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Chronic Back Pain Relief For Houston

We want prospective patients to know precisely what to expect before and during treatment for back pain; Education is critical, so we have provided you with an in depth guide to answer your questions and provide you with informative information regarding the non-surgical procedures offered at our pain management clinic in Houston. At Texas Intergrative Pain Institute, we specialize in treating back pain that can be difficult to manage on your own. Back pain affects  7 out of 10 people annually, making it the leading cause of doctor visits and time away from work. Those suffering from chronic back pain often find working, moving, or living a quality life challenging.If you suffer from pain, know that it isn’t normal, and you don’t have to suffer in silence. Our pain management clinic in Houston is here to help you find relief. We will review options with you and create a treatment regimen that will work best for you to return to a functional life.

Home >>Back Pain Guide >> Chronic Back Pain

What Is Chronic Back Pain?

Between 60% and 80% of adults will suffer some form of back pain. For many of them, the cause will be a bulging disc in the spine. Most bulging disc cases occur in the lower back. They are caused by overwork or straining of the lumbar spine due to repetitive activities such as bending, lifting, and twisting—this causes undue stress on the vertebrae, which presses on the flexible intervertebral disks in between. Too much pressure can cause this material to erupt out from between the vertebrae, “bulging” out or herniating and causing pain and inflammation.

The bulging disc material can also press on spinal column nerves, causing localized back pain or extending into other body areas, such as the buttocks, thigh, calf, or feet.

Disc degeneration or injury is the primary cause of a bulging disc, and repeated activity only exacerbates the condition. They can occur in any part of the spine but are most common in the lower back (lumbar spine) and the neck (cervical spine). Dr. Brett Warfield is fully qualified to treat building discs at any spine location. Our pain management clinic in Houston proudly does so with the most proven and advanced non-surgical therapies available.


We accept most major insurances and have a program for self paying patients

Patient individual care because everyone has different levels of pain that need different types of pain care management.


Dr. Warfield is a board certified  doctor providing passionate, caring, and adequate pain management to his patients.

We see patients within days at our pain management clinic near The Woodlands.

Symptoms & Causes Of Back Pain


There are three types of pain- acute, subacute, and chronic; acute is short-term pain that lasts for a few days to a couple of weeks; subacute last between four and twelve weeks and chronic back pain continues for twelve weeks or longer, even after an initial injury or underlying cause of back pain that has been treated.

Most patients visiting our pain management clinic in Houston begin to experience pain that starts in their lower back. Still, you could discover discomfort in your middle or upper back between the base of your neck and the bottom of your rib cage.

The most common causes of chronic back pain are a past injury or age, a narrowing of the spine (spinal stenosis), arthritis, herniated or bulging disc, and myofascial pain syndrome, where the patient suffers from unexplainable muscle pain and tenderness. It is especially trying when you are unsure of the cause. However, while this can be frustrating, it’s essential to work with a back pain specialist who will pinpoint the origin of the pain before suggesting extensive medical procedures. Surgery should always be your last, as pain often comes back. Often the best solution is noninvasive treatments such as:


  • Exercise & Physical Therapy

  • Lifestyle & Diet modification

  • Injection Based Treatment

  • Acupuncture or Massage

  • Laser Treatment

  • Nerve Blocks

  • Pharmacologic Treatments

Non Evasive Back Pain Relief In Houston

Non-evasive Back Pain Treatment

Exercise: The foundation of your treatment plan should include training under the care of a physician who can tailor a workout to your condition; this is one of the keys to your success as it will help to boost your flexibility and strength, supports the back, and promotes healing.


Lifestyle Modifications: Listing to your body and remembering the times when your back pain is most severe and not pushing yourself to those limits will inevitably help your back feel better and could prevent the underlying condition from advancing. Another necessary lifestyle change is to give up high trans fats, refined sugar, and nicotine, which can accelerate pain.


Injection-Based Treatment: Another viable option for specific causes of chronic low back pain is an anti-inflammatory medication that is injected into the epidural space around your spinal nerves. Lumbar ESIs are most effective in relieving pain from a herniated disk and spinal stenosis. In most cases, the treatment lasts for 90 days to allow time for your back to heal so that the pain doesn't return. Other injections offered at our pain management clinic in Houston include SI joint injections, medial branch injections, muscle injections, lumbar sympathetic blocks, epidural steroid injections, and trigger point injections. Combining treatments could be most effective for providing comprehensive back pain management.


Acupuncture: Both acupuncture and massage therapy have their benefits. However, depending on your condition, one may be more effective, as what works well for one patient may not work for another. A study by Group Health Cooperative showed both to be effective treatments for chronic back pain.


Biofeedback: The American College of Physicians includes EMG biofeedback as a suitable option to treat chronic low-back pain. This technique has sensors to improve muscle activities after long periods of sitting and poor posture, which can result in lower back pain. 


Electrical Nerve Stimulation: Transcutaneous electrical nerve stimulation is a therapy that uses low-voltage electrical current to provide pain relief. You may have seen a TENS unit; it’s a small but powerful battery-powered device that sends electrical impulses through electrodes placed on the surface of your skin. The electrodes are placed at or near the nerves where the pain is located or at trigger points. Due to the size of this unit, it’s portable and, therefore, can be used at home or away anytime pain relief is needed.


Pain Medication: Analgesics, anti-inflammatory drugs, muscle relaxants, and other medications can be used to help control chronic back pain. However, most have unwanted side effects and are not intended for prolonged use.



Unfortunately, back pain is a common condition experienced by many adults between the age of 40 and 60. However, if you find it has disrupted your regular routine for over twelve weeks, let our pain management clinic in Houston help you get back in the game by diagnosing and discussing potential effective treatment options for your specific condition.  Click on the button above or call (346) 888-5237  to schedule a consultation today with our back pain specialist in Houston.


At Texas Intergrative Pain Institute (TIPI), our board-certified Back Pain Specialists in Houston excel in nonsurgical treatments for back pain and other chronic pain conditions. We are committed to alleviating your pain and restoring your well-being. Get back to doing the things you love faster & without surgery. Contact us today!


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Cold Laser Therapy

Ketamine Injections

Medication Management

Nerve Blocks

PRP Therapy

Physical Therapy

Sports Medicine

Targeted Injection Therapy

TENS Unit Therapy

Ultrasound Guided Injections

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