Spine Pain Specialist McKinney, TX

Spine Pain Is Rarely Just One Problem.

Getting It Right Starts with an Accurate Evaluation.

The spine is one of the most complex structures in the body. When something goes wrong (a disc, a joint, a nerve, or the interplay between them), the pain can be difficult to pinpoint, resistant to standard treatment, and significantly disabling over time.

Patients with spine pain often arrive at Brock Pain Medicine after seeing multiple providers.

They may have an imaging report showing a herniated disc or stenosis, but feel that no one has fully explained what it means for them, or developed a plan that actually addresses it. That is exactly the gap specialist pain medicine is designed to fill.

Talk to a Specialist

Or Call Brock Pain Medicine: (469) 742-9950

Spinal Conditions We Evaluate and Treat

Spine pain encompasses a wide range of structural and degenerative conditions. The following are among the most common we see at Brock Pain Medicine.

Herniated disc

The soft interior of an intervertebral disc pushes through its outer layer and presses on nearby nerve roots. It can cause localized back or neck pain, radiating arm or leg pain, numbness, and weakness, depending on the location.

Degenerative disc disease

The discs between vertebrae lose height and hydration over time, reducing their ability to cushion the spine. Causes chronic pain and stiffness that is often worse with prolonged sitting or standing.

Spinal stenosis

Narrowing of the spinal canal compresses the spinal cord or nerve roots. Causes back pain, leg cramping, and weakness that is often worse with walking and relieved by bending forward or sitting.

Spondylolisthesis

A vertebra slips forward relative to the one below it, destabilizing the spine and often compressing nerve roots. Causes localized back pain and radiating leg symptoms.

Facet joint arthropathy

The small stabilizing joints between vertebrae develop arthritis and inflammation, causing localized spine pain that is often worse with extension and rotation.

Foraminal stenosis

Narrowing of the openings through which nerve roots exit the spinal canal. Causes nerve root compression that produces arm or leg pain, numbness, and weakness.

Post-surgical spine pain

Pain that persists or develops after spinal surgery, including scar tissue formation, adjacent segment disease, hardware-related pain, and nerve root injury. Requires a distinct evaluation and treatment approach.

Compression fractures

Fractures of vertebral bodies — typically from osteoporosis or trauma — that cause acute and sometimes chronic back pain. It may be treatable with minimally invasive procedures.

Symptoms That Suggest a Spinal Source

Spine pain often presents in ways that are easy to misattribute. The following symptoms may signal a spine issue:



Localized pain along the spine that is worse with certain movements or positions



Pain that radiates from the neck into the shoulders, arms, or hands



Pain that radiates from the lower back into the buttocks, hips, legs, or feet



Numbness or tingling in the arms, hands, legs, or feet



Muscle weakness in the arms or legs



Pain that is worse after prolonged sitting, standing, or walking



Pain that wakes you at night or prevents restful sleep



A history of spine surgery with pain that has not resolved as expected

Talk to a Specialist

How We Treat Spine Pain at Brock Pain Medicine

Effective spine pain management begins with an accurate diagnosis. Before any treatment is recommended, we review your imaging, your history, and your functional limitations

The goal is to identify the specific pain generator, not to apply a standard protocol to a general complaint.

Treatment options for spinal pain at Brock Pain Medicine include:

Epidural Steroid Injections

Injections placed in the epidural space can reduce inflammation around compressed nerve roots, providing significant relief for disc herniations and stenosis. Particularly effective for patients with radiating arm or leg pain as well as localized spine pain.

Facet Joint Injections and Medial Branch Blocks

When facet joints are identified as the primary pain source, targeted injections confirm the diagnosis and provide direct relief. Medial branch blocks interrupt the nerve supply to the facet joint and serve as both diagnostic and therapeutic tools.

Radiofrequency Ablation

For patients who respond well to medial branch blocks, radiofrequency ablation can provide longer-lasting relief by disrupting the nerve signal from the painful facet joint — typically six months to two years of meaningful pain reduction.

SI Joint Treatment

When the SI joint is contributing to apparent spine pain — which it frequently does and is frequently missed — targeted evaluation and treatment of the SI joint specifically can produce relief that spinal injections alone have not.

Spinal Cord Stimulation

For patients with persistent spinal pain following surgery, or with intractable radicular pain that has not responded to injections, Spinal Cord Stimulation is a well-established advanced option with strong clinical evidence.

When Spine Pain Warrants a Specialist Evaluation



Spine pain lasting more than 6 weeks that has not improved with rest and conservative care



Pain radiating into the arms or legs, especially with numbness or weakness



You have imaging showing a disc herniation, stenosis, or degenerative changes, but no treatment plan that addresses them specifically



Pain following spinal surgery that has not resolved



Pain that is progressively worsening over weeks or months



Difficulty walking, standing, or performing daily activities due to spine-related symptoms

Talk to a Specialist

Spine Pain Has a Source

Finding It Is How Treatment Actually Works

Generic back pain treatment rarely resolves spinal conditions because it rarely addresses the actual source. Specialist evaluation is what changes outcomes.

Brock Pain Medicine has provided exactly that level of care to patients across Collin County.

Talk to a Specialist