Treatments and Approach

List of Treatments and Procedures

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Basivertebral Nerve Ablation

This procedure targets the basivertebral nerve, a key contributor to chronic low back pain from vertebral endplates. It offers a long-lasting solution for patients who haven't responded to conservative treatments.

Botox Injections for Chronic Migraines

Botox injections are an FDA-approved treatment for chronic migraines that helps reduce the frequency and severity of headache days. This option may be ideal for patients who haven’t found relief through other methods.

Celiac Plexus Block

A celiac plexus block is an injection that targets nerves near the abdomen, often used to treat severe abdominal pain from cancer or chronic pancreatitis. It can offer significant pain relief when other treatments fall short.

Discectomy

A minimally-invasive surgical procedure to remove the damaged portion of a herniated disc in the spine.

Discogram

A discogram is a diagnostic test that helps determine if a spinal disc is the source of a patient’s back pain. It involves injecting contrast dye into the disc to pinpoint the exact location of the problem.

Dorsal Root Ganglion Stimulation Therapy

DRG stimulation is a specialized form of neuromodulation that targets specific nerves linked to pain. It's especially effective for treating pain in hard-to-reach areas like the foot, knee, or groin.

Endoscopic Rhizotomy

Endoscopic rhizotomy is a minimally invasive procedure that targets the nerves responsible for chronic back pain. It offers long-term relief with less downtime than traditional spine surgery.

Epidural Steroid Injection

A minimally-invasive procedure that delivers steroids directly into the epidural space of the spine.

Facet Joint Injection

A minimally-invasive treatment to relieve back or neck pain. A local anesthetic and/or steroid medication is injected into the facet joint under imaging guidance.

Interventional Pain Management

A medical subspecialty which uses minimally-invasive procedures to diagnose and treat persistent pain conditions.

Intrathecal Pump Therapy

Intrathecal pump therapy delivers medication directly to the spinal fluid, providing targeted pain relief with lower doses than oral medications. It’s often used for patients with severe chronic pain or spasticity.

Joint Injection

Directly injecting medication into joints such as knees, hips, or shoulders.

Medial Branch Block

An injection of local anesthetic near the medial branch nerves, which connect the facet joints in the spine.

Medication Management

Medication management is a personalized approach to using medications safely and effectively to control chronic pain. It includes careful monitoring and adjustments to ensure the best outcomes with minimal side effects.

Minimally Invasive Lumbar Decompression (MILD)

The MILD procedure removes excess tissue pressing on the nerves in the lower spine, commonly due to lumbar spinal stenosis. It’s done through a tiny incision and requires no general anesthesia.

Minimally Invasive Spinal Fusion

Minimally invasive spinal fusion is a surgical procedure that stabilizes the spine and relieves pain from conditions like spinal instability or disc degeneration. It uses small incisions and advanced tools to reduce recovery time.

Nerve Block

Nerve blocks are minimally invasive injections used to interrupt pain signals sent from specific nerves. They can both diagnose and treat a variety of chronic pain conditions.

Percutaneous Disc Decompression

Percutaneous Disc Decompression treats herniated discs by removing small portions of disc material to relieve pressure on nearby nerves. It’s performed through a needle-sized incision and often provides quick relief.

Peripheral Nerve Stimulation

Peripheral nerve stimulation uses tiny electrodes placed near specific nerves to reduce pain signals. It’s a reversible, minimally invasive option for treating chronic pain in targeted areas.

Physical Therapy

A treatment method involving exercises and manual therapy techniques to improve mobility and function.

Platelet Rich Plasma Injection

Also called PRP, involves injecting a concentration of a patients own platelets to accelerate the healing of injured tendons, ligaments, muscles, and joints.

Radiofrequency Ablation

Also called RFA, it is a procedure that uses radio waves to generate heat and destroy specific nerve tissue, reducing pain signals.

Regenerative Medicine

A medical field that creates ways to regenerate, repair, or replace damaged or diseased cells, organs, or tissues. It includes procedures like stem cell therapy, platelet rich plasma injections, and tissue engineering.

Sacroiliac Joint Fusion

Sacroiliac joint fusion is a procedure that stabilizes the SI joint, a common source of low back or pelvic pain. It can significantly reduce pain and improve movement for patients with SI joint dysfunction.

Sacroiliac Joint Injection

A procedure that delivers medication directly in to the SI joint at the base of the spine.

SCS Trial

A spinal cord stimulation (SCS) trial allows patients to temporarily test a neurostimulator device that blocks pain signals before committing to permanent implantation.

Selective Nerve Root Block (SNRB)

SNRB is both a diagnostic and therapeutic injection that targets individual spinal nerve roots. It helps confirm the source of nerve pain and may provide temporary relief.

Spinal Cord Stimulator (Implant)

A procedure where electrodes and a generator are surgically implanted under the skin to help manage chronic neuropathic pain.

Spinal Cord Stimulator Trial

A spinal cord stimulation trial allows patients to temporarily test a neurostimulator device that blocks pain signals before committing to permanent implantation. It helps determine if the treatment is a good fit for long-term pain relief.

Transcutaneous Electrical Nerve Stimulation (TENS)

TENS therapy uses low-voltage electrical currents to reduce pain signals and stimulate endorphins. It’s a non-invasive, drug-free option for managing various types of chronic pain.

Trigger Point Injection

Injecting medication directly into knots that form when muscles do not relax.

Vertebral Augmentation

Vertebral augmentation, such as kyphoplasty or vertebroplasty, is used to stabilize spinal fractures often caused by osteoporosis. It helps relieve pain and restore spinal height and alignment.

Vertebroplasty

Vertebroplasty is a minimally invasive procedure where bone cement is injected into a fractured vertebra to stabilize it. It’s typically used to treat painful compression fractures from osteoporosis.

A Unique Approach to Spine Care

Here are three reasons why our unique approach to spine care will help you take control of your pain.

Full Range of Specialists Under One Roof

Our team of doctors, physical therapists, physician assistants, and nurse practitioners are all spine-focused. They all believe that life is too short to live with aches and pains, and they’re going to work with you and for you to help you start your journey to pain relief.

Individualized Treatment Plan

Your treatment plan is truly unique because our doctors meet weekly to discuss their cases and receive feedback on the best treatment approach. It is a unique collaboration bringing multiple experts together to make sure you get the best possible diagnosis and treatment.

Surgery As A Last Resort

One of our favorite numbers at Spine Team Texas is 92% — that’s how many of our patients take control of their pain without needing surgery. However, if surgery is determined to be the best option for you, you can rest easy knowing our award-winning doctors have the expertise and experience to help you find pain relief.

Neck and back pain take the joy out of life. We’re here to help you find it again.

Our founder, Dr. David Rothbart, understood that people struggling with back or neck pain often fear surgery as the first option. He shared this concern, which is why he founded Spine Team Texas—to treat patients conservatively and avoid surgery as the initial solution. Dr. Rothbart’s team of carefully selected pain management experts has helped many patients find relief from their back and neck pain. Schedule your appointment today to find out how they can help you achieve your goals.

List of Treatments and Procedures

A Unique Approach to Spine Care

Full Range of Specialists Under One Roof

Individualized Treatment Plan

Surgery As A Last Resort

Neck and back pain take the joy out of life. We’re here to help you find it again.

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