Procedures That Target the Source, Not Just the Symptom
There is a meaningful difference between managing pain and treating it. Medication manages pain by altering how the nervous system responds to it systemically. Procedures treat pain by targeting the specific structure (a nerve, a joint, a disc, a pain pathway) that is generating it.
At Brock Pain Medicine, procedures are selected based on diagnosis, not availability. Every recommendation starts with understanding what is actually causing your pain, then matching the procedure to that specific source. That precision is what makes the difference between a procedure that helps and one that doesn’t.
Discover What Treatment Is Right for YouOr Call Brock Pain Medicine: (469) 742-9950
Where Procedures Fit in the Treatment Process
Procedures are not the first line of treatment at Brock Pain Medicine, and they are not presented as solutions in isolation. They sit within a graduated care process that begins with evaluation, moves through conservative options, and escalates deliberately when those options haven’t produced adequate relief.
Most patients who arrive for procedural evaluation have already tried medication, physical therapy, and rest. Some have had prior procedures elsewhere that didn’t work. The evaluation process at Brock Pain Medicine is designed to correct that before any procedure is recommended.
Discover What Treatment is Right for YouProcedures Available at Brock Pain Medicine
Injection-Based Procedures
The most commonly performed procedures in pain medicine. Targeted delivery of corticosteroid, anesthetic, or both to the specific structure generating pain — using imaging guidance for precise placement. Injections are the foundation of interventional pain management and the appropriate starting point for most procedural candidates.
Includes: Epidural steroid injections, facet joint injections, medial branch blocks, sacroiliac joint injections, nerve block injections, trigger point injections.
Learn MoreRadiofrequency Ablation
For patients who respond well to medial branch nerve blocks, radiofrequency ablation (RFA) uses targeted heat to disrupt the nerve supply to painful facet joints, providing relief that typically lasts six months to two years. One of the most durable non-surgical procedures in pain medicine.
Most relevant for: confirmed facet joint pain in the lumbar, thoracic, or cervical spine; sacroiliac joint-related pain.
SI Joint Fusion
For patients with confirmed sacroiliac joint dysfunction who have failed conservative treatment, including injections, minimally-invasive SI joint fusion stabilizes the joint using small titanium implants placed through a minor-lateral incision. Outpatient procedure with significantly faster recovery than traditional open spinal fusion.
Most relevant for: chronic lower back, hip, or pelvic pain confirmed to originate in the SI joint; patients with prior lumbar fusion who have developed SI joint degeneration.
Learn MorePeripheral Nerve Stimulation (PNS) via Nalu
For patients with chronic nerve pain that has not responded to medications or injections, the Nalu Neurostimulation System delivers mild electrical impulses to the specific peripheral nerves generating pain — interrupting the pain signal before it reaches the brain. Drug-free, minimally invasive, and trialed before permanent commitment.
Most relevant for: peripheral neuropathy, post-surgical nerve pain, CRPS, and other chronic nerve pain conditions affecting the back, shoulder, knee, or lower extremity.
Learn MoreSpinal Cord Stimulation (SCS)
For patients with intractable back and leg pain, failed back surgery syndrome, CRPS, or neuropathic pain that has not responded to other treatments, Spinal Cord Stimulation delivers electrical pulses alongside the spinal cord to interrupt pain signals before they reach the brain. FDA-approved, reversible, and trialed before permanent implant.
Most relevant for: failed back surgery syndrome, intractable low back and leg pain, CRPS, diabetic peripheral neuropathy, and related conditions.
Learn MoreWhere Procedures Are Performed
The majority of procedures at Brock Pain Medicine are performed in our state-of-the-art in-office surgical suite in McKinney. This setting allows most patients to have their procedure and return home the same day with minimal disruption.
For more complex procedures or patients with elevated medical risk, Brock Pain Medicine works directly with Methodist McKinney Hospital, providing access to a full hospital setting when the clinical situation requires it.
What to Expect From a Procedure at Brock Pain Medicine
Before the Procedure
Your physician will explain the procedure in detail, including what to expect during and after, any preparation instructions, and what constitutes a successful outcome. You will be asked to arrange a driver for the day of the procedure for most injection and interventional treatments.
During the Procedure
Most injection procedures take 15 to 30 minutes. You will be positioned comfortably, the area will be cleansed and numbed, and the procedure will be performed under imaging guidance. Mild pressure or a brief sensation is normal during placement.
After the Procedure
Your care team provides specific post-procedure instructions, and follow-up is scheduled to evaluate your response.
The Right Procedure Starts With the Right Diagnosis
If you are considering a procedure for chronic pain — or if a procedure you had elsewhere didn’t produce the relief you expected — an evaluation at Brock Pain Medicine is the appropriate starting point. We will tell you clearly which procedure applies to your situation and why.
Discover What Treatment is Right for YouOr Call Brock Pain Medicine: (469) 742-9950