Treatments We Offer

Advanced & Surgical Procedures

When injections and conservative care aren't enough, our physicians offer the full range of advanced neurostimulation, minimally invasive fusion, and implantable therapies - so you don't have to leave your community to get them.

Board-Certified PhysiciansInterventional Pain fellowship-trained specialists
Minimally InvasiveFaster recovery, less downtime
AncillariesEMG, NCV, imaging
Coordinated CareOne team, one record, every visit
Advanced & Surgical Procedures

The procedures we perform, start to finish.

Grouped by procedure rather than by body region, because these therapies are placed at multiple levels of the spine and body. Referring providers can use this page as a capability list; patients can use it to understand what a recommended procedure involves.

Neurostimulation

Implantable systems that interrupt pain signals before they reach the brain - from a short outpatient trial through permanent implantation and long-term device management.

What sets it apart from other implanted therapies is that you get to test it before you commit. During the trial the leads sit outside the body and can simply be removed, so a week of ordinary life - work, sleep, the drive to the store - answers the question no consultation can. If the trial does not convince you, we do not implant. Afterward the device is reprogrammable as your pain changes, and it can be taken out if it stops earning its place.

Treatments we may use
  • Spinal Cord Stimulation (SCS) Trial – Cervical, Thoracic & Lumbar
  • Permanent SCS Implantation
  • Paddle-Lead Trial & Implantation
  • Dorsal Root Ganglion (DRG) Stimulation Trial & Implantation
  • Peripheral Nerve Stimulation (PNS) Trial & Implantation
  • Restorative Neurostimulation for Multifidus Dysfunction
  • Battery/IPG Exchange, Lead & Pocket Revision
  • Explantation and Full Explant/Reimplant
Talk to us about your options

Fusion & Stabilization

Minimally invasive fusion that stabilizes a painful joint or segment through small incisions - far less disruptive than traditional open spine surgery, with a faster return to normal activity.

The judgment about whether you need it matters more than the technique. Instability has to be shown to be the actual pain generator - through imaging and diagnostic blocks - and conservative care has to have been given a real trial, not a token one. Plenty of people arrive expecting fusion and leave with a different plan. We will tell you plainly if we do not think you need it.

Treatments we may use
  • Minimally Invasive Spinal Fusion
  • Interlaminar Spinal Fixation
  • Sacroiliac (SI) Joint Fusion – Right & Left
Talk to us about your options

Decompression & Vertebral Repair

Procedures that relieve pressure on crowded nerves or restore a damaged vertebra - most performed through a needle or a small incision, often same-day.

What they share is a mechanical target: a spinal canal too crowded for the nerves running through it, a vertebra collapsed by a fracture, or an endplate that has become a pain source in its own right. That makes them a fit for patients who need genuine structural relief but are not candidates for open spine surgery, or would rather not go down that road. Which procedure applies depends on what your imaging and earlier response have already shown.

Treatments we may use
  • Minimally Invasive Lumbar Decompression (MILD) for Spinal Stenosis
  • Basivertebral Nerve Ablation (BVN) for Vertebrogenic Low-Back Pain
  • Vertebral Augmentation (Kyphoplasty)
  • Intradiscal Nucleus Pulposus Tissue Allograft
Talk to us about your options

Intrathecal Drug Delivery

An implanted pump that delivers pain medication directly to the spinal fluid, so a much smaller dose does more - with fewer of the side effects that come with oral medication.

The reason a smaller dose works is that the medication no longer has to travel through the digestive system and bloodstream to reach the spine. Most of what people struggle with on oral pain medication - the grogginess, the constipation, the mental fog - comes from the dose required to make that journey. As with our other implanted therapies you trial the pump before committing, and it is refilled, adjusted, and removed as your needs change.

Treatments we may use
  • Intrathecal Pump Trial
  • Permanent Pump Implantation
  • Pump Replacement, Revision & Explantation
Talk to us about your options
Looking for Something Else?

Injections, nerve blocks, and ablations by body region.

Most patients start with a conservative, office-based treatment long before any of the procedures above. Those are organized by where it hurts.

Not Sure Where to Start?

Two easy ways to begin.

When you're suffering in pain, your whole life is impacted. Take the first step in whichever way feels right - our team will guide you from there.

Condition Assessment

Explore the conditions we treat and find the one that sounds like yours.

Find My Condition

Schedule Appointment

Click below or call (254) 245-9175 to schedule with our team of pain experts.

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Patient Stories

What our patients are saying.

Verified five-star Google reviews from the people we care for.

★★★★★

I just love Lara Turk and her assistants. Ms. Turk is very informative and explains things to where I can understand. She seems to genuinely care about her patients. She takes the time to really listen to me. I would refer her to everyone I know. Keep up the excellent work Ms.Turk. I would also like to acknowledge one of the front desk receptionist. I'll remember her name in a few. She is always so nice when scheduling my appointments and even remembers my birthday. Her name is Kalin. She's wonderful

Kaysandra PeytonGoogle review · a year ago
★★★★★

Great service...I have recommend IPA to several veterans and friends. I miss my previous doctor but my current doctor (Puri) is excellent. He treat my 91 yr old dad too. Melanie (NP) treat my wife and me she is awesome.. MS Karisha is the best receptionist they had in awhile. She has trained the other young ladies and they provide great customer service. The surgery center is also great especially Serina. I have given several names you should try to see. I have been coming here since 2015. I stand by my recommendation. Hardy

H Leon HardyGoogle review · a year ago
★★★★★

Everyone here has always been thoughtful of my pain, listened carefully on what hurts, where and how. Even when very rarely a procedure has gone wrong made things right and kept me in the loop on the decision process. I've been cooking here for 8 years and will continue for the foreseeable future. I've two spinal cord stimulator implants and two peripheral implants helping keep the excruciating pain as best as possible to tolerable levels. I've considerable damage due to two major accidents, a dozen collapsed disc, fusions and nerve damage and they've kept this train wreck rolling lol.

Gary HansenGoogle review · 9 months ago

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