Chronic pain affects millions of Americans, impacting every aspect of daily life—from sleep and work to relationships and mental health. When medications, physical therapy, and injections don't provide adequate relief, many patients feel they've run out of options. Neuromodulation is a groundbreaking approach to pain management that offers hope when traditional treatments fall short.
At Pain Specialists of America, we understand the devastating impact of persistent pain on our Central Texas patients. As pioneers in interventional pain management, we offer advanced neuromodulation therapies that can transform your relationship with pain and help you reclaim your life.
Here’s what we’ll address in this blog post:
Neuromodulation is a minimally invasive medical therapy that uses specialized devices to deliver gentle electrical pulses to specific nerves or areas of the spinal cord. These pulses modify or "modulate" pain signals, preventing them from reaching your brain or changing how your brain interprets them.
Think of neuromodulation like a traffic controller for your pain signals. When you experience pain, nerve fibers send messages through your spinal cord to your brain. Neuromodulation devices intercept and modify these signals, reducing your perception of pain without the side effects of medications.
Modern neuromodulation systems offer:
Neuromodulation works through precisely targeted electrical stimulation that interrupts the pain signaling pathway. Here's how the process typically works:
The stimulation itself may feel like a gentle tingling, buzzing sensation, or—with newer systems—may not be felt at all while still providing pain relief. Most importantly, you remain in control, with the ability to adjust settings or turn the system on and off as needed.
Patients who respond well to neuromodulation often experience transformative results:
Most importantly, neuromodulation offers hope for those who believed they would never find relief. As a minimally invasive option, it bridges the gap between medications and major surgery.
| Treatment Approach | How It Works | Duration of Relief | Invasiveness | Side Effects |
| Neuromodulation | Interrupts pain signals | Long-term, sustainable | Minimally invasive | Minimal; typically mild discomfort at implant site |
| Opioid Medications | Block pain receptors | Short-term; tolerance develops | Non-invasive | Constipation, sedation, dependence, addiction risk |
| Steroid Injections | Reduce inflammation | Temporary (weeks to months) | Minimally invasive | Minimal; blood sugar elevation, limited number of treatments |
| Surgical Intervention | Corrects structural issues | Potentially permanent if successful | Highly invasive | Significant recovery time, risk of failed back surgery syndrome |
| Physical Therapy | Improves function, strength | Variable; requires ongoing work | Non-invasive | Limited effect on severe nerve pain |
Several neuromodulation approaches are available, each designed to address specific pain conditions:
Spinal Cord Stimulation (SCS):
The most common form of neuromodulation, SCS delivers mild electrical pulses to the spinal cord. This is particularly effective for:
Dorsal Root Ganglion (DRG) Stimulation:
This targets the dorsal root ganglion, a cluster of nerve cells near where nerves enter the spinal cord. DRG stimulation excels at treating:
This targets specific peripheral nerves outside the spinal cord, beneficial for:
At Pain Specialists of America, we offer comprehensive evaluation to determine which neuromodulation approach is most appropriate for your specific pain condition and anatomy.
Not everyone with chronic pain will benefit from neuromodulation. Ideal candidates typically:
During your consultation at Pain Specialists of America, our experts will conduct a thorough evaluation to determine if neuromodulation is right for you. This includes reviewing your medical history, previous treatments, diagnostic tests, and performing a physical examination.
Living with chronic pain isn't something you should have to accept as your "new normal." Neuromodulation represents a significant advancement in pain management technology, offering hope to those who have exhausted traditional treatment options.
At Pain Specialists of America, our physician-owned practice has established itself as a leader in interventional pain management throughout Central Texas. Our experienced team understands that for every pain, there's a plan—and neuromodulation might be the solution you've been searching for.
The journey toward pain relief begins with a conversation. Contact our team today to schedule a consultation. Together, we'll find the best path to help you reclaim your life from chronic pain.
For every pain, we have a plan.
Q: How effective is neuromodulation for chronic pain?
A: Clinical studies show that 50-70% of appropriate candidates experience significant pain reduction with neuromodulation. Many patients report improved function and quality of life, with reduced dependence on pain medications.
Q: Is the neuromodulation procedure painful?
A: Both the trial and permanent implantation procedures are performed under local anesthesia with sedation. Most patients report minimal discomfort during recovery, typically managed with over-the-counter pain relievers.
Q: Will insurance cover neuromodulation therapy?
A: Many insurance plans, including Medicare, cover neuromodulation therapy for approved conditions. Our team at Pain Specialists of America will work directly with your insurance provider to determine coverage and secure authorization.
Q: How long does a neuromodulation device last?
A: Modern neuromodulation devices can last 5-10 years, depending on the system type (rechargeable vs. non-rechargeable), stimulation settings, and usage patterns. When the battery eventually depletes, replacing it requires a minor outpatient procedure.
Q: Can I still have MRIs with a neuromodulation device?
A: Many modern neuromodulation systems, including those we offer at Pain Specialists of America, are MRI-compatible under specific conditions. During your consultation, we'll discuss MRI compatibility based on the recommended system for your condition.
Q: Will neuromodulation completely eliminate my pain?
A: While complete pain elimination is possible for some patients, most experience significant reduction rather than complete elimination. A successful outcome is generally considered a 50% or greater reduction in pain, improved function, and better quality of life.
Q: Can the device be removed if needed?
A: Yes, neuromodulation systems can be removed if necessary, which is one of their advantages over more permanent surgical interventions.
This article was reviewed by the Pain Specialists of America medical team, a physician-owned practice of board-certified interventional pain management specialists serving Central Texas. Our experts stay at the forefront of advanced pain management techniques, including pioneering neuromodulation therapies.
When patients come to our Central Texas clinics – from Waco to Austin to Seguin – many arrive after weeks or months of discomfort, unsure whether their symptoms indicate a pinched nerve, herniated disc, or something else entirely. This confusion is understandable, as these conditions share many symptoms and can occur together.
Before we dive in, here’s a quick glance at what you need to know:
A pinched nerve (or nerve compression) occurs when surrounding tissues put excessive pressure on a nerve. This compression disrupts the nerve's function, causing pain and other symptoms. Think of a garden hose with someone stepping on it—the flow gets restricted, causing problems downstream.
Pinched nerves can happen almost anywhere in your body, but they're most common in areas where nerves travel through narrow spaces and have little soft tissue protection. The spine, wrists, elbows, and neck are particularly vulnerable.
Common causes of pinched nerves include:
The location of the pinched nerve determines where you feel symptoms. For example, a pinched nerve in your lower back typically causes symptoms down your buttocks and leg (sciatica), while a pinched nerve in your neck might cause pain radiating down your shoulder and arm.
Your spine consists of vertebrae (bones) stacked on top of each other with cushioning discs between them. Each disc has a tough outer ring (annulus fibrosus) and a soft gel-like center (nucleus pulposus).
A herniated disc (also called a slipped or ruptured disc) occurs when the soft center pushes through a tear in the tougher exterior. It's similar to what happens when you squeeze a jelly donut too hard and the filling squirts out.
This condition most commonly affects the lumbar spine (lower back) and cervical spine (neck), though it can occur in the thoracic spine (mid-back) as well.
Herniated discs typically develop due to:
When a disc herniates, it can press directly on nearby nerves or release inflammatory proteins that irritate nerves—both scenarios lead to nerve compression (a pinched nerve).
The relationship between pinched nerves and herniated discs is similar to the relationship between a symptom and one of its potential causes. Here's how they connect:
This distinction matters because treating the underlying cause of nerve compression is key to long-term relief. At Pain Specialists of America, our physicians conduct thorough evaluations to determine whether your pinched nerve stems from a herniated disc or another cause, guiding our treatment recommendations.
While both conditions can cause similar symptoms, there are some differences that help us distinguish between them.
Pinched Nerve Symptoms:
Herniated Disc Symptoms:
Key Difference: The primary difference in symptoms is that herniated discs often cause both localized pain at the herniation site AND radiating symptoms along the nerve pathway, while a pinched nerve from other causes might only produce radiating symptoms without the focal spine pain.
For example, a herniated disc in the lower back typically causes both lower back pain AND sciatic pain down the leg. A pinched nerve from another cause might cause the leg pain without significant back pain.
Seeking proper diagnosis and treatment for pinched nerves and herniated discs offers numerous benefits:
At Pain Specialists of America, our comprehensive approach addresses both immediate pain relief and long-term functional improvement.
Treatment approaches for both conditions focus first on relieving pain and inflammation, then addressing the underlying cause. Here's how we approach treatment at our Central Texas pain centers:
Conservative Treatments (First-Line Approaches):
Interventional Treatments (When Conservative Options Aren't Enough):
You might benefit from seeing a pain specialist at Pain Specialists of America if:
Our physicians create individualized treatment plans based on your specific diagnosis, symptom pattern, medical history, and treatment goals.
Q: Can a pinched nerve heal on its own?
A: Yes, many pinched nerves resolve on their own with rest and time. However, if symptoms persist beyond a few weeks, professional treatment is recommended to prevent long-term nerve damage.
Q: How long does it take a herniated disc to heal?
A: Most herniated discs show significant improvement within 4-6 weeks with appropriate treatment. Complete healing may take 3-6 months depending on the severity and location of the herniation.
Q: Can you have a herniated disc without pain?
A: Yes. Studies show that many people have herniated discs visible on imaging but experience no symptoms. Pain typically occurs only when the herniation compresses or irritates nearby nerves.
Q: Are epidural steroid injections painful?
A: These injections are performed with local anesthetic and often cause only minimal discomfort. At Pain Specialists of America, we use advanced imaging guidance to ensure precise placement, maximizing effectiveness and comfort.
Q: Will I need surgery for my herniated disc?
A: The vast majority of patients with herniated discs improve without surgery. Studies show that only about 10% of people with herniated discs eventually require surgical intervention.
Q: Can physical therapy help with a pinched nerve?
A: Yes, physical therapy is highly effective for many patients with pinched nerves. Specialized exercises can improve posture, strengthen supporting muscles, and create more space for compressed nerves.
Q: What's the difference between a bulging disc and a herniated disc?
A: A bulging disc extends beyond its normal space but maintains its outer layer intact. A herniated disc has a tear in the outer layer, allowing inner disc material to leak out. Herniated discs are more likely to cause nerve compression symptoms.
At Pain Specialists of America, our team of fellowship-trained interventional pain physicians specializes in diagnosing and treating spine conditions with precision and compassion.
Our approach focuses on finding the root cause of your pain, then developing a comprehensive treatment plan that may include both advanced interventional procedures and supportive therapies. For every pain, we have a plan—and we're committed to helping you find your path back to a life with fewer limitations.
If you're struggling with symptoms that might indicate a pinched nerve or herniated disc, don't wait to seek help. Contact Pain Specialists of America today to schedule a consultation with our expert team.
This article was reviewed by the medical team at Pain Specialists of America, a physician-owned interventional pain management practice serving Central Texas since 2014. Our fellowship-trained pain specialists have extensive experience diagnosing and treating spine conditions including pinched nerves and herniated discs using the latest evidence-based approaches.
Living with sciatica pain can make even simple activities unbearable, but you don't need to rush into surgery to find relief. For many patients, non-surgical interventional treatments provide significant pain reduction and improved mobility.
TL;DR - Key Takeaways:
Sciatica can often be treated effectively without surgery
Sciatica affects millions of Americans, causing radiating pain that travels from the lower back down through the buttock and leg. This pain occurs when the sciatic nerve—the body's longest and widest nerve—becomes compressed or irritated. If you're experiencing sciatica, you know how this sharp, burning, or electric-shock-like pain can disrupt your daily life and make even sitting nearly impossible.
At Pain Specialists of America, we understand the physical and emotional toll that sciatica takes on our Central Texas patients. While surgery might seem like the only solution when pain is severe, our physician team specializes in multiple non-surgical interventional approaches that effectively treat sciatica at its source. For every pain, we have a plan—and that plan typically begins with the least invasive options.
Sciatica isn't a condition itself but rather a symptom of an underlying problem affecting the sciatic nerve. This large nerve begins in your lower back, travels through your hips and buttocks, and branches down each leg. When this nerve becomes compressed or irritated, it triggers the characteristic pain pattern known as sciatica.
Common causes of sciatic nerve compression include:
Understanding the specific cause of your sciatica is crucial for developing an effective treatment plan. At Pain Specialists of America, our comprehensive diagnostic approach helps identify the exact source of your pain, allowing for targeted non-surgical interventions.
Non-surgical treatments for sciatica work through several mechanisms to relieve pain and improve function:
Our interventional pain specialists at Pain Specialists of America employ these mechanisms through various treatments tailored to each patient's specific condition, severity, and health profile. For every type of sciatica, we have effective non-surgical approaches designed to target your pain at its source.
Choosing non-surgical approaches to sciatica management offers numerous advantages over immediately pursuing surgical options:
At Pain Specialists of America, our Central Texas patients report high satisfaction with non-surgical interventions, often achieving pain relief comparable to surgical outcomes without the associated risks and recovery time.
Epidural steroid injections deliver powerful anti-inflammatory medication directly to the inflamed nerve roots causing your sciatica. Using advanced imaging guidance, our physicians precisely place the medication in the epidural space around the affected nerve roots. The steroids reduce inflammation, which decreases pain and allows for improved function while the body heals.
Benefits include:
A structured physical therapy program specifically designed for sciatica helps strengthen core muscles, improve flexibility, and correct posture and movement patterns that may contribute to nerve compression. We can help refer you to a physical therapist should that be the best approach for you.
Key components include:
Targeted nerve blocks use local anesthetic to temporarily interrupt pain signals from the affected nerves. These diagnostic and therapeutic injections can provide immediate relief while helping identify the exact pain source.
Our approach includes:
Properly prescribed medications can effectively manage sciatica symptoms while other treatments address the underlying cause. While we minimize the use of medications for pain management, this can be a successful approach for some individuals, especially when combined with other therapies.
Medication management may include:
Non-surgical spinal decompression gently stretches the spine to create negative pressure within the discs, potentially allowing herniated disc material to retract and relieve nerve pressure. We can refer you to a chiropractor for spinal decompression therapy.
Benefits include:
For sciatica caused by facet joint issues, radiofrequency ablation uses precisely controlled heat to disable the small nerves carrying pain signals from these joints. The procedure provides longer-lasting relief than injections alone.
Key advantages:
Advanced regenerative approaches like platelet-rich plasma (PRP) injections harness your body's natural healing capabilities to address the underlying causes of sciatica.
These cutting-edge treatments:
When comparing sciatica treatments to options for other types of back pain, several important differences emerge:
| Sciatica Treatment | General Back Pain Treatment | Key Differences |
| Targeted nerve-specific interventions | Often broader pain management approaches | Sciatica requires precise targeting of specific nerve pathways |
| Focus on relieving both back and leg pain | Primarily focused on localized back discomfort | Sciatica treatment must address the entire pain pathway |
| Emphasis on reducing nerve compression | May focus more on muscle and joint pain | Nerve decompression is critical for sciatica relief |
| Often includes specialized nerve medication | May rely more on general pain relievers | Nerve-specific medications work better for radiating pain |
| Physical therapy targets sciatic nerve pathway | PT may focus on more general back strength | Specific stretches and exercises for piriformis and hamstrings |
At Pain Specialists of America, we recognize these crucial differences and tailor our approach specifically to your sciatic pain pattern. Unlike general pain clinics, our interventional specialists have extensive experience treating the unique challenges of sciatica with precision-targeted, minimally invasive techniques.
Most people with sciatica should consider non-surgical treatments before pursuing surgical options. You may be an excellent candidate for our interventional approaches if:
Even patients with severe sciatica often respond well to our comprehensive non-surgical protocol. During your consultation at Pain Specialists of America, our physicians will thoroughly evaluate your condition and explain which interventional options are most likely to provide relief based on your specific situation.
Q: How long does it take to recover from sciatica without surgery?
A: Most patients experience significant improvement within 4-6 weeks of beginning appropriate non-surgical treatment. However, recovery timelines vary based on the cause and severity of your sciatica. Some patients find relief within days of receiving interventional treatments like epidural steroid injections, while others may require a series of treatments over several months for optimal results.
Q: Can sciatica come back after non-surgical treatment?
A: Yes, sciatica can recur, especially if the underlying cause isn't fully addressed or if you return to activities that trigger symptoms. At Pain Specialists of America, we focus not only on relieving your current pain but also on prevention strategies including proper body mechanics, core strengthening, and lifestyle modifications to reduce the risk of recurrence.
Q: How do I know if I need surgery for my sciatica?
A: Surgery is typically considered only when non-surgical treatments have failed to provide adequate relief after a reasonable trial, or if you have progressive neurological symptoms like severe weakness, loss of bladder/bowel control, or rapidly worsening pain. Our physicians will honestly advise you if your condition warrants surgical consultation.
Q: What makes interventional treatments different from just taking pain medications?
A: Interventional treatments target the source of your pain directly, often with long-lasting results, whereas pain medications simply mask symptoms temporarily. Additionally, interventional approaches avoid the potential side effects and dependency risks associated with long-term medication use.
Q: How many epidural steroid injections might I need for sciatica relief?
A: Many patients experience significant relief from a single injection, though a series of up to three injections spaced several weeks apart may provide optimal and longer-lasting benefits. Our physicians will evaluate your response to each treatment and adjust your plan accordingly.
Q: Are non-surgical treatments covered by insurance?
A: Most insurance plans, including Medicare, cover medically necessary interventional treatments for sciatica. Pain Specialists of America works with numerous insurance providers throughout Central Texas and our staff can help verify your coverage before treatment begins.
Q: Can I receive treatment if I've already had back surgery?
A: Absolutely. Many of our patients have had previous spine surgery but are experiencing persistent or recurrent sciatica. Interventional treatments are often very effective for post-surgical pain and may help you avoid additional operations.
Living with sciatica doesn't mean you're destined for surgery or a lifetime of pain. For most patients, comprehensive non-surgical interventional approaches provide effective relief and restored function. At Pain Specialists of America, our physician team has helped thousands of Central Texas patients overcome sciatica through personalized treatment plans that address the specific causes of their pain.
Don't let sciatica control your life any longer. Contact Pain Specialists of America today to schedule a consultation at one of our convenient Central Texas locations. Our team will develop a customized treatment plan to address your specific needs and help you return to the activities you love—without surgery.
Pain Specialists of America is a leading pain management practice in Central Texas, awarded as Top Doctors since 2021.
This content is designed for informational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.
If you're losing sleep because of burning, throbbing leg pain that intensifies at night, you're not alone—and there are solutions that can help restore your rest and quality of life.
Key Takeaways:
Leg pain at night can turn what should be restful sleep into hours of discomfort and frustration. Whether you're experiencing burning sensations, sharp nerve pain, or throbbing discomfort that seems to intensify after dark, nighttime leg pain can significantly impact your quality of life. For many patients across Central Texas, this nightly suffering becomes a cycle that's difficult to break.
Understanding why leg pain often worsens at night is the first step toward finding relief. At Pain Specialists of America, we regularly help patients identify the underlying causes of their nighttime leg discomfort and develop personalized, comprehensive treatment plans that address the source of the pain—not just the symptoms.
Nighttime leg pain refers to discomfort in the legs that occurs or intensifies during evening hours or while trying to sleep. This pain can present in various ways, including:
Many patients describe their nighttime leg pain as more severe and disruptive than daytime discomfort. This isn't your imagination—there are physiological reasons why leg pain often intensifies after dark.
Leg pain commonly intensifies during nighttime hours for several specific reasons:
Understanding these factors helps explain why treatments specifically targeting nighttime pain patterns can be particularly effective.
Several conditions can cause or contribute to leg pain that worsens at night:
Each of these pain conditions requires a specific approach to diagnosis and treatment, which is why consulting with pain management specialists is crucial for effective relief.
Interventional pain management offers targeted approaches to treating the specific causes of nighttime leg pain, particularly when it stems from nerve irritation or compression. These techniques work by:
At Pain Specialists of America, our comprehensive approach to nighttime leg pain includes careful diagnosis, personalized treatment planning, and ongoing support to help you regain restful sleep and daytime function.
Understanding how nighttime leg pain differs from other nocturnal discomfort helps in proper diagnosis and treatment:
| Nighttime Leg Pain | Restless Leg Syndrome | Nocturnal Leg Cramps | Fibromyalgia |
| May include burning, shooting, or throbbing sensations | Creates uncontrollable urge to move legs | Involves sudden, intense muscle contractions | Widespread pain throughout body, not just legs |
| Often related to specific nerve pathways or circulation | Primarily neurological in origin | Usually muscular in nature | Central nervous system pain processing disorder |
| May worsen with specific positions | Temporarily improves with movement | Relief comes after stretching or massage | Position changes provide minimal relie |
| Can affect one or both legs, often following nerve distribution | Typically affects both legs | Usually affects calves or feet | Includes multiple tender points throughout body |
| Responds to targeted interventional treatments | Managed with specific medications and lifestyle adjustments | Prevented through hydration and minerals | Requires multi-faceted approach |
| May be accompanied by numbness or tingling | Described as "creepy-crawly" sensations | Leaves lingering soreness after cramping subsides | Accompanied by fatigue and cognitive issues |
Differentiating between these conditions is crucial for determining the most effective treatment approach. At Pain Specialists of America, our comprehensive diagnostic process ensures we identify the specific cause of your nighttime discomfort.
You may be an ideal candidate for interventional pain management if you:
Interventional pain management is particularly effective for patients whose leg pain has a clear neurological component, such as nerve compression or irritation. During your consultation at Pain Specialists of America, our physicians will determine if you're a good candidate for these specialized treatments.
Q: When should I see a doctor about leg pain at night?
A: Consult a doctor if your leg pain is severe, persistent, or worsening; disrupts your sleep regularly; is accompanied by swelling, redness, or warmth; occurs with numbness or weakness; or if you have diabetes or circulatory disorders that increase risk for complications.
Q: Can sciatica cause burning leg pain only at night?
A: Yes, sciatica can cause burning leg pain that seems to worsen at night. This happens because lying down can increase pressure on the irritated sciatic nerve, and there are fewer distractions to take your mind off the pain when trying to sleep.
Q: How do I know if my nighttime leg pain is serious?
A: Warning signs of serious conditions include sudden severe pain, significant swelling, redness or warmth, fever accompanying leg pain, inability to bear weight on the affected leg, or new bladder/bowel control issues. These symptoms warrant immediate medical attention.
Q: What home remedies might help with leg pain at night?
A: Helpful home approaches include elevating your legs while sleeping, gentle stretching before bed, applying heat or cold packs, staying hydrated, maintaining proper electrolyte balance, and using over-the-counter anti-inflammatory medications as directed.
Q: How long does it take to get relief from interventional pain treatments?
A: Many patients experience some relief within days of procedures like epidural steroid injections, though full benefits may develop over 1-2 weeks. Nerve blocks often provide immediate relief that can last for weeks to months depending on the specific procedure.
Q: Can nighttime leg pain be permanently cured?
A: The prognosis depends on the underlying cause. Some conditions can be resolved completely, while others may require ongoing management. Many patients achieve significant long-term improvement through appropriate interventional treatments and complementary approaches.
Q: Will I need to take pain medications long-term for leg pain at night?
A: A primary goal of interventional pain management is to reduce or eliminate the need for ongoing pain medications. Many patients find that targeted treatments provide sufficient relief to discontinue or significantly reduce medication use.
Leg pain at night doesn't have to remain a permanent part of your life. With proper diagnosis and targeted treatment, the burning, shooting, or throbbing discomfort that disrupts your sleep can be effectively managed or eliminated. At Pain Specialists of America, we understand how nighttime leg pain impacts not just your sleep, but your overall quality of life and daily functioning.
Our comprehensive approach to treating nighttime leg pain includes careful diagnosis of the underlying causes, development of personalized treatment plans, and access to the most advanced interventional pain management techniques. By addressing the source of your pain—not just masking the symptoms—we help patients throughout Central Texas find their path back to restful sleep and pain-free living.
If you're experiencing leg pain that worsens at night, don't accept it as an inevitable part of aging or a condition you simply have to endure. For every pain, we have a plan.
Contact Pain Specialists of America today to schedule a consultation at one of our convenient locations along the I-35 corridor from Waco to Seguin. Life without limits is possible—we'll help you find your path back.
This article was reviewed by the medical team at Pain Specialists of America, a physician-owned interventional pain management practice serving Central Texas since 2014. Our board-certified pain management specialists are experts in diagnosing and treating complex pain conditions with minimally invasive, targeted approaches. PSA physicians regularly receive Top Doctors recognition for their expertise in interventional pain management.
This content is for educational purposes only and is not designed for diagnosis; a consultation with a doctor is advised.
If your doctor has referred you to pain management, it's natural to feel a mix of emotions – perhaps a little confusion, some apprehension, and maybe even a sense of hope for a pain-free life. You might be asking, "Why is my doctor sending me to pain management? Does this mean my pain is worse? Have they given up?"
Let us assure you: a referral to a specialized pain management practice like Pain Specialists of America is often a positive, proactive step towards finding real, lasting relief and improving your quality of life. We're here to create clarity in this next step and explain what specialized pain management truly offers.
Your primary care physician is a vital part of your health journey, but when it comes to chronic or complex pain, the solutions often require a more focused and in-depth approach. This is where a pain management specialist comes in.
Your doctor is referring you because they recognize that your persistent pain likely needs:
Referrals commonly happen when pain has lasted longer than three months, hasn't responded to initial treatments, or involves complex conditions that require a multidisciplinary approach.
At Pain Specialists of America, we focus on interventional pain management. This means we go beyond simply prescribing medication. While medication might be part of a comprehensive plan, our core approach involves advanced therapies and diagnostics that target the pain at its source.
We offer a wide range of advanced treatment options designed to reduce your reliance on daily medications and help you regain function. Our goal is always to find the most effective and least invasive path to relief, focusing on sustainable, long-term solutions.
When you come to PSA, you can expect a patient-centered experience focused entirely on your relief and recovery.
We treat a wide variety of conditions, including:
Other Complex Pain Conditions: Complex Regional Pain Syndrome (CRPS), Fibromyalgia, Cancer Pain, and Postherpetic Neuralgia (Shingles)
It's natural to have questions and concerns when referred to a new type of specialist. Let's address some common fears:
"Is this my last resort?" Think of it as your next best step. Your doctor is wisely bringing in specialized expertise to give you the best chance at long-term relief and improved function, helping you get back to living a functional and fulfilling life.
Being referred to pain management is a proactive step towards a life with less pain and more function. It's a clear signal that your doctor is invested in finding you the most effective solutions.
At Pain Specialists of America, our purpose and passion are clear: To provide best-in-class pain management solutions to those who need it most. Because at PSA, for every pain, there is a plan.
Don't continue to live with chronic pain. If your doctor has referred you, or if you're experiencing persistent pain, reach out to our compassionate team today. With same-day/next-day appointments and quick scheduling, getting started on your personalized pain management plan is easy.
Ready to find your plan for pain relief?
Find a pain management clinic near you or fill out a new patient appointment form to get started.
For every pain, we have a plan.
Chronic pain can be a relentless burden, affecting every aspect of your life. If you've tried traditional treatments without success, you may be searching for alternative solutions. At Pain Specialists of America, we offer innovative therapies like peripheral nerve stimulation (PNS) to help you find lasting relief.
To understand how PNS works and its potential benefits, we need to first understand the nervous system.
Dr. Jerry Gutierrez explains the nervous system in a way that's easy to understand: "It's divided into central and peripheral.Central refers to the brain and spinal cord... The peripheral nervous system is all the little nerve branches that are an extension of the central nervous system."
Think of it like a tree, he says. "They typically start with nerve roots that turn into branches, that turn into peripheral nerves, that turn into other peripheral nerves. So it's like a tree trunk that has several branches and then little twigs..."
This intricate network of nerves extends throughout your body, carrying signals that control movement, sensation, and organ function.
When these peripheral nerves are damaged or diseased, they can send faulty pain signals, leading to chronic pain. PNS therapy offers a targeted approach to addressing these issues, focusing on the specific "twig" or "branch" that's causing the problem.
A peripheral nerve stimulator is a small, minimally invasive device that is implanted near a specific peripheral nerve. These nerves extend outside of your brain and spinal cord, carrying signals to and from your limbs and organs. When these nerves are damaged or diseased, they can send faulty pain signals, leading to chronic pain.
PNS works by delivering mild electrical impulses to the affected nerve, effectively blocking these pain signals from reaching your brain. Think of it like a "mute" button for your pain. Dr. Gutierrez, a pain management specialist at PSA, explains that PNS devices can operate in two modes: one that produces a tingling sensation and another that alleviates pain without any sensation at all.
PNS is highly effective in treating various types of chronic pain, particularly those associated with nerve damage. Some conditions that can benefit from PNS include:
PNS can be particularly helpful for peripheral nerve stimulator implant knee pain after surgery or due to nerve damage. It's a less invasive option for patients who may not be ideal candidates for surgery or those who want to avoid the risks of general anesthesia.
Before receiving a permanent PNS implant, you'll undergo a trial period with a temporary device. This allows you to experience the therapy and assess its effectiveness for your pain.
The implantation procedure itself is minimally invasive, typically performed as an outpatient procedure. Recovery time is generally short, with most patients able to return to their daily activities within a few days.
The longevity of a peripheral nerve stimulator (PNS) depends on several factors, including the type of device, the settings used, and the individual's pain condition.
In some cases, PNS is used as a short-term treatment to "reset" or correct nerve activity and provide long-lasting relief. Dr. Gutierrez explains that "sometimes we can change the course of nerve pain by stimulating it for 60 days, and it might go back to normal and not return." He's observed patients experiencing pain relief for up to two years, or even permanently, after just a 60-day treatment with a temporary PNS system.
For those with more chronic pain, a permanent PNS implant may be recommended. These implants typically have a battery life of several years, depending on the device and usage. When the battery eventually runs low, a minor procedure is required to replace it, similar to replacing a pacemaker battery.
Interestingly, Dr. Gutierrez notes that PNS often provides a "lingering effect," where patients continue to experience pain relief even after the stimulation is turned off. This extended relief is attributed to the way PNS can "alter the behavior of a nerve." This means that with PNS, you may not need to have the stimulator on constantly to experience pain relief, which can prolong the battery life of your device.
Ultimately, the lifespan of a PNS system is influenced by individual factors and the specific device used. Your doctor can provide more personalized information about what to expect based on your condition and treatment plan.
While both PNS and transcutaneous electrical nerve stimulation (TENS) use electrical stimulation, they differ in key ways. TENS units are external devices with electrodes placed on the skin, providing temporary pain relief. This pain relief is also more specific to the musculoskeletal system.
PNS, on the other hand, involves a more targeted and long-term approach, targeting the specific nerve causing pain. The stimulator can be either external or implanted under the skin, with leads placed close to the affected nerve. This allows for far more precise and continuous stimulation.
While both PNS and spinal cord stimulation (SCS) use electrical impulses to relieve pain, they target different areas of the nervous system. Dr. Gutierrez explains the difference using a helpful analogy: "Think of the nervous system like a tree. SCS is like treating the trunk, while PNS is like treating a specific branch or twig."
"A peripheral nerve stimulator would be good for somebody that has maybe just a certain twig or small branch that's injured," says Dr. Gutierrez. "You can really get a PNS in intimate proximity to that one nerve that we've identified as being the culprit... and just get that one focal area."
This means that PNS is ideal for treating pain that originates from a specific nerve, while SCS is more effective for widespread pain.
PNS offers several advantages over traditional pain management methods:
Improved quality of life: By reducing pain, PNS can help you regain your mobility, participate in activities you enjoy, and improve your overall quality of life.
While PNS is generally safe and effective, it's essential to be aware of potential considerations:
Your doctor will discuss these factors with you in detail and address any concerns you may have.
At PSA, we're committed to providing comprehensive and patient-centered PNS therapy. Our experienced pain specialists, like Dr. Gutierrez, will guide you through the process, from the initial consultation to the trial period and, if appropriate, the permanent implant. We're dedicated to helping you achieve the best possible outcome with PNS.
If you're struggling with chronic pain and want to explore whether PNS is right for you, contact PSA today to schedule a consultation. We're here to answer your questions, address your concerns, and help you find lasting relief.
Living with chronic pain can significantly impact your quality of life. It can limit your ability to work, enjoy hobbies, and spend time with loved ones. If you're searching for pain management in Temple, TX, Pain Specialists of America is here to help. We offer comprehensive, patient-centered pain management with a focus on improving your overall well-being.
At PSA, we understand that pain is a complex and personal experience. That's why we take a multidisciplinary approach, combining cutting-edge treatments with compassionate care to address your unique needs. Our team of experienced pain specialists is dedicated to helping you find lasting relief and reclaim your life from pain.
We're fortunate to have Dr. Andrés Gutiérrez Robles as part of our team in Temple. Let's take a closer look at the services he and the PSA Temple team provide to help the community find lasting relief.
Dr. Gutiérrez Robles brings a wealth of knowledge and experience to PSA. He completed his medical studies at Ponce Health Sciences University and a residency in Physical Medicine and Rehabilitation at Memorial Healthcare System. He further honed his skills through a fellowship in Pain Medicine at Oregon Health Science University.
Beyond his impressive credentials, Dr. Gutiérrez Robles is known for his compassionate approach and dedication to patient care. He's passionate about helping people overcome pain and improve their quality of life. This commitment was evident in his volunteer efforts during Hurricane Maria, where he provided much-needed medical assistance to those affected by the disaster.
Fluent in both Spanish and English, Dr. Gutiérrez Robles is a valuable asset to the Temple community, providing culturally sensitive care to a diverse patient population.
305 Clinite Grove Blvd, Temple, TX 76502
P: (254) 401-5250
As a compassionate pain specialist in Temple, we believe in a personalized approach to pain management. Dr. Gutiérrez Robles and his team take the time to understand your unique needs and develop a treatment plan that targets the root cause of your pain. We believe in accurate diagnoses and individualized treatment strategies to help you achieve the best possible outcomes.
Some of our interventional pain management services in Temple include:
When you choose PSA for your pain management needs, you can expect:
Pain Specialists of America is committed to providing high-quality, compassionate pain management care to the Temple community. With experienced specialists like Dr. Gutiérrez Robles and a focus on personalized treatment, we're here to help you find lasting relief and reclaim your life from pain.
If you're ready to take control of your pain, we encourage you to schedule an appointment with Dr. Gutiérrez Robles at PSA Temple.
November is National Family Caregivers Month, a time to recognize and celebrate the millions of individuals who provide invaluable support to loved ones facing chronic pain or other health challenges. Did you know that more than 1 in 5 Americans (21.3%) are caregivers? That's a significant portion of the population who dedicate their time and energy to caring for others. At Pain Specialists of America, we understand the vital role family caregivers play in the pain management journey. We witness their unwavering dedication, compassion, and resilience every day.
This month, we want to honor these unsung heroes and shed light on the challenges and rewards of caregiving, while also emphasizing the importance of self-care and providing helpful resources.
Family caregivers are the backbone of support for those living with chronic pain. They provide physical assistance, emotional support, manage medications, and handle countless other tasks, often while juggling their own responsibilities.
Caregiving can be incredibly rewarding, fostering deep bonds and a sense of purpose. However, it can also be physically and emotionally demanding.
Caregivers spend an average of 26 hours per week providing care, often while juggling their own work, family, and personal responsibilities. Many caregivers are also part of the "sandwich generation," meaning they are caring for both children and aging parents simultaneously. This can lead to significant physical, emotional, and financial strain.
Caregivers often face:
It's essential to acknowledge these challenges and provide caregivers with the support and resources they need to thrive.
It's essential to acknowledge these challenges and provide caregivers with the support and resources they need to thrive. Caregiving can take a toll on caregivers' health and well-being. 41% of caregivers report low overall well-being, and nearly half have experienced increased anxiety or depression. That's why prioritizing self-care is crucial for caregivers to avoid burnout and maintain their own health and happiness.
Here are some essential self-care tips for caregivers:
Seek Professional Help: If you're struggling with stress, anxiety, or depression, don't hesitate to seek professional counseling.
There are many resources available to support family caregivers. Here are a few:
These organizations offer information, support groups, respite care services, and other resources to help caregivers navigate their journey.
At PSA, we understand that family caregivers are an integral part of the pain management team. We believe in a family-oriented approach, recognizing that chronic pain affects not just the individual but also their loved ones. Our commitment to supporting caregivers is woven into every aspect of our care.
We strive to support caregivers by:
Encouraging open communication: We believe in collaborating with caregivers to ensure the best possible care for our patients. We value your insights and perspectives and encourage you to be active participants in the treatment process.
Our focus on patient-centered care and comprehensive pain management extends to caregivers as well. By addressing the patient's pain comprehensively, we aim to:
At PSA, we believe that supporting caregivers is an essential part of providing compassionate and effective pain management. We're committed to working together with patients and their families to achieve the best possible outcomes.
To all the family caregivers out there: Thank you. Thank you for your unwavering dedication, your compassion, and your strength. You are truly making a difference in the lives of your loved ones.
If you're a caregiver for someone with chronic pain, please know that you're not alone. Reach out to PSA to schedule an appointment for your loved one. We're here to help.
November is International Nerve Pain Awareness Month, a time to shed light on this often debilitating and misunderstood condition. Led by the International Pain Foundation, this campaign aims to raise awareness about the causes and symptoms of nerve pain, offer support to those who live with it, and encourage early diagnosis and treatment.
At Pain Specialists of America, we understand the profound impact nerve pain can have on individuals' lives. We're committed to providing compassionate care, innovative treatments, and personalized support to help our patients find relief and reclaim their lives.
Nerve pain, also known as neuropathic pain or neuralgia, is a unique type of pain caused by damage or dysfunction in the nervous system. Unlike other types of pain that result from tissue injury, nerve pain originates from within the nerves themselves. Imagine faulty wiring in your home's electrical system—the pain signals get mixed up, leading to sensations that are often described as burning, tingling, shooting, or electric-like.
Nerve pain can stem from various sources, including:
The impact of nerve pain extends far beyond physical discomfort. It can disrupt sleep, limit mobility, affect work and relationships, and lead to anxiety and depression. The emotional and economic toll can be significant.
Nerve pain often presents with distinct symptoms, including:
If you experience any of these symptoms, it's important to consult with a healthcare professional. Early diagnosis and intervention are crucial for managing nerve pain effectively.
Diagnosing nerve pain often involves a collaborative effort between you and your doctor. They will want to hear a detailed description of your symptoms, including the type of pain, its location, and any triggers that worsen or improve it. Your medical history, including any past injuries, illnesses, or medications, is also crucial in understanding the potential causes of your nerve pain.
A physical exam may include tests of your reflexes, sensation, and muscle strength to assess nerve function. In some cases, your doctor may recommend nerve conduction studies and electromyography (EMG) to measure the electrical activity of your nerves and muscles. Imaging tests, such as MRI or CT scans, can help rule out other conditions that may be causing your pain.
Once a diagnosis is confirmed, your doctor will work with you to develop a personalized treatment plan. This plan may involve various approaches including nerve blocks, which are injections that can temporarily interrupt pain signals.
For more severe or persistent nerve pain, spinal cord stimulation or peripheral nerve stimulation may be an option. These non-invasive treatments involve implanting a small device that delivers electrical impulses to the spinal cord or peripheral nerves, disrupting pain signals and providing relief. Throughout your treatment journey, your doctor will monitor your progress and adjust your plan as needed to ensure you're receiving the most effective care.
Living with nerve pain can be challenging, but there are ways to manage your symptoms and improve your quality of life. One of the most important things you can do is to take an active role in your care. This includes working closely with your doctor, following your treatment plan, and being open and honest about your experiences.
In addition to medical treatments, adopting a healthy lifestyle can make a significant difference. Managing stress through relaxation techniques like deep breathing, meditation, or yoga can help reduce pain flare-ups.
Prioritizing sleep hygiene and aiming for 7-8 hours of quality sleep each night is also essential. Regular exercise, a balanced diet, and avoiding smoking and excessive alcohol can further support your overall well-being and help manage pain.
Finding support through online communities or local support groups can provide a sense of connection and empower you on your journey with nerve pain. Remember, you are not alone. With the right support, treatment, and self-care strategies, you can navigate the challenges of nerve pain and live a fulfilling life.
International Nerve Pain Awareness Month is a reminder that nerve pain is a real and debilitating condition that affects millions worldwide. By raising awareness, we can reduce stigma, encourage early intervention, and support those living with nerve pain.
If you're struggling with nerve pain, please know that you're not alone. Reach out to PSA for compassionate care and personalized treatment options. We're here to help you find relief and reclaim your life.
Driven by a relentless pursuit to alleviate pain, Dr. Massey's journey began in his home state of Texas, where he graduated from Texas Tech University. His passion for anesthesiology led him to California for residency, during which he encountered the debilitating effects of chronic pain, particularly Complex Regional Pain Syndrome (CRPS). Recognizing the profound impact CRPS has on individuals' lives, Dr. Massey dedicated himself to finding solutions. He furthered his expertise through a fellowship in pain management at Rush University, where he had the privilege of learning from two professors who were instrumental in creating the Budapest Criteria, the gold standard for diagnosing CRPS.
Today, Dr. Massey stands as a beacon of hope for those grappling with CRPS. His commitment to providing compassionate and comprehensive care is evident in his approach. He believes in fostering open communication, ensuring patients feel heard and understood throughout their journey to pain relief.
Complex Regional Pain Syndrome (CRPS) formerly known as causalgia, is a chronic pain condition characterized by an overactive nervous system response. It typically affects one or more limbs, often following an injury, surgery, or even seemingly minor events like a flu shot. Dr. Massey explains, "Essentially, it's an overreaction of the nerves due to damage, leading to inflammation and persistent pain signals."
The precise cause of CRPS remains elusive. However, it's widely believed to involve a combination of factors, including:
Diagnosis of Exclusion: CRPS is often diagnosed when other potential causes of the patient's pain have been ruled out.
CRPS Type 1 (formerly RSD): This type is characterized by an overactivity of the nervous system, often leading to symptoms like swelling, changes in skin color and temperature, and tremors. The key distinction is that there is no identifiable nerve injury in CRPS Type 1. It often occurs after trauma or crush injuries where multiple minor nerves are damaged, making it difficult to pinpoint the exact source of the pain.
Reflex sympathetic dystrophy (RSD) is an older term that was once used to describe CRPS Type 1. While the terminology has evolved, the underlying condition remains the same.
CRPS Type 2 (formerly causalgia): This type also involves an overactive nervous system response, but it is distinguished by the presence of a clear nerve injury. The pain and other symptoms can often be traced back to the specific damaged nerve.
CRPS diagnosis often involves a process of elimination, ruling out other potential causes of the patient's pain. While there's no single definitive test, a skilled pain specialist like Dr. Massey can reach an accurate diagnosis through a thorough evaluation of medical history, physical examination, and potentially additional tests like bone scans or nerve conduction studies. The Budapest Criteria, a set of clinical diagnostic guidelines, further aids in confirming CRPS. Early diagnosis is crucial for effective treatment and better outcomes, emphasizing the importance of seeking help promptly if you suspect you may have CRPS.
CRPS often progresses through three distinct stages, each with its own typical timeframe and set of symptoms:
Recognizing these stages and their typical time frames is critical for guiding appropriate treatment and minimizing the long-term impact of CRPS. Early diagnosis and intervention are key to managing symptoms and improving quality of life.
CRPS manifests in a variety of symptoms that can significantly impact a person's daily life. These symptoms can vary in intensity and may change over time. They include:
In some cases, CRPS can spread beyond the initial site of injury or affected limb. This phenomenon, referred to as "spreading CRPS," can involve the opposite limb or even distant areas of the body. While the exact mechanisms behind CRPS spreading are not fully understood, it is believed to involve a complex interplay of the nervous system and immune system. Early recognition of spreading symptoms is crucial for timely intervention and management.
If you notice new pain, swelling, or other CRPS symptoms in areas beyond the original site, it is essential to inform your healthcare provider promptly. They can assess the situation and adjust your treatment plan accordingly to address the spreading CRPS and help manage your pain effectively.
At PSA, we believe in a personalized approach to CRPS treatment. Dr. Massey emphasizes, "We start with the most conservative therapies and gradually escalate if needed. The goal is to find the most effective treatment plan for each individual patient."
A multidisciplinary team is often involved in the treatment of CRPS. At PSA, you'll have access to a dedicated pain specialist like Dr. Massey, who will create a comprehensive treatment plan tailored to your specific needs.
In addition to professional treatment, self-care plays a crucial role in managing CRPS. This can include gentle exercises, stress management techniques, maintaining a healthy lifestyle, and following any recommendations provided by your healthcare team.
Unfortunately, one of the most common misconceptions Dr. Massey encounters is the belief that CRPS isn't a real condition. "Some physicians don't know about CRPS and don't see it as a true pathology," he says. This lack of awareness can lead to delayed diagnosis and treatment, which can significantly impact patient outcomes.
Another misconception is that CRPS always involves a clearly identifiable nerve injury. "While this is true for CRPS Type 2, in CRPS Type 1, the affected nerves may be too small to be easily identified with current technology," Dr. Massey clarifies.
However, advancements in medical imaging and diagnostic techniques offer hope for the future. "We're constantly improving our ability to visualize and understand the nervous system. With increased awareness and research, we'll be able to identify and treat CRPS more effectively," Dr. Massey assures us.
"While I've seen the devastating impact CRPS can have, I want the world to know that it is treatable," Dr. Massey emphasizes. "The earlier we intervene, the better the chances of achieving complete remission. If you're experiencing persistent pain after an injury or surgery, don't hesitate to seek help from a pain management specialist."
Dr. Massey shares a particularly inspiring success story about a young nurse who developed CRPS after receiving a flu shot. "She was in excruciating pain and couldn't even pick up her children," he recalls. "After undergoing spinal cord stimulation at PSA, she experienced remarkable relief and was finally able to embrace her kids again. It's moments like these that make my work so rewarding."
At Pain Specialists of America, we're committed to helping you overcome the challenges of CRPS and reclaim your life. Contact us today or find a pain specialist near you to schedule a consultation with Dr. Massey and our team of experts. We're here to support you every step of the way.