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Main Line (Austin Area)
Waco/Killeen

Pain Management

By [Dr. Asim Aijaz] and Sharon Black The majority of Americans live with some sort of pain, back pain being the most common. When I met Sharon, she was one of the many Americans that suffers daily with pain in her lower back and knees. It affected her mobility and her day-to-day activities significantly.  Upon my first assessment, Sharon was suffering from pain due to her facet joints, the joints that run along the back of her spine. I confirmed my first assumption was correct after I did x-ray guided nerve block injections which demonstrated that her facet joints were, in fact,

By Dr. Brad Culling When I talk to my patients about their acute pain, I encourage them to seek out natural remedies and strategies first. These can be very effective for tackling and managing your pain so that it lowers your need to see a doctor. Of course, if your pain is prolonged and persistent, affecting your quality of life, then it may be time to seek medical help. This is any chronic pain that persists longer than 6-8 weeks and no other remedies are working to affect your pain. At that point, see your doctor and they can help you

By Dr. Victor Taylor Spondylosis is an umbrella term for deterioration of the spinal vertebrae and associated structures particularly the disc and facet joints. Spondytolisthesis is a term used when one of the vertebrae slips forward over another. Causes of Spondylosis and Spondylolisthesis Spondylosis is common and could be considered a normal part of the aging process. Though almost everyone over the age of 50 years old will have some degree of spondylosis, not everyone will suffer from symptoms of the condition.   There are many factors in why it could be more severe in some over others.  The condition can be strongly linked to

By Brett Robin, M.D. Stress and shoulder pain are more closely linked than you might think. Whether physical stress after a surgery or injury or mental stress–you may find your shoulder pain flares up in tandem with stress levels.  As an orthopedist, I think of the shoulder as the glenohumeral joint, which is strictly the ball and socket joint. However, many of my patients are likely to think of a lot of the muscles around the area as a part of the shoulder, from the scapula or shoulder blade to the chest wall and the pecs, and down to the elbow. This

By Amanda Trout, M.D. Endometriosis is a disease where tissue that usually grows in the uterus during the menstrual cycle is found outside the uterus. It can cause extreme pain and compound with existing menstrual cramp pain. It’s also a common painful condition, affecting as many as 1 in 10 women during their chilbearing years.  Most of the abnormal tissue growth occurs in the abdomen, but it could be anywhere in the body. It grows in time with the menstrual cycle and the abnormal tissue growth can cause inflammation and pain wherever it is located. This can cause mild to severe pain

By Adam Spjute, M.D. Sciatica is a condition where pain radiates from your buttocks and lower back, down your legs, following the same path as the sciatic nerve. However, sciatica is a bit of a misnomer. Most sciatica pain has nothing to do with the sciatic nerve. Sciatica is most commonly caused by issues above the sciatic nerve, in the lumbar spine. These spinal issues can cause pain that mirrors the path of the sciatic nerve.  There are many options for sciatica pain relief, ranging from physical therapy to medication to surgical intervention. However, the appropriate treatment is specific to the cause

By Dr. Ryan Michaud Intrathecal pain pumps can sound intimidating, but they’re actually a great option for patients with severe chronic pain who haven’t yet found a treatment that works well for them. An intrathecal pain pump is placed under the skin and administers pain medication at a regular rate to combat severe chronic pain.  The pain pump itself is a reservoir that holds the medicine and is connected to an intrathecal catheter which runs through the thecal sac, the area around the spinal cord that is filled with fluid. The pain medication is delivered to this thecal sac area at a

By Hope Piper I made the switch from my previous clinic to Advanced Pain Care about ten years ago and it’s been one of the best decisions I ever made. Back in 1998, I was in a serious car accident and my back has never been the same. I was in a lot of pain when I first visited an orthopedic surgeon, who suggested pain management.  At my previous clinic, the treatment plan revolved around medications. There weren’t many other options offered to me and I got the sense that they weren’t truly interested in getting to the bottom of why I

By Amanda Trout, D.O. Pain management has to change when you're pregnant, but it doesn’t have to be a scary prospect. Many pregnant pain patients actually find that their chronic pain improves during pregnancy.  About half of the people we see find that their pain levels are actually better in pregnancy and half the people are about the same. Of course, towards the end of pregnancy, everyone has a little bit of pregnancy pain. The baby is getting really big, so there’s naturally a lot of stress on the body.  For those that are in pain management already, their treatment plans have

By Rudy Garza, M.D., Anesthesiologist  As an anesthesiologist, I am not just an expensive bartender serving up margaritas or special cocktails. Being an anesthesiologist is a little more complex than the common stereotype. As an anesthesiologist, my job starts way before the surgery and extends past the time you leave the recovery room. Throughout the evolution of the specialty, an anesthesiologist has transformed themselves into perioperative medicine physicians. This means that I am there before, during, and after surgery, getting to know a patient and caring for them throughout the process.  Coordination of post-operative care begins with a good preoperative