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Posts for category: Interventional Pain Management

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 Sugar Land, 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 nearest 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

What is a kyphoplasty?

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. It is a same-day procedure with a short recovery time. 

Many 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 Sugar Land, TX, interventional pain specialists, Dr. Almonte and Dr. Lin. to discuss whether kyphoplasty is right for you. Call Victoria Pain & Rehabilitation Center, at (361) 575-2882, or Brazos Pain Management, at (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 Sugar Land, 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 Sugar Land 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 Sugar Land, 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, or (281) 240-4300.

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 fellowship-trained interventional 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 in Victoria or the Greater Houston area 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, interventional 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 fellowship-trained interventional 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, TX or the Greater Houston area, 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, 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).

Find out how motor control exercises and training can improve back pain and other muscular issues.

Around 80 percent of people will experience back pain at some point. Chronic back pain can make it impossible to get through your normal routine let alone perform effectively at work. If chronic back pain is affecting your quality of life Dr. Wilson Almonte, Dr. Ted Lin, and our physical therapy team can provide motor control training to alleviate your pain. We have offices in both Victoria and Sugar Land TX. Contact Victoria Pain & Rehabilitation Center, Victoria Physical Therapy, and Brazos Pain Management today.

What is motor control training?

Motor control training includes a variety of exercises that are designed to help improve the functionality, range-of-motion, and coordination of the muscles around the spine. The physical therapists at our Victoria location will walk you through several exercises, and as you progress and your pain improves, will continue to provide you with more complex exercises to make everything from minor to more complex tasks and activities easier and pain-free.

The types of motor control exercises we offer focus on improving all forms of movement including reflexive, adaptive, and voluntary movements. Our physical therapists will factor in posture, biomechanics, neurophysiology, and motor re-learning to create customized solutions to help make tackling your everyday routine possible.

What is proprioceptive neuromuscular facilitation (PNF)?

PNF stretching is another effective technique that can stretch out just about any muscles of the body. This helps send signals to the brain to help the muscles fully relax. There are three main types of PNF techniques:

  • Contract-relax
  • Hold-relax-contract
  • Hold-relax

PNF stretching can help improve flexibility and range of motion particularly in the hip flexors, hamstrings, back, and glutes. These therapeutic exercises can provide amazing results when it comes to improved mobility. It’s even been effective for those dealing with mobility issues as a result of certain neuromuscular health problems such as multiple sclerosis.

If you are dealing with chronic back pain know that you have treatment options that can help you lead a pain-free life. Turn to the experts at Victoria Pain & Rehabilitation Center and Brazos Pain Management, Dr. Wilson Almonte, Dr. Ted Lin, and our Victoria physical therapy team. To contact Victoria Pain & Rehabilitation Center, call (361) 575-2882. For Victoria Physical Therapy, call (361) 578-7396. Lastly, for Brazos Pain Management, call (281) 240-4300. We are located in Victoria and Sugar Land TX.

By Wilson Almonte MD
August 20, 2020
Tags: Sciatica  

How your pain management doctors in Victoria and Sugar Land TX can help with sciatic nerve pain

Do you feel a sharp pain in your lower back that runs down your leg? You could be experiencing one of the classic symptoms of sciatica, a condition caused by compression of the sciatic nerve. The good news is, your pain management doctor can help.

Dr. Wilson Almonte, Dr. Ted Lin, and our team of physical therapists are here for you. We offer a wide range of interventional pain management services, including effective treatments for sciatic nerve pain. We have convenient office locations in Sugar Land and Victoria TX, including Physical Therapy at our Victoria location, to help you feel better.

The Basics of Sciatica

Most people who experience sciatica will feel pain in the lower back, which runs down one leg. Sciatica pain can vary from a dull ache to sharp pain. It can be caused by damage to your back from a damaged or herniated disk, which puts pressure on the sciatic nerve.

There are a few factors that can put you at greater risk of developing sciatic nerve pain. These factors include:

  • Carrying excess weight, which can add stress to your spine
  • Working at an occupation where you sit in one position for an extended period
  • Aging, which can cause degenerative changes in your spine
  • Working at an occupation where you twist or move heavy items
  • Having diabetes, which can increase your risk of nerve damage

There are some therapies you can try at home to get relief from sciatica. Remember to:

  • Apply hot and cold packs to your spine and the affected leg
  • Gently stretch your back and the affected leg
  • Take over-the-counter pain and anti-inflammatory medications

For persistent, moderate to severe sciatic nerve pain, it’s best to visit your doctor. The first step is a thorough examination of your spine, including X-rays and other imaging studies to determine the underlying cause of your sciatic nerve pain. For relief from sciatica, your doctor may recommend:

  • Physical therapy and stretching
  • Muscle relaxants and nerve medications
  • Therapeutic massage and relaxation techniques
  • Surgical therapy for severe sciatica symptoms

You don’t have to live with sciatica. You can get relief from your doctor. To find out more about the causes, symptoms, and treatment of sciatica, call the offices of Dr. Wilson Almonte and Dr. Ted Lin. We also offer Physical Therapy at our Victoria office. You can reach Victoria Pain & Rehabilitation Center at (361) 572-2882. For the Victoria Physical Therapy office, call (361) 578-7396. Lastly, for the Brazos Pain Management office, call (281) 240-4300.

It’s important to preserve your spine’s stability and flexibility as you get older.

Sure, it’s normal to feel a little stiffer and achier as you age, but this isn’t something that should be commonplace. As we get older, all the strains, impacts and injuries our bodies have incurred can lead to wear and tear on the discs of the spine. While this is normal, there are still things you can do to promote good spine health and to prevent problems like degenerative disc disease, and our board-certified interventional pain management doctors Dr. Wilson Almonte and Dr. Ted Lin at Victoria Pain & Rehabilitation Center in Victoria, TX, as well as Brazos Pain Management in Sugar Land, TX can help.

What is degenerative disc disease?

Any injuries or repeated stress placed on the body really add up over time, impacting the health of the spine. It is possible to incur minor injuries to the discs of the spine without even noticing. Of course, as you get older these discs may develop extensive wear and tear, which can lead to degeneration.

What are the signs of degenerative disc disease?

The most common symptom is pain, which is usually felt in the lower back but can radiate to the buttock and legs. You may notice that the pain is worse when sitting or while performing any activities that require the body to twist or bend. Other people experience tingling or a “pins and needles” sensation. If you notice a loss of sensation in your arms or legs this could be a sign that the nerves are affected. If you are experiencing this, it’s important to turn to our pain management doctors as soon as possible.

How is degenerative disc disease treated?

While we can’t undo the wear and tear that’s already occurred over the years, the goal of treatment is to prevent further damage and to ease pain and other symptoms you’re experiencing. Everyone’s treatment plan will be a bit different based on their lifestyle, activity level, and the type and severity of their symptoms. Some ways to treat pain, stiffness and muscle spasms include,

  • Taking over-the-counter pain relievers and muscle relaxants
  • Undergoing physical therapy and performing therapeutic and strengthening exercises
  • Getting regular exercise, which promotes a healthy spine
  • Getting steroid injections if you are experiencing severe pain, stiffness and inflammation

If you are looking for an integrative pain management specialist to treat your degenerative disc disease or other musculoskeletal issues, turn to Victoria Pain & Rehabilitation Center Interventional Pain Management in Victoria, TX by calling (361) 575-2882, or call Brazos Pain Management in Sugar Land, TX at (281) 240-4300. We are offering telemedicine visits to our patients dealing with preexisting chronic pain conditions such as joint and neck pain, that require maintenance and ongoing care.

By Wilson Almonte MD
June 19, 2020
Tags: neck pain  

We can help you get your neck pain under control so you can get back to doing what you love.

While falling asleep in a funny position or lifting weights may cause you to deal with a sore, achy neck, this problem is one that will go away fairly quickly on its own with a little rest. But what happens when your neck pain becomes constant, nagging or severe? From chronic joint pain to acute injuries, our Victoria and Sugar Land, TX, pain doctors Dr. Wilson Almonte and Dr. Ted Lin at Victoria Pain & Rehabilitation Center in Victoria, TX, as well as Brazos Pain Management in Sugar Land, TX, can provide you with the treatment and long-term care you need to effectively manage neck pain.

The Causes of Neck Pain

In order to treat your neck pain effectively, we need to first determine what’s causing your neck pain. There is a wide range of musculoskeletal conditions and injuries that can leave you with a stiff, painful neck. These include,

  • Whiplash (a neck injury typically caused by a car accident or sports incident)
  • Degenerative disc disease
  • Spinal stenosis
  • Herniated discs
  • Vertebral compression fractures
  • Rheumatoid arthritis
  • Osteoporosis
  • Fibromyalgia
  • Parkinson’s disease

As you can see, our pain specialists can treat pain caused by everything from acute targeted joint pain to chronic systemic conditions such as Parkinson’s disease, which can impact how the body feels and functions as a whole.

Acute neck pain treatment is focused on ways to ease pain while also promoting a faster healing process; however, those dealing with chronic conditions that cause significant pain or mobility issues may require more intensive treatment options. When it comes to managing chronic neck pain our goal is to seek treatment designed to reduce pain and inflammation while improving functionality and mobility throughout the rest of your life.

Chronic pain rehabilitation and physical therapy programs can be highly effective in treating chronic neck pain. We can show you specialized exercises that can help you manage your symptoms and also make it possible for certain patients to return to work.

Other ways to treat neck pain may include,

  • Epidural steroid injections: can greatly reduce pain and swelling of the neck
  • Facet joint injection: often used on patients dealing with arthritis or severe spinal injuries
  • Radiofrequency ablation: a minimally invasive procedure that temporarily “silences” the nerves that send pain signals to the brain to reduce neck and back pain

Turn to the expert pain specialists Dr. Wilson Almonte and Dr. Ted Lin. We are offering telemedicine visits to our patients dealing with preexisting chronic pain conditions such as joint and neck pain, that require maintenance and ongoing care. To contact us please call (361) 575-2882 for Victoria Pain & Rehabilitation Center  in Victoria, TX, or (281) 240-4300 for Brazos Pain Management in Sugar Land, TX.

By Victoria Pain & Rehabilitation Center Interventional Pain Management
May 13, 2020

Find out how a pain specialist will treat and help you manage rheumatoid arthritis.

Rheumatoid arthritis (RA) is an autoimmune disorder that causes the immune system to attack the synovium or lining of the joints. This results in joint pain, stiffness, and inflammation. While RA can affect any joint in the body, most patients experience symptoms in the hands, ankles, and knees. Our interventional pain management physicians, Dr. Wilson Almonte and Dr. Ted Lin of Victoria, TX, provide individualized pain management plans to patients dealing with different severities of RA.

The Signs and Symptoms of RA

First, it’s important to recognize the warning signs of RA. In the very beginning, it’s easy to overlook your symptoms as you may not even notice that the joints are a little red or swollen. It isn’t until these symptoms set in that people usually come into our office:

  • Persistent joint pain, swelling, and stiffness that’s lasted for more than six weeks
  • Stiffness that is worse in the morning
  • Pain, stiffness, and swelling in smaller joints such as the hands and feet
  • Symptoms that appear on both sides of the body
  • Fatigue
  • Low-grade fever

RA flares or attacks can last for weeks or even months, with most people experiencing remission from symptoms between flare-ups.

How We Can Help

Here at Interventional Pain Management, your doctors provide a multimodal approach to care that alleviates chronic pain and inflammation, while also restoring functionality back into the body. Since every patient is different, we will alter and adjust each treatment to their needs and the severity of their symptoms to improve health, wellbeing, and quality of life.

Even though there is no cure for RA, flares can be reduced by knowing how to properly manage symptoms. Lifestyle changes that can improve symptoms and flares include,

  • Eating a healthy, balanced diet
  • Maintaining a healthy weight
  • Getting regular exercise and activity every day
  • Hot and cold therapy
  • Stress management

There are also medications that can be prescribed to decrease symptoms, slow the progression of the disease, or target the immune system directly. These medications are known as non-steroid anti-inflammatory medications, disease-modifying antirheumatic drugs (DMARDs), and biologics.

Of course, here at our practice, Dr. Almonte and Dr. Lin focus on drug-free pain management, which includes:

  • Physical therapy: we guide patients through different flexibility and strengthening exercises, as well as low-impact aerobic activities to help promote stronger muscles and improve mobility while decreasing pain and inflammation
  • Ultrasound: through ultrasound therapy, we use sound waves to target certain joints in the body to reduce pain, stiffness, and inflammation
  • Radiofrequency ablation: this special technology directs radio waves to the affected joints to heat up nerve tissue and reduce pain signals to those areas

Victoria Pain & Rehabilitation Center and Brazos Pain Management provide comprehensive, customized pain treatment to people living in and around Houston and Victoria, TX. To schedule an appointment call:

  • (361) 575-2882 - Victoria Pain
  • (361) 578-7396 - Victoria PT
  • (281) 240-4300 - Brazos Pain