Mixed Pain Treatments in the DFW Metroplex Area
Mixed pain, which combines nociceptive and neuropathic components, affects millions of people and can make everyday tasks feel impossible.
At Pain & Spine Physicians, we use a combination of advanced treatments to target multiple pain pathways at once, giving you a real chance at lasting relief. If your pain feels like more than one thing at once, that is a sign multiple pathways may be involved.
Call us at 972-350-0225 or contact us online to schedule an initial appointment and begin the path toward long-term relief.
Why Choose Pain & Spine Physicians?
All of our doctors are board-certified in pain medicine, meaning they have completed fellowship training after residency. This specialized training means better outcomes, fewer complications, and more precise treatment planning for you.
With a team of five physicians performing 17 established procedures to treat more than 52 pain conditions, we are committed to helping patients find lasting relief and improved quality of life.
What Is Mixed Pain?
Mixed pain occurs when nociceptive pain, caused by tissue damage or inflammation, and neuropathic pain, caused by nerve dysfunction or injury, are present at the same time. The result is a layered experience that may feel like aching, burning, or shooting sensations depending on which pathways are involved.
Mixed pain is associated with a range of conditions, including failed back surgery syndrome, fibromyalgia, cancer-related pain, and complex regional pain syndrome (CRPS). It is also commonly experienced by patients with diabetic neuropathy, osteoarthritis, or chronic low back pain that has developed a nerve component over time.
Because the two types respond to different treatments, a single medication or procedure often provides incomplete relief, which is why targeting both components simultaneously is central to how Pain & Spine Physicians approach these cases.
How We Treat Mixed Pain at Pain & Spine Physicians
Mixed pain responds best when we address both the inflammatory and nerve-related sources driving your symptoms. Our team builds individualized treatment plans that combine several proven approaches to reduce pain and restore your daily function.
Multimodal Pharmacotherapy
When a single medication falls short, combining different drug classes often provides the relief you need. We pair anti-inflammatories, nerve-stabilizing agents, and muscle relaxants in carefully adjusted doses to cover both sides of mixed pain:
- Non-steroidal anti-inflammatory drugs (NSAIDs)
- Anticonvulsants
- Serotonin-norepinephrine reuptake inhibitors (SNRIs)
- Topical analgesics
- Low-dose opioid therapy when appropriate
Neuromodulation
Neuromodulation works by sending gentle electrical signals to interrupt pain messages before they reach your brain. Spinal cord stimulator implants are among the advanced neuromodulation options we offer patients who have not responded well to conservative care alone. Kyphoplasty for vertebral fractures is a minimally invasive procedure we also offer and can be discussed during your evaluation.
Interventional Techniques
Interventional procedures let us deliver treatment directly to the source of your pain instead of relying on medications that affect your whole body. We perform a range of targeted injections and minimally invasive procedures to provide meaningful relief:
- Epidural steroid injections
- Facet ablation and rhizotomy
- Trigger point injections
- Peripheral nerve blocks
- Sacroiliac joint injections
Targeted Drug Delivery
Targeted drug delivery (TDD) is a treatment approach that delivers medication directly to the affected area while limiting exposure to surrounding tissues. For patients experiencing severe or chronic pain, implantable drug delivery systems can provide medication precisely where it is needed most.
These pumps deliver a fraction of the oral dose, often leading to fewer side effects and stronger relief at the site of pain. Targeted approaches like these can significantly improve the quality of life for people living with persistent pain conditions.
FAQ: Common Questions About Mixed Pain Treatments
How Do You Select the Right Treatment?
We start with a detailed evaluation of your pain history, imaging results, and how your symptoms affect daily life. From there, we match treatments to the specific mix of nerve and tissue pain driving your condition.
How Do Physical and Psychological Therapy Support Mixed Pain Treatment?
At Pain & Spine Physicians, physical and psychological therapy work alongside our interventional treatments to address both the body and behavioral responses to chronic pain.
We work closely with physical therapists and pain psychologists who use movement-based rehabilitation, cognitive behavioral therapy, and stress-management techniques to help you restore function and regain control of your daily life.
Contact Pain & Spine Physicians in the DFW Metroplex Today
Pain & Spine Physicians is committed to helping you find lasting relief through a personalized, evidence-based treatment plan built around your specific condition.
Contact our practice at 972-350-0225 or use our online form to schedule an appointment and take the first step toward a more comfortable, functional life.