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Find out when a vertebral compression fracture might benefit from surgery.

Vertebral compression fractures most often occur in those with osteoporosis. However, car accidents and sports injuries can also leave you with these spinal fractures. As a result, you may be dealing with chronic back pain or you may even hunch over. While our Victoria, and Sugarland, TX, interventional pain management physicians, Dr. Wilson Almonte and Dr. Ted Lin, can certainly provide you with a wide range of nonsurgical treatment options, sometimes kyphoplasty, a minor surgery, is necessary.

What is a vertebral compression fracture?

In order to understand how kyphoplasty works you first need to understand what is going on when there is a vertebral compression fracture. Our spines consist of bones that help with shock absorption every time we move. Everything from osteoporosis to a bad accident can lead to a fracture in one or more of the vertebrae. In some cases, part of the vertebra may even collapse.

If you notice any of these symptoms after a severe accident or injury, or if you’ve been diagnosed with osteoporosis, it’s important that you see your Victoria, and Sugarland, TX, pain specialists right away for an evaluation:

  • Sudden back pain
  • Pain that gets worse when walking
  • Pain that is alleviated or lessens when lying down
  • Pain when sneezing or coughing
  • Pain when bending or twisting
  • Tenderness in certain areas of the spine

It’s important to have your spine properly evaluated for a compression fracture, as untreated or improperly treated fractures of the spine can lead to permanent spinal deformities and nerve damage.

When is kyphoplasty recommended?

In most cases your doctor will create a treatment plan that contains a variety of nonsurgical treatment options including bed rest, wearing a back brace, and undergoing physical therapy. You may want to consider kyphoplasty for treating a vertebral compression fracture if:

  • You have osteoporosis
  • Your compression is due to bone cancer or cancerous tumor
  • You are elderly

This is a minimally invasive procedure in which a small incision is made in the back. Then a balloon is directed through a catheter that has been placed in the fracture using guided imaging. The balloon will be inflated to move the fractured bone back into place. Once the balloon is removed, your doctor will fill the vertebra with cement to rebuild strengthen and reduce pain in the spine.

Most vertebral compression fractures will heal on their own with time. If your back pain doesn’t go away it’s time to turn to your Victoria, and Sugarland, TX, pain specialists, Dr. Almonte and Dr. Lin. to discuss whether kyphoplasty is right for you. Call Pain & Rehabilitation Center, and Brazos Pain Management at (361) 575-2882, (361) 578-7396, or (281) 240-4300 to schedule an appointment.

Discover the ways that your pain specialists can help alleviate your hip pain.

If you are experiencing recurring or chronic hip pain there are several issues that could be to blame. Fortunately, our Victoria, and Sugarland, TX, highly specialized, fellowship-trained interventional pain management physicians, Dr. Wilson Almonte and Dr. Ted Lin, can step in and provide you with a wide range of non-surgical solutions to manage your pain without resorting to surgery.

What causes hip pain?

Every time you walk, run, or move, the cartilage in the hip helps cushion the bone. Some conditions affect the cartilage causing friction and pain. The first thing we are going to determine when you come into our practice for an evaluation is the source of your pain so we can provide you with effective treatment options. Common causes of hip pain include:

  • Osteoarthritis
  • Rheumatoid arthritis
  • Strains and sprains
  • Fractures
  • Bursitis
  • Tendonitis
  • Labral tear

Several injuries, conditions, and disorders have the ability to cause hip pain. You may experience hip pain in the buttocks, groin, thigh, or around the hip joint area. These are some of the questions your doctor will ask before diagnosing your pain:

  • How long have you been experiencing hip pain?
  • Do you remember when the symptoms first started?
  • Can you describe the pain?
  • Where is the pain originating?
  • Does the pain get worse with activity?

How is hip pain treated?

Once we determine the cause of your hip pain, your doctors can craft a treatment plan that’s just for you. While simple conservative options such as over-the-counter pain relievers and ice therapy may be a great pain-relieving option for those with mild hip pain, we know that this isn’t going to be effective for those dealing with more moderate to severe hip pain.

For example, those dealing with rheumatoid arthritis may benefit from physical therapy, prescription-strength anti-inflammatories, steroids, and biologics.

Here at our Victoria, and Sugarland, TX, practices, we provide a variety of more intensive pain-relieving options. Steroid injections can be a great way to provide fast, effective relief from hip pain, which is ideal for patients dealing with hip pain due to osteoarthritis.

Those dealing with hip joint pain can also experience relief from radiofrequency ablation, a minimally invasive outpatient procedure that can provide long-term relief. The procedure itself usually takes no more than 20 minutes and doesn’t require anesthesia.

If hip pain is impacting your daily routine and causing mobility issues, our Victoria, and Sugarland, TX, pain specialists, Dr. Almonte and Dr. Lin, at Victoria Pain & Rehabilitation Center, and Brazos Pain Management help improve mobility and reduce hip pain. To schedule an evaluation with our pain management team, call us at (361) 575-2882, (361) 578-7396, or (281) 240-4300.

March 22, 2021
Category: Joint Pain

Dealing with swelling, inflammation, or dysfunction of the SI joint? We can help.

Dysfunction or inflammation of the sacroiliac joint, or SI joint, can often lead to pelvic or lower back pain. Since so many conditions and injuries can also lead to pain in the pelvis or lower back, it can be a bit difficult to pinpoint when the SI joint could be the cause.

Our Sugar Land, and Victoria, TX, experts are able to spot SI joint dysfunction and inflammation immediately, making sure that you get the proper pain management and care.

What causes sacroiliac joint dysfunction?

There are several reasons for the dysfunction of the SI joint. These reasons include:

  • Inflammation of the joint: this leads to pelvic pain and stiffness. Inflammation may be the result of an infection or a chronic inflammatory condition such as arthritis.
  • Hypermobility of the joint: if the joint is too mobile this can lead to instability, weakness, and pain. Those with a hypermobile SI joint may be more likely to experience pain in the groin, lower back, and hip area.
  • Hypomobility of the joint: limited mobility of the joint can lead to pain and muscle tension. Those with a hypomobile SI joint are more likely to experience pain on one side that may originate in the lower back or buttocks and run down the leg.
  • Injury to the joint: A car accident or a bad fall that impacts the pelvis could also affect the health and function of the sacroiliac joint.

SI joint dysfunction is more commonly seen in women, particularly women who are pregnant or have recently had a baby.

What are the signs of SI joint pain?

Some of the warning signs and symptoms of sacroiliac joint dysfunction include:

  • Radiating pain in the hips, buttocks, and groin
  • Lower back pain that may occur on one side or both sides of the body
  • Stabbing pain around the thighs and buttocks that may mimic sciatica pain
  • Pain that gets worse with movement such as running
  • Instability in the lower back or pelvis
  • Limited mobility and stiffness in the lower back, hips, and groin that makes certain movements more difficult

How is SI joint pain treated?

If you suspect that you might be dealing with sacroiliac joint pain here in Victoria, and Sugar Land, TX, it’s important that you turn to our pain management team and find out what’s going on and how to best treat the problem. While rest, icing, or heat therapy can ease symptoms, we know that you want more long-term solutions that can improve symptoms and also prevent them in the future. Other ways to improve and alleviate SI joint pain include:

  • Pain relievers (e.g., NSAIDs)
  • Manipulative therapy
  • Bracing the pelvis for added support
  • Anti-inflammatory joint injections (e.g., corticosteroid injections)

Dealing with lower back or pelvic pain that you think may be caused by SI joint dysfunction? If you want to be evaluated by our Victoria, and Sugar Land, TX, pain management doctor, simply call (361) 575-2882, (361) 578-7396, or (281) 240-4300.

By Wilson Almonte MD
February 15, 2021
Category: Back Pain
Tags: Herniated Disc  

Are you looking for treatment for your herniated disc? If you believe you have a herniated disc or are experiencing severe spinal pain after a back injury, schedule an appointment with your Sugarland or Victoria, TX, doctor. Finding the right treatment for a herniated disc can be hard. Dr. Wilson Almonte and Dr. Ted Lin of Victoria Pain & Rehabilitation Center, and Brazos Pain Management are here to provide careful attention to your needs. Together we can find a treatment path that works for you!

What is a Herniated Disc?

Your vertebra is cushioned by round discs with a protective outer layer. A herniated disc occurs when a fragment of the disc nucleus is pushed out of that outer layer, into the spine. The deviated disc presses on spinal nerves which can cause severe pain depending on the location. This injury is most common in the lower back but it can also affect the neck.

Your disc may become slipped after a severe back injury. You might feel a dull ache, pain while moving, or severe spinal pain. The pain management specialists at Victoria Pain & Rehabilitation Center and Brazos Pain Management will assess your injury and design a specialized treatment procedure. Your procedure could include a combination of the following types of treatment.

Types of Treatment for a Herniated Disc

  • Physical Therapy
  • Nonsteroidal anti-inflammatory medication
  • Maintaining a low level of activity
  • Stretching Exercises
  • Ultrasound therapy
  • Massages
  • Electrical muscle stimulation
  • Lumbar Spine Surgery
  • Cervical Spine Surgery

The most common forms of treatment for a herniated disc are noninvasive. A healthy regimen of rest and physical therapy can drastically lower spinal nerve inflammation and ease your pain. It is important to keep this inflammation down to allow for the spine to heal. Anti-inflammatory medication can also help reduce pain and swelling, giving you room to actively heal your herniated disc with low-impact stretching activities. Dr. Lin or Dr. Almonte, in Victoria and Sugarland, TX, can give you a definitive diagnosis to begin your specific treatment. Discuss the benefits of surgery, especially if you experience pain related to your herniated disc.

To learn more about the treatment options available for a herniated disc call Victoria Pain & Rehabilitation Center at (361) 575-2882, and Brazos Pain Management at (281) 240-4300. Victoria Pain & Rehabilitation Center is located in Victoria, TX, Brazos Pain Management, in Sugarland, TX. Schedule an appointment today to get your backbone back!

If you’re dealing with back or neck pain due to degenerative discs, we can help you get your pain under control.

Our bodies change as we get older, but not all changes are pleasant. As we age, our spinal discs can develop signs of wear. Unfortunately, this everyday wear and tear can result in a sometimes-painful condition known as degenerative disc disease. If you are dealing with back or neck pain and you’re wondering why, our Victoria and Sugar Land TX, pain management doctors Dr. Wilson Almonte and Dr. Ted Lin can determine whether you could have degenerative disc disease and what to do about it.

What is degenerative disc disease?

This condition occurs over the years, as a result of constant motion and stress on the spine. This normal wear and tear can lead to deterioration of the discs of the spine, particularly the neck and lower back. This is something that can and often does get worse as we get older. While this certainly sounds like an uncomfortable issue this is not considered a disease, since this is something that naturally occurs with age.

How do I know that I’m dealing with degenerative disc disease?

You may notice pain flaring up in the location around the degenerating disc. The pain may get worse for days or even weeks before weakening into a low-grade but persistent form of pain. You may also be dealing with degenerative disc disease if you notice,

  • Pain that gets worse when lifting, bending or twisting
  • Pain that is alleviated when sitting or lying down
  • Pain that gets worse with prolonged sitting but is alleviated by changing positions regularly
  • Pain that may radiate to the shoulders, hands, hip, buttock or legs
  • Muscle tension
  • Instability or weakness of the spine

How is degenerative disc disease treated?

You’ll be happy to hear that unlike certain conditions such as arthritis, degenerative disc disease will usually not lead to worsening pain or discomfort over time, nor will it lead to disability. Surgery is rarely needed, and our Sugar Land, TX, pain doctors can help ease symptoms associated with degenerative disc disease with simple non-surgical treatment options.

Some of the ways that our pain management team here at Victoria, TX, will help you manage degenerative disc disease is with,

  • Over-the-counter or prescription pain relievers
  • Heating or ice therapy
  • Spinal manipulation and massage therapy
  • Epidural steroid injections

If you are dealing with back or neck pain that is worse when sitting, or you notice numbness or tingling in the arms or legs, you could be dealing with degenerative disc disease. Call Victoria Pain & Rehabilitation Center, and Brazos Pain Management in Victoria or Sugar Land, TX today. To contact Victoria Pain & Rehabilitation Center, call (361) 575-2882. For Brazos Pain Management, call (281) 240-4300.

By Wilson Almonte MD
January 27, 2021
Tags: joint pain  

If you’re dealing with joint pain our team can provide you with the relief you need.

Do your joints hurt? If this is something that you’ve just recently noticed this could be a sign of inflammation; however, if joint pain is persistent or you’re experiencing regular flare-ups then you could be dealing with arthritis. Since arthritis has the ability to lead to long-term joint damage, it’s important that you turn to a doctor right away. Our Victoria and Sugar Land TX, pain management doctors Dr. Wilson Almonte and Dr. Ted Lin can help you manage joint pain effectively.

Here are just two of the most effective solutions we offer to help you get your joint pain under control,

Physical Therapy

Whether your joint pain is due to arthritis or an acute condition such as tendinitis, you could benefit from physical therapy. Physical therapy provides customized exercises and ways to ease pain while also improving functionality and mobility in everyday life. Our physical therapists can help to improve alignment, boost blood flow and reduce inflammation and pain through regular physical therapy sessions.

Joint Injections

Along with physical therapy, we offer a variety of minimally invasive treatment options to ease both acute and chronic forms of joint pain. One way to provide fast pain relief is through joint injections. While our Sugar Land, TX, pain doctors will still want to determine the underlying cause of your joint pain, joint injections can still provide immediate and short-term relief, which can be beneficial for those dealing with chronic and severe joint pain. Joint injections should be used in conjunction with other treatment options and therapies including physical therapy, which can aid in recovery or maintenance of the disease, disorder or injury.

What can our pain doctors do for you?

We offer a wide range of physical therapy options and joint injections to provide you with the individualized treatment you need. Once we’ve made a proper diagnosis, we can create a customized treatment plan that will help to improve how your body functions as a whole. We can also,

  • Show you proper posture to practice throughout the day, whether you’re performing certain activities or simply sitting at your desk
  • Provide additional treatments and therapies including splints and bracing
  • Prescribe certain activities and exercises that are safe for those with arthritis and other causes of joint pain
  • Offer recommendations and ways to improve your environment (e.g. ergonomic chairs)

If you are living with joint pain in Victoria or Sugar Land, TX, the team at Victoria Pain & Rehabilitation Center, and Brazos Pain Management can help you combat your joint pain. To schedule an evaluation with us, call (361) 575-2882 or (281) 240-4300.

By Victoria Pain & Rehabilitation Center and Brazos Pain Management
January 19, 2021
Category: Back Pain
Tags: back pain  

Is it time that you saw a pain management doctor to help you with your back problems?


Dealing with chronic back pain can be frustrating and at times unbearable. Unfortunately, back pain is one of the leading causes of back paindisabilities in American adults. If you’ve had surgery to correct the problem, you may be distraught to discover that you’re still dealing with pain. Fortunately, our Victoria and Sugar Land TX, interventional pain management physicians Dr. Wilson Almonte and Dr. Ted Lin provide other solutions to help get your back pain under control, even after failed back surgery.


How do you know if your back surgery failed?

If you are still dealing with rather persistent pain even after recovering from back surgery, or if the pain gets worse, then these are signs that back surgery failed. You may also notice symptoms of leg pain, as well.


What should you expect from our pain management practice?

When you come into our office, regardless of whether you’ve had back surgery before or not, the goal of Dr. Wilson Almonte, Dr. Ted Lin, and their team is to try and provide a definitive diagnosis so that we know how to proceed. We may require imaging tests, metabolic tests to look for thyroid function, and nutritional deficiencies.


There are many reasons for failed back surgery. Some of them include,


  • Too much rest and immobility after surgery
  • Addressing the primary pain problem with surgery but not addressing other underlying problems
  • The surgery didn’t actually treat the underlying cause of the pain (or the diagnosis was incorrect)
  • You’re dealing with back instability due to surgery


There are a variety of treatment options that we can employ that can effectively manage back pain even after surgery. Some of these include,


  • Spinal cord stimulator implants (can be incredibly effective for treating failed back surgery syndrome)
  • Epidural injections
  • Exercise therapy/physical therapy
  • Neuropathic pain medications
  • Psychotherapy/counseling recommendations


In some cases, minimally invasive surgery may be necessary to correct the problem, particularly if there are several causes for your back pain that weren’t properly addressed in the first surgery. We can sit down with you to fully discuss your treatment options to make sure that you finally get the pain management and care you deserve.


If you are experiencing back pain despite having undergone surgery here in Victoria or Sugar Land, TX, turn to Dr. Almonte and his team at Victoria Pain & Rehabilitation Center, and Brazos Pain Management by calling today. To contact Victoria Pain & Rehabilitation Center, call (361) 575-2882. For Brazos Pain Management, call (281) 240-4300.

January 17, 2021
Category: Uncategorized
Tags: Untagged


In 2020, the Physical Therapy Department was voted Best of the Best by the Victoria Advocate! 

The Advocate interviewed Dr. Almonte to find out why our community voted us the best Physical Therapy providers for 2020. We always strive to provide personalized care and individual attention and care plans to each patient, tailored to suit their needs. We have a highly experienced team of licensed therapists, who are trained in a wide variety of therapies so we can provide the "best of the best" care to our patients. 

Here's a link to the article!

Best of the Best 2020, Physical Therapy - The Victoria Advocate

By Wilson Almonte MD
December 30, 2020
Category: Physical Therapy

Discover the many ways physical therapy could make movement easier.

If you or a loved one has been diagnosed with Parkinson’s disease, then chances are good that a doctor has reiterated the importance of movement and staying active. This degenerative brain disorder affects the motor system, leading to tremors, stiffness, and loss of balance; however, our Victoria, TX, interventional pain management physician Dr. Wilson Almonte and his team of high-trained and experienced physical therapists provide physical therapy to patients with Parkinson’s disease to help them keep moving and living their lives as best they can.

Tailored Physical Therapy

Parkinson’s disease manifests different symptoms for different people, so it’s important that you have a physical therapist and pain management specialist here in Victoria, TX, that can craft your physical therapy plan around your specific needs. We can also adapt and change your plan as your condition changes. We pride ourselves on offering amazing long-term support and helping patients and their families navigate life with Parkinson’s disease.

Coming in for Physical Therapy

When you come into our office for your first appointment, we will need to perform a thorough evaluation that analyzes your posture, movement, strength, balance, and coordination. These physical tests will help us determine which areas you need the most help with, which will help us craft your tailored treatment plan.

We will provide you with a variety of exercises that you can perform every day on your own to help improve common symptoms of Parkinson’s disease.

Some of the ways physical therapy can help you include,

  • Improving balance and preventing falls
  • Boosting strength and overall fitness health
  • Altering and finding more effective solutions for performing day-to-day tasks
  • Helping you get back to the activities and things you love
  • Improving coordination, especially when walking

We understand just how important independence is for our patients, and we work with our patients to provide them with valuable and tailored exercises that will help keep them moving, active, happy, and independent.

If you are interested in what physical therapy can do to improve movement and your daily routine with Parkinson’s disease, then call Victoria Pain & Rehabilitation Center’s Physical Therapy Department in Victoria, Texas at (361) 578-7396 to schedule a consultation.

By Victoria Pain & Rehabilitation Center, Victoria Physical Therapy, and Brazos Pain Management
December 11, 2020

Could spinal steroid injections treat your chronic inflammation and pain?

Are you dealing with chronic back or neck pain? If so, you may be struggling to find the right treatment option or options to help you epidural injectionmanage your pain. Of course, instead of just managing your symptoms it’s important that you find out what’s causing your symptoms in the first place. This is where our board-certified, fellowship-trained interventional pain management physician Dr. Wilson Almonte comes in. Dr. Almonte and his associate Dr. Lin can diagnose your condition and provide you with a wide range of pain relief options including epidural steroid injections.

Are epidural steroid injections right for me?

Most patients we know want to avoid invasive procedures and surgeries in order to treat their chronic back and neck pain; however, their pain also affects their quality of life. You may benefit from epidural steroid injections if you are experiencing persistent or serious inflammation and pain caused by,

  • Sciatica
  • Spinal stenosis
  • A herniated disc
  • Degenerative disc disease
  • Spondylolisthesis

How does an epidural steroid injection work?

This steroid injection makes it possible for many of our patients to experience relief from their back, neck, and leg pain without having to undergo surgery in order to do it. Epidural steroid injections are a minimally invasive method that allows our pain management physician to be able to administer steroids directly into the spine.

As you may already know, corticosteroids are designed to greatly reduce inflammation, which in turn can reduce pain. Certain conditions such as spinal stenosis, which can lead to chronic inflammation of the spinal nerves, can see amazing pain-relieving results with epidural steroid injections.

When will I see results?

Many patients will require more than one set of injections over the course of several weeks in order to see the maximum benefit from this therapy. Of course, some people do report pain relief after just their first set of injections, which can last anywhere from weeks, months, or even years. Your doctor will also provide you with other treatment options such as at-home exercises and physical therapy that can also improve pain and other symptoms, in combination with these injections, for the long run.

If you are living with chronic pain in Victoria, TX or the greater Houston area, turn to Dr. Almonte and his team at Victoria Pain and Rehabilitation Center or Brazos Pain Managemen by calling us at (361) 575-2882 (Victoria, TX) or (281) 240-4300 (Sugar Land, TX).

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