Pain Medicine


Diagnosis and Treatment of Chronic Pain Conditions

Millions of Americans suffer from chronic pain that can make it difficult to work, sleep or maintain their quality of life. Controlling pain can be difficult, but pain medicine physicians at TexomaCare provide individualized treatment plans to help you ease pain and regain function.

Our pain medicine doctors use a variety of treatment options depending on the type, cause and severity of your pain. They offer continuous care and modify prescription pain relievers based on their efficiency and side effects. Whether you experience moderate to severe pain, we are here to help.

Pain Conditions We Treat

TexomaCare pain medicine doctors can treat a wide range of conditions including:

Back Pain

Back pain is one of the most common medical conditions. It can be caused by a variety of things including injury, poor posture and excess weight. Back pain can range from a dull ache to a sharp, sudden pain. Many back pain treatment options are available depending on the frequency and severity of your pain. These include medication, exercise, injections and surgery.

Neck Pain

The most common neck pain is often caused by neck muscle strain or tension from everyday activities. A stiff neck can be common from sleeping in an uncomfortable position. It often goes away with gentle stretching.

However, more severe neck pain may be caused by an injury that causes a fracture or sprain. Certain medical conditions such as fibromyalgia and arthritis can also cause neck pain. Medication and physical therapy may help with your neck pain while surgery is sometimes needed.


Arthritis is a common condition. It can cause pain and swelling in the joints that can lead to stiffness and limited mobility. A pain medicine specialist can help manage your arthritis with pain medications, exercise, surgery and many other treatment options.

Headaches and Migraines

Millions of Americans suffer from chronic headaches and migraines. Using a comprehensive approach, pain medicine physicians can diagnose and manage many headache disorders. A severe and disabling headache may be a migraine. Migraines may include other symptoms including sensitivity to light and sound, nausea and vomiting and neck pain.

Migraines can be triggered by stress, anxiety, hormonal changes and more. Your treatment plan may include medication to relieve the pain and preventive measures and lifestyle changes to help avoid common triggers.

Nerve Pain

Nerve pain happens when nerves in the central nervous system are damaged. Nerve pain can be caused by an injury. It can also be a result of a medical condition including carpal tunnel syndrome and sciatica.

Common symptoms of nerve pain include numbness, burning and tingling. A variety of treatments can help alleviate nerve pain. These include medication, physical therapy and surgery.

Abdominal Pain

Abdominal pain may be felt anywhere between the chest and the groin. Pain in the stomach region can be caused by a variety of conditions including constipation, stomach virus, appendicitis, kidney stones, ulcers and more. Treatment varies greatly depending on the underlying cause of your pain.


Fibromyalgia is a common condition that causes muscle pain and fatigue. While there is no cure for the condition, a pain medicine specialist can help manage your symptoms. They can prescribe medication and recommend lifestyle changes such as exercising and diet changes.

Cancer Pain

Pain is a common symptom of cancer. Pain can be caused from the cancer itself. For example, bone pain indicates cancer in the bones or that another cancer has spread to the bones.

Pain can also come from cancer treatment. Pain medicine specialists use a variety of methods to help reduce pain and improve the quality of life of cancer patients.

Complex Regional Pain Syndrome

Complex regional pain syndrome (CRPS) is a chronic condition that usually causes pain in the arms, hands, legs or feet. Symptoms of CRPS can include changes in skin temperature, color, or texture. Additional symptoms include intense burning pain, skin sensitivity and swelling and stiffness in the affected joints. While there is no cure for CRPS, treatments including medication, physical therapy and nerve blocks may help relieve the pain.

Myofascial Pain Syndrome

Myofascial Pain Syndrome (MPS) is a chronic condition that affects the connective tissue that covers the muscles. People with MPS may experience pain or inflammation in muscles throughout the body. The condition is usually caused by a muscle injury or strain. Physical therapy is the most common treatment for MPS.

Types of Pain

Types of pain are typically categorized into two categories: acute pain and chronic pain. 

Acute pain is sharp and sudden. It is caused by a specific event and doesn’t normally last longer than six months. Acute pain is commonly caused by surgery, fractures, injuries, burns or cuts. It can be easier to treat. Over-the-counter pain relief medicine is usually enough.

Chronic pain is ongoing and can continue past six months. The initial pain can be caused by an injury. However, the pain signals in your nervous system can stay active for a long time.

Underlying health conditions increase the risk of chronic pain, including arthritis, cancer and fibromyalgia. Chronic pain can be more difficult to treat and can require prescription pain medicine.

Within these two categories, there are two main types of physical pain. There is nociceptive pain and neuropathic pain. 

Nociceptive pain is the more common of the two. It occurs when the nociceptors receptors in the body are alerted that there is harm to the body. This naturally occurs when there has been damage to the skin, muscles, bones or tissues.

Neuropathic pain occurs when there has been damage to the nervous system. When your nerves are damaged, it can cause the damaged nerve fibers to incorrectly send signals to pain centers. Once this damage to the nerves progresses, even non-painful touch or pressure can cause pain. Many diseases are linked to this kind of pain but diabetes accounts for 30% of neuropathic pain cases.


TexomaCare at Denison
4616 S US Hwy 75, Suite 203
Denison, TX 75020
903-416-6471 Fax