Greater Texas Orthopedic Associates
A pain management clinician examining a patient's lower back in a treatment room

Non-Surgical Pain Management in Texas

Image-guided, non-surgical treatment for neck, back, joint, and nerve pain after a car accident, work injury, or years of wear, with documentation for the attorneys who represent injured patients.

Treatments
4 procedures
Approach
Non-surgical
Setting
Outpatient
Access
6 Texas clinics
HMedically reviewed by Dr. Heins, Pain ManagementLast updated October 2026
For patients & attorneys

Who We Help

Patients and the attorneys who represent them start from different places. The same team supports both.

Lawyers and law firms

Personal injury firms seeking coordinated scheduling, clinically grounded documentation, and a clear point of contact for clients who may need interventional pain care.

Injured patients

Drivers, passengers, injured workers, and anyone living with long-standing spine or joint pain, treated the same way whether you arrive through an attorney, an insurer, or on your own.

Conditions

Conditions and Types of Pain We Evaluate

If your pain follows a car accident, a workplace injury, or years of wear, it likely appears on this list.

Herniated or bulging discs
Sciatica and radiating leg pain
Cervical and lumbar radiculopathy
Spinal stenosis
Facet joint arthritis
Degenerative disc disease
Whiplash and soft-tissue neck injury
Post-surgical and chronic pain
Work and lifting injuries
Treatments

Pain Management Treatments We Offer

Four image-guided procedures, chosen based on where your pain actually originates.

Our process

How Our Pain Management Process Works

A four-stage care pathway that adapts to the patient's diagnosis, clinical needs, and referral context.

  1. Evaluate

    A specialist reviews your history, mechanism of injury, and imaging, then examines you to narrow down which structure is generating the pain.

  2. Diagnose

    Where the source is unclear, a level-specific diagnostic block can help identify which structure is contributing to the pain.

  3. Treat

    The clinician recommends an appropriate non-surgical or minimally invasive option based on the diagnosis, examination, imaging, and prior care.

  4. Reassess

    Follow-up measures what changed in pain scores, range of motion, and function, and the plan is adjusted accordingly.

Your visit

What Patients Can Expect

What an evaluation, procedure visit, and follow-up plan may include. Your clinician will explain the details for your care.

First visit
Evaluation

The clinician reviews symptoms, injury history, prior care, and available imaging before discussing appropriate next steps.

Procedure day
Outpatient

Check-in, treatment, and observation requirements vary by procedure and the patient's clinical needs.

Comfort
Procedure-specific

The care team explains positioning, medication, transportation, and preparation instructions before treatment.

Follow-up
As recommended

Reassessment timing depends on the procedure, response to treatment, and the clinician's care plan.

Beyond the procedure

Supporting Recovery and Daily Function

Relief from a procedure is only part of recovery. Follow-up visits measure pain, range of motion, and function, and the plan is adjusted to what actually changed.

Instructions before and after treatment

The care team explains preparation, positioning, transportation, and what to expect after the procedure.

Reassessment at follow-up

Pain scores, range of motion, and function are measured again, and the plan is adjusted to your response.

Work restrictions in writing

Documented work and activity restrictions when clinically appropriate, for your employer, insurer, or attorney.

Referral when another specialty is needed

If the findings call for physical therapy or another specialty, the clinician explains the referral.

Pain management care at GTOA
Referral & intake

Our Attorney Referral and Intake Process

Five steps from referral intake through evaluation and case communication, with timing confirmed for each client.

1

Send the referral

Submit the referral form on the For Attorneys page, or call or email the team, with the client's name, your contact details, and the signed LOP if one applies.

2

Intake review

The referral team reviews the request and identifies any records, case details, or authorization information needed before scheduling.

3

Scheduling

The team follows up with your office to arrange the evaluation and confirms current availability based on location and clinical need.

4

Evaluation and treatment plan

The client is evaluated by a specialist, imaging is reviewed or ordered, and a documented treatment plan is created.

5

Case communication

The legal team can request available clinical records and contact GTOA for status information at relevant stages of care.

Records

Medical Doc­u­men­ta­tion and Case Com­mu­ni­ca­tion

The types of clinical documentation that may be available and how to request case information.

Initial evaluation report

History, mechanism of injury, examination findings, diagnosis, and the proposed treatment plan.

Imaging correlation

MRI, CT, and X-ray findings tied explicitly to the client's reported symptoms and physical examination.

Clinical correlation

When clinically appropriate, documentation may discuss how the reported incident, findings, and pre-existing conditions relate.

Procedure reports and pain scores

Fluoroscopic confirmation, level treated, medication used, and documented pre- and post-procedure pain scores.

Future care recommendations

The clinician may document additional evaluation, treatment, or follow-up that should be considered.

How requests are handled

Scheduling and records timing depend on location, clinical need, record availability, and clinician review. The team confirms the next step for each request.

Referral requestReviewed by the team
SchedulingBased on location and clinical need
Evaluation notesAvailable after clinician review
Records requestsConfirmed for each request
Status communicationAvailable on request
Why GTOA

Why Choose GTOA for Pain Management?

What sets this department apart for patients and referring firms alike.

01

Diagnosis before treatment

Symptoms, examination findings, available imaging, and diagnostic response are considered before treatment is recommended.

02

Image-guided care

Appropriate procedures use imaging guidance to help the clinician target the intended treatment area.

03

Non-surgical options

The department focuses on conservative, interventional, and minimally invasive pain-management pathways.

04

Clear clinical documentation

Records document relevant history, findings, diagnosis, treatment, and response for patients and authorized case stakeholders.

05

Coordinated communication

Referring legal teams can contact GTOA about scheduling, status questions, and available records.

06

Six Texas clinics

Beaumont, Houston, San Antonio, Dallas, Arlington, and Corpus Christi, so care can continue close to home.

Medical review

Pain management specialist

The physician responsible for the medical review of this page.

Our branches

Find a clinic near you

Six clinics across Texas. Choose the one closest to you for hours, phone, and directions.

FAQ

Frequently Asked Questions

Still have questions?

Patients: (409) 839-4600

Attorneys: (281) 598-7969

For attorneys

Yes. GTOA accepts letters of protection and medical liens. Eligibility, scope, billing terms, and scheduling are confirmed for each case before treatment begins.

For patients