Pain Refer a patient 325-326-3433Call or text
Treatments we offer
Image-guided. Minimally invasive. Personalized.
Tap any procedure below to read what it is and how it helps. Each treatment plan is personalized — based on your diagnosis, medical history, and functional goals — to provide meaningful relief, improved function, and quality of life.
Already scheduled? Go straight to your procedure guide — what to expect, how to prepare, and discharge instructions.
Find my handout →Neuromodulation
What it is · An advanced treatment that uses gentle electrical impulses to modify how pain signals are transmitted and perceived by the nervous system. Typically used when chronic pain persists despite conservative care, injections, or surgery.
Why it's effective · Neuromodulation targets pain signaling directly rather than masking symptoms — reducing pain and enhancing daily function without the necessity for continuous medication.
See the evidence: Neuromodulation →
A small device is placed near the spinal cord that delivers mild electrical pulses to interrupt pain signals before they reach the brain.
How it helps · Effective for chronic back and leg pain, post-laminectomy syndrome, persistent spinal pain syndrome, and CRPS.
Targets specific nerves outside the spine that are responsible for localized pain — shoulder, knee, foot, or post-surgical.
How it helps · A small wire is placed near the affected nerve under ultrasound or fluoroscopic guidance; systems are often temporary (60–90 days) with lasting improvement after removal.
Targets a small cluster of nerve cells that relay pain from a specific region of the body — a control center for certain pain pathways.
How it helps · Highly targeted relief for focal, hard-to-treat pain such as CRPS or causalgia affecting the foot, ankle, knee, groin, or hand, while preserving normal sensation.
Nerve Ablations
What it is · Controlled radiofrequency energy interrupts or calms overactive pain signals from specific nerves. These procedures target the source of pain in the face, neck, back, joints, or vertebral bones.
Why it's effective · By selectively disabling or modulating pain-carrying nerves, ablation reduces chronic pain, improves mobility, and helps patients return to normal activity with less reliance on medication. Relief can last from several months to over a year — and can be repeated safely if pain returns.
Full guide: Radiofrequency ablation →
See the evidence: Spine injections & nerve ablation →
Targeted heat disables small sensory nerves that carry pain from arthritic joints in the spine, pelvis, or knees.
How it helps · Interrupts pain signals from trigeminal neuralgia, facet, sacroiliac, or genicular nerves — relief typically lasting 6–18 months, often repeatable.
Treats the basivertebral nerve inside the vertebral bone — a key source of chronic low back pain from degenerative disc changes.
How it helps · Ablating this nerve relieves deep vertebrogenic pain that doesn't respond to standard injections or therapy; improvement is often seen in both back and function.
Uses gentle, low-temperature energy to calm irritated or damaged nerves without destroying them.
How it helps · Used for neuropathic or post-surgical pain — it reduces nerve sensitivity and decreases abnormal pain signaling with minimal risk or downtime.
Nerve Blocks & Epidural Steroid Injections
What it is · Image-guided procedures that deliver medication directly around nerves or the spinal canal to reduce inflammation and pain. They diagnose and relieve pain caused by irritated or compressed nerves in the face, neck, back, or extremities.
Why it's effective · They deliver medication precisely where it's needed — minimizing systemic side effects while relieving pain, improving movement, and aiding rehabilitation.
Full guide: Epidural steroid injection →
See the evidence: Spine injections & nerve ablation →
Local anesthetic and sometimes steroid near a specific nerve or nerve root, under X-ray or ultrasound guidance.
How it helps · Blocks pain transmission at its source and can provide lasting relief while reducing the need for systemic medications.
Corticosteroid and anesthetic medication into the epidural space around spinal nerves.
How it helps · Reduces swelling and irritation from disc herniation, arthritis, or spinal stenosis, easing radiating pain such as sciatica or arm pain.
Joint, Extremity & Soft Tissue Injections
What it is · Targeted injections that reduce inflammation or relieve muscle tension in the shoulder, hip, knee, ankle, spine-associated muscle groups, and soft tissue.
Why it's effective · Delivering medication precisely into painful joints or muscle trigger points calms inflammation and restores normal movement and function.
See the evidence: Joint & peripheral procedures →
Injections into joints such as the shoulder, hip, knee, or sacroiliac joint.
How it helps · Reduces pain and inflammation from arthritis, bursitis, or injury — improving mobility and delaying surgery.
Local anesthetic or steroid into tight muscle bands or trigger points that cause referred or localized pain.
How it helps · Releases muscle tension, improves circulation, and relieves pain linked to chronic strain, posture, or myofascial pain syndrome.
Sympathetic, Plexus & Ganglion Blocks
What it is · Image-guided procedures that target key nerve centers responsible for conveying deep, regional, or organ-related pain signals — nerve clusters that regulate blood flow, temperature, and nociception.
Why it's effective · Blocking local anesthetic or medication directly to these nerve clusters interrupts excessive nerve activity, reduces inflammation, and relieves pain — often used for CRPS, chronic visceral or pelvic pain, and cancer-related pain.
See the evidence: Sympathetic, visceral & cancer pain →
Targets clusters of nerves that regulate pain signals in the body's sympathetic nervous system.
How it helps · Interrupting overactive nerve pathways helps calm pain sensitivity and can significantly improve comfort and quality of life in CRPS and complex regional pain.
Image-guided injections that target deep nerve clusters within the abdomen and pelvis.
How it helps · Used to relieve pain from the abdomen, pelvis, or cancer-related conditions by disrupting nerve transmission from internal organs.
Kyphoplasty, MILD, Botox & VIA Disc
What it is · Procedures that address structural and muscular sources of pain: vertebral fracture, lumbar spinal stenosis, refractory muscle spasm, and degenerative disc disease.
Why it's effective · Each restores stability or function at the tissue level, treating a mechanical cause of pain rather than only its signal.
Full guide: MILD lumbar decompression →
See the evidence: Vertebral & structural procedures →
Minimally invasive lumbar decompression for spinal stenosis caused by a thickened ligament — performed through an incision smaller than a baby aspirin, with no implants and no general anesthesia.
How it helps · Removing the excess ligament restores space in the spinal canal, easing the leg pain and heaviness that force you to stop and lean forward while walking. Most patients go home the same day and resume normal activity within days.
A minimally invasive procedure for painful vertebral compression fractures, often caused by osteoporosis, trauma, or metastatic disease.
How it helps · A balloon restores height in the fractured vertebra and medical-grade cement stabilizes it — relieving pain and helping restore posture and mobility.
FDA-approved injectable treatment for chronic migraine and select muscle and nerve pain conditions.
How it helps · Blocks the chemical signals that cause muscles to contract and reduces pain signaling — decreasing headache frequency and easing spasm and stiffness.
A minimally invasive, biologic treatment designed to restore hydration and cushioning inside degenerated spinal discs.
How it helps · Supplemental allograft disc tissue restores height and reduces internal disc stress, improving support for the spine and reducing associated pain.
Regenerative: PRP & Stem Cell Therapy
What it is · Treatments that harness the body's own healing potential to repair and restore damaged tissue, using Platelet-Rich Plasma (PRP) and stem cell therapy to promote natural recovery from musculoskeletal injury and degenerative joint conditions.
Why it's effective · Rather than only masking symptoms, regenerative therapy addresses the underlying cause of pain — reducing inflammation and improving joint and soft tissue durability, often for patients who want to delay or avoid surgery.
See the evidence: Joint & peripheral procedures →
A small amount of your own blood is processed to concentrate the platelets and their growth factors, then injected into the injured or arthritic area.
How it helps · Growth factors stimulate healing of tendons, ligaments, and cartilage — commonly used for knee, shoulder, hip, elbow, and spine-related pain.
Stem cells derived from your own bone marrow or fat tissue are injected into specialized target areas.
How it helps · These cells can develop into the specific tissue needed and support healing of damaged cartilage, tendon, or ligament — reducing pain and improving function.
Beyond pain · By psychiatric referral
Stellate ganglion block for PTSD, anxiety, and depression
The stellate ganglion is a cluster of sympathetic nerves in the neck that helps govern the body's fight-or-flight response. In trauma-related and treatment-resistant conditions, that response can stay switched on. A precise, image-guided block can quiet it — and for many patients the change in symptoms is noticeable within days.
This is the same injection we perform for complex regional and sympathetically mediated pain, used toward a different purpose. Demand has grown quickly, and most of these patients reach us through referral from a psychiatric practice. We work alongside your mental health provider — this treatment supports the care you are already receiving, it does not replace it.
Who it may help
Post-traumatic stress disorder, and anxiety or depression that has not responded adequately to medication and therapy. Referrals come most often from psychiatry, and we ask that your mental health treatment continue alongside it.
What the visit involves
An outpatient injection guided by imaging, performed in our office in a few minutes. You rest briefly afterward and go home the same day. It can be repeated, though usually no sooner than three to six months — and that timing is decided with your mental health provider, who knows how you are responding.
Cost and scheduling
Insurance does not currently cover this use of the procedure, so it is offered as a self-pay service. Call or text 325-326-3433 for current pricing and availability — we will tell you the cost before you commit to anything.
Every plan starts with a diagnosis, not a procedure.
For referring providers
Referring a patient? Send records and we will take it from there.
Fax a referral with recent records and imaging — our staff contacts your patient to schedule and sends notes back after every visit.
Referring a patient?Fax records and imaging to 325-378-9175. We confirm receipt and call the patient to schedule.
Referral details →