrequency ablation for specific nerve targets
- Medication management to stabilize nerve sensitivity when indicated
- Neuromodulation — spinal cord stimulator, dorsal root ganglion, peripheral nerve stimulator
Treatments we use most for this: neuromodulation — See how they work →
See the evidence: Head, face & neuropathic nerve procedures →
Joint & Extremity Pain
Joint pain limits movement and function — whether due to injury, inflammation, or wear and tear. Our interventional treatments can reduce joint inflammation, restore mobility, and delay or prevent the need for surgery.
Common diagnoses
- Shoulder pain (bursitis, arthritis, rotator cuff injury)
- Elbow pain (tennis / golfer's elbow)
- Wrist pain (carpal tunnel syndrome)
- Hip arthritis or bursitis
- Knee arthritis or meniscus degeneration
- Ankle and foot pain (tarsal tunnel, plantar fasciitis)
- Persistent post-joint-replacement pain
Common treatments
- Image-guided joint injections (shoulder, hip, knee, ankle) for arthritis and bursitis
- Viscosupplementation for knee osteoarthritis
- Genicular nerve blocks and ablation for chronic knee pain
- Peripheral nerve blocks for shoulder or hip pain syndromes
- Platelet-rich plasma (PRP) or biologic therapies where appropriate
- Neuromodulation — spinal cord stimulator, dorsal root ganglion, peripheral nerve stimulator
Treatments we use most for this: joint & soft tissue procedures — See how they work →
Head & Facial Pain
Chronic headaches and facial pain can be debilitating. We focus on diagnosing the underlying nerve or musculoskeletal cause and providing targeted relief through advanced procedures and nerve blocks.
Common diagnoses
- Migraine
- Tension-type headache
- Cluster headache
- Occipital neuralgia
- Trigeminal neuralgia
- TMJ pain (temporomandibular joint)
- Atypical facial pain
Common treatments
- Botox for migraine
- Occipital nerve blocks and RFA for occipital neuralgia or cervicogenic headache
- Trigeminal nerve blocks or radiofrequency rhizotomy for facial neuralgia
- Sphenopalatine ganglion (SPG) block for migraine and cluster headaches
- Trigger point injections for tension-related headaches
- Peripheral nerve stimulation for refractory head or facial pain
Treatments we use most for this: head & facial nerve procedures — See how they work →
See the evidence: Head, face & neuropathic nerve procedures →
Abdominal, Visceral & Pelvic Pain
Pelvic or abdominal pain can stem from nerve injury, surgery, or chronic conditions. Our minimally invasive techniques can reduce inflammation and nerve irritation to restore comfort and daily function.
Common diagnoses
- Chronic pelvic pain syndrome
- Endometriosis-related pain
- Pudendal neuralgia
- Testicular pain (orchialgia)
- Chronic abdominal wall pain
- Post-surgical pelvic or abdominal pain
- Intercostal neuralgia
- Post-cholecystectomy or hernia-repair pain
Common treatments
- Hypogastric block or neurolysis for abdominal or pancreatic pain
- Superior hypogastric plexus block for pelvic pain syndromes
- Ganglion impar block for tailbone and perineal pain
- Ilioinguinal, genitofemoral, or pudendal nerve blocks for nerve entrapment pain
- Pelvic trigger point injections for muscular components of pain
- Neuromodulation — spinal cord stimulator, dorsal root ganglion, peripheral nerve stimulator
Treatments we use most for this: plexus & ganglion blocks — See how they work →
Post-Surgical Pain
Persistent pain after surgery can significantly affect recovery and quality of life. We provide interventional solutions to control pain, improve mobility, and support overall wellness.
Common diagnoses
- Post-laminectomy syndrome
- Post-joint-replacement pain
- Post-thoracotomy or post-mastectomy pain
- Scar neuroma pain
Common treatments
- Nerve blocks or RFA for surgical site pain or neuromas
- Spinal cord or peripheral nerve stimulation for post-laminectomy or joint replacement pain
- Epidural steroid injections for post-operative inflammation
- Scar tissue or trigger point injections for localized pain
- Multimodal medication management for complex postoperative pain
- Neuromodulation — spinal cord stimulator, dorsal root ganglion, peripheral nerve stimulator
Treatments we use most for this: neuromodulation — See how they work →
Cancer-Related Pain
Cancer pain can be complex, affecting not only the body but every aspect of daily life. We use advanced interventional techniques to help manage pain caused by cancer itself or as a result of treatment — meaningful relief, improved function, and enhanced comfort at every stage of care.
Common diagnoses
- Cancer-related bone pain or metastasis-related pain
- Tumor or mass effect causing nerve compression
- Post-surgical pain following tumor removal
- Chemotherapy-induced neuropathy
- Radiation-induced nerve or tissue pain
- Post-mastectomy or post-thoracotomy pain syndromes
Common treatments
- Hypogastric plexus neurolysis for abdominal or pancreatic cancer pain
- Superior hypogastric or ganglion impar blocks for pelvic or rectal cancer pain
- Kyphoplasty for metastatic spine fractures
- Spinal cord stimulation or intrathecal therapy for refractory cancer pain
- Targeted nerve blocks for post-surgical or radiation-induced pain
Treatments we use most for this: plexus & ganglion blocks — See how they work →
Muscle, Soft Tissue & Functional Pain
Chronic muscle and soft tissue pain can develop from injury, poor posture, repetitive motion, or stress. These conditions often cause tightness, trigger points, or referred pain that interferes with daily activities. We identify the specific pain generators and address both the muscular and neurological components contributing to your discomfort.
Common diagnoses
- Myofascial pain syndrome
- Chronic muscle strain or spasm
- Fibromyalgia
- Trigger point and tension-related pain
- Chronic postural pain
- Central sensitization syndrome
- Chronic widespread pain
Common treatments
- Trigger point injections for focal muscle knots
- Local anesthetic injections for myofascial release
- Botulinum toxin injections for refractory muscle spasm
- Physical and functional rehabilitation programs
- Neuromodulation techniques for central sensitization or fibromyalgia
Treatments we use most for this: joint & soft tissue procedures — See how they work →
Not sure which one describes your pain? That is what the first visit is for.
For referring providers
Referring a patient? Send records and we will take it from there.
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Referring a patient?Fax records and imaging to 325-378-9175. We confirm receipt and call the patient to schedule.
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