History, exam, review of your imaging and prior care. Many patients leave the first visit with a plan, not a procedure.
Treatments
Interventional pain treatments
Every procedure guide tells you what it treats, whether it is a test or a treatment, how long it takes, when relief starts and how long it lasts, the risks, and what the evidence shows — before you book.
Spine injections
Spine injections
Treatment
Caudal Epidural Steroid Injection
A caudal epidural steroid injection reaches the lowest part of the epidural space through the sacral hiatus, a small natural opening at the base of the tailbone, rather…
How it works →TreatmentCervical Epidural Steroid Injection
A cervical epidural steroid injection delivers anti-inflammatory steroid into the epidural space of the neck to reduce arm pain, numbness and tingling caused by a…
How it works →TreatmentEpidural Steroid Injections (Lumbar ESI)
An epidural steroid injection places anti-inflammatory steroid next to an irritated spinal nerve, using X-ray guidance, to reduce leg or arm pain coming from a herniated…
How it works →Test + treatmentSelective Nerve Root Block (SNRB)
A selective nerve root block is an X-ray-guided injection of a small amount of local anesthetic, with or without steroid, around one specific spinal nerve as it exits…
How it works →Nerve blocks & radiofrequency ablation
Nerve blocks & radiofrequency ablation
Test + treatment
Nerve Blocks
A nerve block is an injection of local anesthetic, with or without a steroid, placed next to one specific nerve under image guidance. Some blocks are a test : they numb…
Compare options →TreatmentRadiofrequency Ablation for Back, Neck and Knee Pain
Radiofrequency ablation (RFA) uses a needle-tip electrode heated to about 80 °C for about 90 seconds to create a small heat lesion on a sensory nerve, interrupting the…
Compare options →Test + treatmentSympathetic Nerve Blocks
Sympathetic nerve blocks are injections of local anesthetic around the sympathetic nerve chain, the part of the nervous system that controls blood flow, sweating and…
Compare options →TreatmentFacet Joint Injections
A facet joint injection places a small dose of corticosteroid and local anesthetic directly inside one or more of the facet joints, the paired joints at the back of each…
How it works →Test + treatmentGanglion Impar Block
A ganglion impar block is an X-ray-guided injection of local anesthetic, usually with a steroid, around the ganglion impar, a single small nerve cluster that sits just…
How it works →Diagnostic testGenicular Nerve Block (Diagnostic Knee Block)
A genicular nerve block is a test, not a treatment. Under X-ray or ultrasound guidance, a small dose of local anesthetic is placed on three sensory nerves around the…
How it works →Test + treatmentIntercostal Nerve Block
An intercostal nerve block is an injection of local anesthetic, with or without a steroid, around the nerve that runs along the underside of a rib. It treats chest-wall…
How it works →Test + treatmentLumbar Sympathetic Block
A lumbar sympathetic block is an X-ray-guided injection of local anesthetic around the sympathetic nerve chain that runs in front of the L2–L4 vertebrae and controls…
How it works →Diagnostic testMedial Branch Blocks (Diagnostic Facet Block)
A medial branch block is a test, not a treatment. Under X-ray guidance, a few drops of local anesthetic are placed on the tiny medial branch nerves that carry pain from…
How it works →Test + treatmentOccipital Nerve Block
An occipital nerve block is an injection of local anesthetic, with or without a steroid, around the greater and lesser occipital nerves where they cross the back of the…
How it works →TreatmentSphenopalatine Ganglion (SPG) Block
A sphenopalatine ganglion (SPG) block delivers local anesthetic to a cluster of nerves that sits behind the back of the nasal cavity and links the trigeminal (facial…
How it works →Test + treatmentStellate Ganglion Block
A stellate ganglion block is an injection of local anesthetic around the stellate ganglion, a cluster of sympathetic nerves at the base of the neck that controls blood…
How it works →Test + treatmentSuprascapular Nerve Block for Shoulder Pain
A suprascapular nerve block is an ultrasound-guided injection of local anesthetic, with or without steroid, around the nerve that carries most of the pain signal from…
How it works →Joint & soft-tissue injections
Joint & soft-tissue injections
Treatment
Joint Injections: Hip, Knee, Shoulder and Ankle
A joint injection places medication directly inside an arthritic or inflamed joint, or into the bursa or tendon next to it, to reduce pain and let you move and exercise.…
Compare options →TreatmentHip Injections: Joint, Bursa and Tendon
Hip injections treat three different problems that patients all call "hip pain": arthritis inside the hip joint (felt in the groin), pain on the outer hip from the…
How it works →TreatmentKnee Injections: Steroid and PRP
Knee injections put medication directly inside an arthritic knee to reduce pain and let you walk and exercise. We offer two options, and they are not interchangeable:…
How it works →TreatmentPlatelet-Rich Plasma (PRP) Injections
Platelet-rich plasma is made from your own blood: a small sample is spun in a centrifuge to concentrate the platelets, which carry growth factors, and the concentrate is…
How it works →TreatmentTrigger Point Injections
A trigger point injection treats a tight, tender knot in a muscle (a myofascial trigger point) by placing a small amount of local anesthetic, sometimes with steroid,…
How it works →Sacroiliac (SI) joint care
Sacroiliac (SI) joint care
Test + treatment
Sacroiliac (SI) Joint Injections
A sacroiliac joint injection places local anesthetic, usually with steroid, inside the SI joint under X-ray guidance. It is both a test and a treatment: the anesthetic…
How it works →SurgicalSacroiliac (SI) Joint Fusion
Yes, this is surgery. Minimally invasive sacroiliac joint fusion places implants across the SI joint, through one or two small incisions, to stop the painful…
How it works →Neuromodulation, implants & advanced procedures
Neuromodulation, implants & advanced procedures
Treatment
Neuromodulation: Spinal Cord, DRG and Peripheral Nerve Stimulation
Neuromodulation uses a small implanted device to deliver mild electrical pulses to the spinal cord, a nerve root, or a peripheral nerve so that fewer pain signals reach…
Compare options →TreatmentDorsal Root Ganglion (DRG) Stimulation
Dorsal root ganglion stimulation places a small lead on the cluster of sensory nerve cells where one nerve root leaves the spine, so it can quiet pain in a narrow area…
How it works →TreatmentBasivertebral Nerve Ablation and Intradiscal Procedures for Disc-Related Back Pain
These are procedures for chronic low back pain that comes from the disc and the bone next to it, rather than from a nerve root or facet joint. They are treatments, and…
How it works →TreatmentIntrathecal Pump (Targeted Drug Delivery)
An intrathecal pump is a small implanted reservoir that delivers medication through a thin catheter directly into the fluid around the spinal cord, where doses a few…
How it works →TreatmentPeripheral Nerve Stimulation (PNS): 60-Day and Permanent Systems
Peripheral nerve stimulation places a thin lead next to one named nerve outside the spine, under ultrasound guidance, and delivers mild electrical pulses that reduce…
How it works →TreatmentSpinal Cord Stimulation (SCS): Trial and Implant
Spinal cord stimulation places thin leads in the epidural space over the spinal cord and delivers programmed electrical pulses that reduce the pain signals reaching the…
How it works →TreatmentKyphoplasty and Vertebroplasty for Spinal Compression Fractures
Kyphoplasty and vertebroplasty are outpatient procedures that stabilize a painful vertebral compression fracture by injecting bone cement into the broken vertebra…
How it works →TreatmentVIA Disc NP (Allograft Disc Injection): What It Is and What the Evidence Shows
VIA Disc NP is an injection of processed donor (allograft) disc tissue into a degenerated lumbar disc, intended to supplement the disc's inner core in people with…
How it works →Non-procedural care
Non-procedural care
Non-procedural care
Medication Management for Chronic Pain
Medication is one tool in a pain plan, chosen for the type of pain and reviewed for benefit at every visit. Gulf Coast Pain & Spine is non-opioid-first: NSAIDs,…
How it works →Non-procedural carePhysical Therapy and Home Exercise: How We Coordinate
Physical therapy and a home exercise program are part of nearly every pain plan, and they work best when they are timed around procedures rather than run separately.…
How it works →Non-procedural careWork Injuries and Workers' Compensation Care
Gulf Coast Pain & Spine accepts Texas workers' compensation and treats work-related back, neck, joint and nerve injuries with the same evaluation and treatment options…
How it works →How a procedure is chosen
The test comes before the treatment.
Many spine procedures are done in pairs: a short-acting diagnostic block first, then a longer-lasting treatment only if the block proves the target. That order protects you from procedures that cannot work and is usually required by insurers.
A numbing injection that lasts hours. If it relieves most of your pain, the target is confirmed.
Steroid injection, radiofrequency ablation, or an implanted device — matched to what the block showed.
Response is measured against your own goals: walking, sleeping, working, lifting.
Next step
Ready to find out which option fits?
Call (832) 916-2075 or request an appointment online. New patients are welcome; the team confirms insurance and referral requirements before scheduling.