Back Pain & Sciatica Treatment in Dallas–Fort Worth
Find out what is actually causing your back pain — then treat it with targeted, minimally invasive care designed to get you moving again without surgery or long-term opioids.
Double board-certified pain physicians in Lewisville, serving patients from Dallas, Fort Worth and across North Texas. Same-week new patient appointments.
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25+
Years Combined Experience
6×
7x Best of Denton County Winner
2×
Board-Certified Physicians
Back Pain Is Common. Living With It Shouldn’t Be.
Most people will have back pain at some point, and most episodes improve within a few weeks. But when pain lingers for months, keeps coming back, or starts radiating down your leg, it is time to see a specialist. Chronic back pain is rarely “just a sore back” — it usually has a specific, identifiable source, and identifying that source is the key to treating it. Why seeing a specialist matters.
Common Causes We Diagnose and Treat
- Herniated and bulging discs — disc material presses on a nerve root, often causing sciatica. Herniated vs. bulging discs.
- Facet joint arthritis — wear in the small joints of the spine, causing aching low back pain that is often worse in the morning or when leaning back.
- Spinal stenosis — narrowing of the spinal canal that causes leg pain and heaviness when standing or walking, eased by sitting or leaning forward. Understanding spinal stenosis.
- Degenerative disc disease — age-related disc changes that cause chronic low back pain.
- Sacroiliac (SI) joint dysfunction — pain at the base of the spine and buttock, often mistaken for disc pain.
- Vertebral compression fractures — often related to osteoporosis. Treatment options.
- Failed back surgery syndrome — persistent pain after spine surgery.
What Sciatica Really Is
Sciatica is not a diagnosis on its own — it is a symptom. It describes pain that travels from the low back through the buttock and down the leg, sometimes with numbness, tingling or weakness, because a nerve root in the lower spine is compressed or inflamed. The most common causes are a herniated disc and spinal stenosis. The good news: most sciatica can be treated without surgery. Non-surgical sciatica treatments that work.
How We Find the Source of Your Pain
Your first visit includes a detailed history, a focused physical exam, and a review of any X-rays, MRIs or CT scans you bring (or that we order). Because imaging and symptoms do not always line up, we may use a diagnostic injection to confirm which structure is causing your pain before recommending longer-term treatment. That step avoids guesswork and keeps you from undergoing procedures that are unlikely to help.
Non-Surgical Treatment Options
- Epidural steroid injections — calm inflamed nerve roots for sciatica, herniated discs and stenosis.
- Nerve blocks — including medial branch blocks and selective nerve root blocks, to diagnose and relieve pain.
- Radiofrequency ablation — longer-lasting relief for arthritic facet and SI joint pain.
- SI joint injections and minimally invasive SI joint fusion — for confirmed sacroiliac joint pain.
- MILD and Vertiflex — minimally invasive decompression procedures for lumbar spinal stenosis, done through a tiny incision. About MILD.
- Vertebroplasty and kyphoplasty — stabilize painful compression fractures.
- Spinal cord stimulation — for chronic back and leg pain, including pain that continues after surgery.
- Physical therapy coordination and medication management — opioid-sparing, as part of a complete plan.
Related Treatments & Conditions
When to See a Back Pain Specialist
- Pain has lasted longer than six weeks or keeps returning
- Pain radiates into your buttock, leg or foot
- You have numbness, tingling or weakness in a leg
- Pain wakes you up at night or limits walking, standing or sitting
- Medication and physical therapy have not helped enough
- You have been told surgery is your only option and want a second opinion
Go to an emergency room if back pain comes with loss of bladder or bowel control, numbness in the groin area, or rapidly worsening leg weakness.
Your First Visit
- Arrive 30 minutes early, or 15 minutes if you completed new patient forms ahead of time.
- Bring your photo ID, insurance card, medication list and any imaging on CD.
- Expect a thorough evaluation and a clear explanation of what is causing your pain.
- Any recommended procedures are scheduled for a follow-up visit.
- We do not prescribe opioid medication at the first visit.
Meet Our Pain Management Specialists
Dr. John Broadnax
Double board-certified in Anesthesiology and Interventional Pain Management. Former “Chicago’s Top Docs” nominee. Board of Directors, Illinois Society of Interventional Pain Physicians. Now proudly serving the Dallas-Fort Worth community.
Dr. Eric Anderson
Double board-certified in Anesthesiology and Interventional Pain Management with over two decades of experience. Dr. Anderson’s mission: world-class pain care in an encouraging, educational environment where patients feel empowered to take control of their health.
Our care team also includes Riley Bingham, PA-C (UT Southwestern trained) and Megan Bridges, NP — ensuring comprehensive, attentive care at every visit.
Frequently Asked Questions About Back Pain & Sciatica Treatment
Yes. Most sciatica improves with non-surgical care such as targeted physical therapy, epidural steroid injections and selective nerve root blocks. Surgery is usually reserved for severe or progressive nerve weakness, or pain that does not respond to other treatments.
For most chronic back pain without severe neurological symptoms, starting with an interventional pain specialist makes sense. We can pinpoint the source of the pain and offer non-surgical treatment. If surgery is truly the best option, we will tell you and help coordinate a surgical referral.
No. If you have recent imaging, please bring it. If not, your physician will decide whether an MRI or X-ray is needed after examining you.
We accept Medicare and most major plans, including Aetna, Blue Cross Blue Shield, Cigna, UnitedHealthcare and DFW Connected Care. Our team will verify your benefits before your visit. Call (972) 866-4246 or submit a benefit verification request.
Many patients self-refer. Some HMO plans require a referral from your primary care physician, and our team will check that for you. Call (972) 866-4246 to get started.
Our office is inside Medical City of Lewisville Hospital at 500 W Main St, Suite 230. It is about 25–30 minutes from downtown Dallas via I-35E North and about 25–30 minutes from Colleyville via SH 121 North. Free on-site parking is available.
Serving Patients Across Dallas–Fort Worth
Back pain is the most common reason patients from across DFW find us. Here is how long the drive to our Lewisville office takes from nearby communities.
Advanced Pain Institute of Texas is located at 500 West Main St, Suite 230, Lewisville, TX 75057, inside Medical City of Lewisville Hospital, with free on-site parking.
| From | Approx. drive | Typical route |
|---|---|---|
| Dallas | 25–30 min | I-35E North |
| Colleyville | 25–30 min | SH 121 North to I-35E North |
| Fort Worth | 40–50 min | SH 114 East / SH 121 to I-35E North |
| Plano | 30–35 min | SH 121 (Sam Rayburn Tollway) West to I-35E South |
| Frisco | 25–30 min | SH 121 (Sam Rayburn Tollway) West to I-35E South |
| Carrollton | 15–20 min | I-35E North |
| Flower Mound | 10–15 min | FM 1171 East (becomes Main St) |
| McKinney | 35–45 min | US 380 West and SH 121 to I-35E South |
Drive times are approximate and vary with traffic.
Contact Us
Phone: (972) 866-4246
Fax: (972) 866-4249
Email: contact@apitexas.com
Request an Appointment
Ready to take the first step toward lasting pain relief? Fill out the form below or call us directly at (972) 866-4246. Our team will contact you within one business day to schedule your consultation.