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Back Pain


With multiple locations across the Greater Houston metropolitan area, the back and neck pain specialists at Memorial Hermann can see patients quickly, and they work in close collaboration with other nerve and spine specialists to help people regain control of their lives.


“Finally my husband said, ‘You shouldn’t have to live like this. There must be something that can be done.’ And there was. Now I can do things I haven’t been able to do for years.”

- Susan Muñoz

“She explained exactly what she would be doing during the office visit, and then dropped in and visited with me again before the procedure while a nurse was taking my vital signs. The procedure went like clockwork, and she saw me again when they took me to recovery to check my blood pressure. Considering her background and high level of training, I didn’t expect that kind of exemplary doctor-patient interaction.”

- Alan Benson

Advanced Treatments for Chronic Back and Neck Pain

Pain Medicine physicians treating back and neck pain use injections as both a therapeutic treatment and diagnostic tools. Injections are non-surgical options when medicine and physical therapy do not provide intended outcomes and can also help identify the exact source of pain. Injections typically involve the use of an anti-inflammatory steroid to reduce swelling and a numbing agent to disrupt or block pain signals from being transmitted to the brain.

Also known as blocks for impeding nerves from sending pain signals to the brain, injections are usually outpatient procedures. While the patient is lying face down, a local anesthetic is applied to the injection site. Advanced imaging technology may be used to help guide the physician, depending on the type of injection.

There are several common injections for back and neck pain:

  • Epidural steroid injections – Using a special X-ray for guidance, a steroid is injected around the dura, a sac that surrounds nerves, to reduce inflammation. Types: Transforaminal (nerve openings in the spine), interlaminar (between vertebra) and caudal (low back) epidurals.
  • Nerve blocks – A combination of a steroid and numbing agent is injected around or directly into the nerve. Types: Stellate (front of the neck), celiac plexus (abdomen), lumbar sympathetic (lower back), superior hypogastric (pelvis), ganglion impar (tailbone), occipital (back of head), supraorbital (forehead and eye socket) and suprascapular (shoulder).
  • Facet joint block – With the assistance of a special X-ray for guidance, a local anesthetic is used to locate and numb the medial nerves on the facet joint. Facet joints are located along each section of the spine and help with motion and stabilization. Facet joint blocks can be administered as a stand-alone treatment or immediately precede radiofrequency ablation.
  • Sacroiliac joint block – Using the same approach as the facet joint block, this injection focuses on the lateral nerves along the sacroiliac joint, which connects the triangular bone at the bottom of the spine (sacrum) to the pelvic bone, (iliac crest). It is also used as a stand-alone treatment or with radiofrequency ablation.

Back and Neck Pain Specialists

Dr Joseph AmosDr. Joseph Amos
Interventional Pain Management Specialist
Mischer Neuroscience Associates
Dr Ashley AmsbaughDr. Ashley Amsbaugh
Interventional Pain Management Specialist
Mischer Neuroscience Associates
Dr Divya ChirumamillaDr. Divya Chirumamilla
Interventional Pain Management Specialist
Mischer Neuroscience Associates-The Woodlands
Dr. Nadya DhananiDr. Nadya M. Dhanani
Interventional Pain Management Specialist
Mischer Neuroscience Associates
Dr Hiral PatelDr. Hiral Patel
Interventional Pain Management Specialist
Mischer Neuroscience Associates