Interventional Pain Management


Interventional Pain Management is the area of Pain Medicine that involves the use of minimally invasive techniques frequently directed at treating the "pain generators" (abnormal anatomical structures considered the primary source of a particular patient's pain). Example of one is the removal of a portion of a herniated disc pressing on a spinal nerve through a minute skin puncture (thus avoiding open surgery). Most of these techniques are outpatient procedures and last 5 to 20 minutes. There are many different techniques in this field which is constantly expanding with the advancement of medical science and revolutionizing the treatment of spine conditions and other pain disorders. When expertly performed, interventional methods should cause little or no discomfort to patients.

The goals of Interventional Pain Management are: 1-Decrease Pain. 2-Increase physical function. 3-Decrease or abolish the use of medications. 5-Avoidance of surgery in some cases. 5-Return the patient to an enjoyable and active life style.

In our clinics, interventional techniques are frequently carried out under imaging (CT scan or fluoroscopy). Image guidance ensures high accuracy and safety of the procedures, as opposed to blind injections or operations. Other common examples of interventional pain techniques include: A-delivery of medications with a thin needle into inflamed or irritated spine structures causing neck or back pain, B-repair of a crushed painful vertebra causing severe back pain by injecting a polymer substance through a thin cannula penetrating the skin through a minute puncture, C-delivery of blocking medications to specific nervous system structures that contribute to pain amplification (i.e., sympathetic blockade); D-removal of a small portion of an herniated disc ("slipped disc") that may be compressing a nerve (sciatica type of pain is one example). There are several methods to acomplished this purpose (ultrasonic vibrating needle like device tip to liquefy the disc or laser light causing vaporization of the herniated disc ). Some of these interesting methods can be seen in our page on services; our services page provides illustrations in video or standard form for patients' education. Interventional Pain Management techniques are frequently part of a multidisciplinary approach aiming at pain reduction which may encompass the use of medications, physical medicine and rehabilitation and psychological support.

Common conditions treated by interventional pain management techniques at our clinics include: back and spine pain caused by herniated discs or disc degeneration, neck and lower back pain caused by facet disease and arthritis or spondylosis (a synonym of arthritis or degenerative joint disease), back pain due to injuries, back pain due to trauma, leg pain due to sciatica also called radiculopathy or "pinched nerve", back and spine deformities associated with pain, complex back pain syndromes (co-existence of various causes for your pain sometimes associated with deconditioning, gait or balance abnormalities), lumbago, disc protrusion, root compression or pinched nerves,cervical or neck pain, fibromyalgia, back pain due to osteoporosis, low back pain and spine pain due to fractures, neck pain due to neurological disorders such as dystonia, neck or back pain following prior failed surgeries (failed back syndrome), myofascial pain syndrome, sciatica, carpal tunnel syndrome, neck pain or back pain associated with rigidity due to neuromuscular disorders such as parkinsonism and others. Neuropathy associated with metabolic disorders or diabetes. Migraine and refractory headaches, daily headaches, daily migraine, atypical migraine syndrome and atypical facial pain. Complex regional pain syndrome also called RSD or regional sympathetic dystrophy. Post-herpetic neuralgia and trigeminal neuralgia.  


3351 Plainview St. Suite A2
Pasadena, TX 77504
Phone:  832-448-0706 



2201 W. Holcombe-Suite 225
Houston, TX 77024
Phone:  832-448-0706 

REQUEST AN APPOINTMENT (we will contact you within 24 hr. or on Mondays for appointments made on weekends)


Click on "REQUEST AN APPOINTMENT" above or on the "Appointments-Contact us" button on the left of this page to schedule an appointment (you can either call us or do it on line, no referral is necessary). We accept most insurance plans including Blue Cross, Blue Shield, Aetna, Humana, United, Medicare, Medicaid and many others. We can get you in with a back pain doctor or pain management physician today! If you are a referring physician, health care provider or doctor representative please click on "For Health Care Providers" to download a referral form.



Discogenic Pain | Degenerative Disc Disease | Herniated Disc | Nucleus Pulposus | Spinal Stenosis | Spondylolysis |   Spondylosis | Fibromyalgia Syndrome | Osteoporosis | Vitamin D Deficiency | Sacroiliac Joint Dysfunct | Sciatica Pain | Chronic Pain Management | Epidural Injections | Joint Injections | Facet Joint Injections | Discography | Prolotherapy | Physical Therapy | Trigger Point Injections | Neck Pain | Platelet Rich Plasma


HOUSTON: 2646 S. Loop West Fwy. Suite 104. Houston, Texas 77054. Phone: 713-661-0300
PASADENA: 5413 Crenshaw, Pasadena, Texas 77505

Miguel Pappolla included in America's Top Physicians REQUEST AN APPOINTMENT (we will contact you within 24 hr. or on Mondays for appointments made on weekends) 




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