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CONDITIONS & TREATMENTS

NECK & BACK

Neck & Back

Low back pain and neck pain are among the most common complaints after an injury. Trauma from car accidents, falls, sports injuries, or sudden impact can damage the muscles, ligaments, nerves, discs, and spinal joints, often leading to significant pain and limited mobility. Even when the injury seems minor at first, inflammation or soft-tissue strain can worsen over time.

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In many cases, injury-related pain is caused by whiplash, disc bulges or herniations, nerve irritation, or destabilization of the spine, which can place pressure on the spinal cord or surrounding nerves. Fortunately, most injury-related spine conditions do not require surgery.

 

At EPIC Pain & Orthopedics, our physicians specialize in diagnosing spine injuries and creating targeted treatment plans to help patients recover safely. We focus on effective, conservative care first—including injections, therapy, and minimally invasive treatments—and only consider spine surgery when all appropriate non-surgical options have been fully explored.

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Spine surgery is sometimes necessary to relieve persistent pain and restore function, especially when an injury has caused structural damage and non-surgical treatments are no longer effective. When surgery becomes the right option, you can feel confident knowing that our spine surgeons use the most advanced, minimally invasive techniques available.

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We provide comprehensive, attentive care throughout your recovery. Our surgeons work closely with your post-surgical rehabilitation team, ensuring seamless communication and a coordinated plan that supports the best outcome possible.

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Common Neck & Back conditions we treat include:

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Disc Herniations/ Protrusions

  • ESI / TFESI (epidural steroid injection)

  • MLD / Microdiscectomy

  • Decompression

  • ACDF (if cervical)

  • TLIF / Lumbar Fusion (for severe/recurrent cases)

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​​Radiculopathy

  • TFESI / CESI / LESI

  • Decompression

  • Microdiscectomy

  • ACDF or TLIF (if instability or severe compression)

 

​Sacroiliac Joint Pain

  • SI joint injection

  • SI joint RFA

  • SI joint fusion (for refractory cases)

Whiplash

  • TPI (trigger point injections)

  • Cervical facet injections

  • Cervical MBB → RFA

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Spondylolisthesis (Slipped Vertebrae)

  • ESI (symptom control)

  • TLIF / Lumbar Fusion (definitive treatment)

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Facet Joint Syndrome

  • Facet joint injections (FJI)

  • Medial branch block (MBB)

  • RFA (long-term relief)

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Sacral Pain

  • SI injection

  • Ganglion impar block

  • ESI (if nerve-related)

​​Degenerative Disc Disease

  • ESI / facet injections

  • RFA (facet-mediated pain)

  • Disc replacement (ADR)

  • Lumbar or cervical fusion (advanced degeneration)

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Sciatica

  • TFESI (gold standard)

  • Decompression / discectomy

  • Fusion if due to instability

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Spondylolysis (Stress Fracture)

  • ESI

  • Lumbar fusion if chronic and unstable

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Coccyx Pain

  • Coccygeal injection

  • Ganglion impar block

Arm

Arm (hand, Wrist & Elbow)

Hand surgery is a highly specialized area of orthopedics that requires advanced training and precise surgical skill. At EPIC Pain & Orthopedics, our specialists treat the complex system of tendons, ligaments, nerves, muscles, and bones within the hand and wrist—structures that are easily injured and essential for everyday function.

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We utilize state-of-the-art, minimally invasive techniques, including endoscopic, arthroscopic, and modern nerve-repair procedures, to restore movement, reduce pain, and help patients return to their normal activities as safely and quickly as possible.

 
Common HAND & WRIST CONDITIONS we treat include:​​​​

Carpal Tunnel Syndrome

  • Carpal tunnel release

  • Wrist injection (temporary relief)

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Tendinitis

  • Tendon repair (if torn)

  • TPI

  • PRP or regenerative medicine

  • Arthroscopy (if structural pathology)

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Ganglion Cysts

  • Cyst excision

  • Aspiration (temporary)

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Fractures

  • ORIF (open reduction & internal fixation)

  • Casting vs surgical fixation

  • Hardware removal later if needed

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Complex Regional Pain Syndrome (CRPS or RSD)

  • Stellate ganglion block

  • Lumbar sympathetic block

  • Spinal cord stimulator (SCS – trial → implant)

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Tendon Injuries

  • Tendon repair

  • Arthroscopic or open reconstruction

 

Tennis Elbow​​

  • TPI

  • PRP

  • Elbow tendon repair (if chronic or severe)

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SHOULDER

SHOULDER

Traumatic injuries—such as those from car accidents, slips and falls, workplace activities, or sports impacts—are among the leading causes of shoulder pain, stiffness, and loss of mobility. These injuries can damage the rotator cuff, labrum, ligaments, cartilage, or surrounding soft tissues, often resulting in persistent pain that worsens without proper treatment. Repetitive motions and overuse can further aggravate an already injured shoulder.

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At EPIC Pain & Orthopedics, we specialize in identifying and treating injury-related shoulder conditions. Our team has extensive experience managing trauma cases and understands how accident-related injuries progress over time. We provide targeted, evidence-based care to reduce pain, restore function, and support patients through every stage of recovery.

 
Common SHOULDER conditions we treat include:

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Shoulder Bursitis

  • Subacromial injection

  • Arthroscopy (if impingement)

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Rotator Cuff Tear and Repair

  • Rotator cuff repair (RCR)

  • Arthroscopy

  • Reverse TSA (massive irreparable tears)

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Labrum Tears

  • Shoulder arthroscopy

  • Labral repair / Bankart repair

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Separation / Dislocation

  • Reduction

  • Labral repair

  • Ligament reconstruction​​​

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SLAP Tears

  • ​Arthroscopic Shoulder Debridement (Deb)

  • DCE (Distal Clavicle Excision) — when needed

  • Arthroscopic Biceps Tenotomy

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KNEE

KNEE

Dislocation

  • Reduction

  • Ligament reconstruction

  • ORIF (if bony injury)

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Fractures

  • ORIF

  • Hardware placement/removal​​

Ligament (ACL, PCL, MCL) Tears

  • ACL reconstruction

  • MCL repair (if severe)

  • PCL reconstruction

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Meniscus Injuries

  • Meniscectomy

  • Meniscus repair

  • Knee arthroscopy

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Sports and Trauma Injuries​

  • Arthroscopy

  • Ligament repair

  • Fracture fixation

FOOT & ANKLE

FOOT AND ANKLE

Achilles Tendon Injuries

  • Achilles tendon repair

  • PRP for partial tears

 

Ankle Sprain

  • Injection (if persistent)

  • Ligament repair (if chronic instability)

Plantar Fasciitis

  • Injection

  • PRP

  • Endoscopic plantar fasciotomy (rare)

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Complex Regional Pain Syndrome (CRPS or RSD)

  • Lumbar sympathetic block

  • SCS trial → implant

HIP

HIPS

Hip pain can develop from many causes, including arthritis, traumatic injury, inflammation, and structural abnormalities. In some instances,  accidents, falls, and workplace incidents lead to hip joint damage, soft-tissue strain, or labral tears that worsen over time if not properly treated.

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When hip pain becomes severe enough to limit walking, standing, or everyday movement, it’s important to be evaluated by an orthopedic specialist. Early diagnosis helps prevent further damage and supports a safer, faster recovery.

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Common HIPS conditions we treat include:

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Hip Dislocation

  • Reduction

  • Surgery if recurrent

 

Hip Labrum Tear​

  • Hip arthroscopy

  • Labral repair or reconstruction

Fractures

  • ORIF

  • Hip replacement depending on fracture type

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Sports and Trauma Injuries​​

  • Arthroscopy

  • Tendon repairs

  • Fracture fixation

DALLAS LOCATION

4225 Office Parkway 

Suite 200

Dallas, TX 75204

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FORT WORTH LOCATION

6850 Manhattan Blvd 

Suite 515

Fort Worth, TX 76120

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PLANO LOCATION

6200 Preston Rd. 

Suite 400

Plano, TX 75024

© 2019 Epic Pain & Orthopedics, PLLC

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