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Main Line (Austin Area)
Waco/Killeen

Pain Management

A large number of people experience migraines. However, many still don't understand the condition fully. Most think they have a migraine but are actually only experiencing a severe headache. On the flip side, many suffering from migraines aren't aware that migraines are the reason for the pain they feel. Migraine sufferers often think they are dealing with sinus headaches and wonder why allergy medications don't yield the desired results. A migraine is a kind of headache that strikes an individual repeatedly. Patients report moderate to severe throbbing or pulsing pain when having a migraine episode. Often these symptoms are also accompanied

Chronic pain isn't always visible and apparent to the outside world. However, dealing with it is nothing short of exhausting. Even the smallest everyday tasks require monumental effort. So, the pain is not only physically draining but also mentally draining. We know about countless chronic pain patients who, before coming to our interventional pain clinic, only found themselves being tossed back and forth between primary care physicians and therapists of all kinds. Tired of dealing with pain, their ability to remain optimistic dwindled with every passing day. Shortly after we utilized the multi-disciplinary interventional pain management approach, we witnessed a striking

By Victor M. Taylor, M.D. DABA 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

Approximately 40% of adults over the age of 40 have experienced degeneration of at least one disc in the spine[1]. Degenerative disc disease is a condition that is part of age-related “wear and tear” for many. It occurs due to thinning of the shock-absorbing intervertebral discs in the spine and is usually gradual in its deterioration. In many cases, degenerative disc disease may occur in one of the spinal discs as a result of stress and damage. However, quite often, the stress can happen simultaneously on multiple levels throughout the spine. In such cases, degenerative disc disease is classified as multilevel

Peripheral neuropathy is a condition that affects the nerves outside the brain and spinal cord. As is evident from the name, peripheral relates to anything outside – the brain and the spinal cord (the central nervous system), while neuropathy is a disease affecting the nerves. As a result, the nerves that act as messengers carrying messages to and from the brain and spinal cord to the rest of the body are damaged. Due to this interruption in the communication that is critical for body mobility, muscle movement can become impaired, affecting movement in the limbs and also causing pain. Considering the

By Advanced Pain Care 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 Advanced Pain Care 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

Degenerative joint disease affects millions of people worldwide, primarily in the form of arthritis. In the United States alone, approximately 32.5 million people suffer from osteoarthritis, which is one of the most common forms of the 100 different types of arthritis. While the highest incidence is among people aged 55-64, with women being the most affected, those above the ages of 45 are also susceptible to this joint degeneration[1]. Degenerative diseases of the joints develop with inflammation in the joints or when the cartilage within the joints in the human body (usually the spine, hands, hips, and knees) begins to wear

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