Advanced Pain Management

Experience Advanced Pain Treatment Procedures in Sugar Land with Dr. Junaid Kamal, M.D. at 21st Century Pain Management for effective, personalized care.

Why choose advanced pain management in Sugar Land?

Not all pain is the same. Some conditions respond well to medication or physical therapy; others require precise interventional procedures that target nerves, joints, or inflamed tissues. Our goal is to provide individualized care plans that emphasize minimally invasive procedures when possible, faster recovery, and long-term improvement. If you’re searching for advanced pain Treatment Procedures in Sugar Land, you’ll find comprehensive evaluation, modern imaging (fluoroscopy/ultrasound), and a full range of interventions at our clinic.

How we evaluate pain

Effective treatment begins with an accurate diagnosis. Your visit includes a detailed medical history, focused physical exam, and targeted imaging when indicated (MRI, CT, or X-ray). Diagnostic injections may be used to confirm the pain source before a therapeutic procedure is recommended. For Richmond and Sugar Land patients, our physician-led team provides a clear plan and answers to all your questions.

Discover relief with Advanced Pain Treatment Procedures in Sugar Land by Dr. Junaid Kamal, M.D. at 21st Century Pain Management — book your consultation today!

Key pain treatment procedures we provide

Below are the main procedures we perform at our Sugar Land location. Each procedure is offered with image guidance (fluoroscopy or ultrasound) whenever appropriate to improve accuracy and safety.

Epidural Steroid Injection

Epidural steroid injections deliver anti-inflammatory medication into the epidural space to reduce nerve root inflammation and radicular pain (sciatica). This can produce rapid pain relief and allow patients to participate more fully in rehabilitation.

Transforaminal (Epidural) Steroid Injection

The transforaminal approach places medication precisely at the affected nerve root using fluoroscopic guidance. It is particularly effective for unilateral radicular symptoms caused by a herniated disc or foraminal stenosis.

Facet Joint Injection / Medial Branch Nerve Block

Facet joint injections and medial branch nerve blocks help identify and treat pain originating from the small joints of the spine. These injections can be both diagnostic and therapeutic; when pain relief is confirmed, radiofrequency lesioning may be recommended for longer-lasting benefit.

Occipital Nerve Block

Occipital nerve blocks target the nerves at the base of the skull and can provide relief for headache disorders, including occipital neuralgia and some migraine variants.

Intercostal Nerve Block

Intercostal nerve blocks are used for pain originating from the chest wall, such as post-thoracic surgery pain or intercostal neuralgia. Ultrasound guidance improves safety and accuracy for these injections.

Radiofrequency Lesioning (Radiofrequency Ablation)

Radiofrequency lesioning uses heat to interrupt pain signals carried by small sensory nerves. Commonly used for facet-mediated back pain and sacroiliac joint pain, this procedure can provide many months of relief for properly selected patients.

Sacroiliac Joint Injection

The sacroiliac joint is a frequent source of lower back and buttock pain. Image-guided injections can both diagnose and treat SI joint dysfunction.

Lumbar Sympathetic Block

Lumbar sympathetic blocks target the autonomic nervous supply to the lower extremity and can help with vascular or neuropathic pain syndromes such as complex regional pain syndrome (CRPS).

Stellate Ganglion Block

Stellate ganglion blocks are used for upper extremity CRPS, refractory facial/neck pain, and some vascular pain conditions. The block interrupts sympathetic supply and can improve pain and blood flow.

Trigger Point Injection

Trigger point injections deliver local anesthetic ± steroid into tight, painful muscle knots to relieve localized myofascial pain and facilitate physical therapy.

Celiac Plexus Block

Celiac plexus blocks are an important tool for managing severe abdominal and cancer-related visceral pain (for example, pancreatic cancer pain). These blocks can markedly improve comfort and quality of life.

Joint injections (Knee, Hip, Shoulder)

Intra-articular injections—using corticosteroids, hyaluronic acid, or other regenerative products—can reduce inflammation, restore function, and delay the need for surgery in many patients.

Joint nerve blocks (Genicular block)

Genicular nerve blocks target the sensory nerves supplying the knee joint. If diagnostic blocks reduce pain, radiofrequency ablation of genicular nerves may provide sustained relief for knee osteoarthritis.

Ultrasound-Guided Injections

Ultrasound guidance allows real-time visualization of soft tissue structures and needle placement. We use ultrasound routinely for peripheral nerve blocks, joint injections, and musculoskeletal procedures.

Vertebroplasty

Vertebroplasty stabilizes painful vertebral compression fractures by injecting medical-grade cement into the fractured vertebra. This minimally invasive procedure can reduce pain and improve mobility.

Implanted Devices — Spinal Cord Stimulation

Spinal cord stimulation (SCS) involves a trial period followed by permanent implantation for patients with refractory neuropathic pain or failed-back surgery syndrome. SCS can transform life for appropriate candidates.

Peripheral Nerve Block

Peripheral nerve blocks provide targeted pain control for limb pain and are commonly used for acute injuries, post-operative pain, and chronic neuropathic conditions.

Peripheral Nerve Stimulation

Peripheral nerve stimulation (PNS) delivers electrical impulses to specific peripheral nerves to modulate pain signals. It can be an excellent option for localized neuropathic pain conditions.

Take the first step toward a pain-free life — schedule your visit with Dr. Junaid Kamal, M.D. at 21st Century Pain Management, offering Advanced Pain Treatment Procedures in Sugar Land.

How we choose the right procedure for you

Choosing the optimal procedure depends on the source and severity of pain, prior treatments, imaging findings, and your personal goals. Our process typically includes:

1. Comprehensive evaluation and history
2. Diagnostic imaging and targeted nerve or joint blocks when needed
3. Shared decision-making about risks, benefits, and expected outcomes
4. Procedure performed with image guidance (fluoroscopy or ultrasound)
5. Follow-up and integration with physical therapy, medication management, or regenerative therapies (PRP).

Safety and comfort during procedures

All procedures are performed by experienced clinicians in a controlled, sterile environment. We use conscious sedation or local anesthesia when appropriate, continuous monitoring, and ultrasound/fluoroscopic guidance to minimize risks. Learn more about our approach on the Spinal Pain and PRP treatment pages.

Regain your mobility and comfort through Advanced Pain Treatment Procedures in Sugar Land — contact 21st Century Pain Management and meet Dr. Junaid Kamal, M.D. today.

Regenerative and multimodal options

In addition to injections and implantable devices, we offer regenerative options such as PRP (Platelet-Rich Plasma) and coordinate comprehensive care including physical therapy, behavioral health, and medication optimization. These multimodal strategies improve outcomes and reduce reliance on long-term opioids whenever possible.

Who is a good candidate?

Good candidates for interventional procedures are patients who have persistent pain that limits function despite conservative measures (exercise, medication, physical therapy), and those who show imaging or exam findings consistent with a treatable pain generator. Our team will review your medical history and advise the most appropriate next steps.

Meet your care team

Our lead physician, Dr. Junaid Kamal, M.D., DABA, DABPM, brings board certifications and fellowship training in interventional pain management to the Sugar Land region. Learn more about Dr. Kamal’s background and experience.

Locations & contact

We serve patients throughout Sugar Land and the surrounding Houston area from convenient clinics:

• Sugar Land: 6534 Greatwood Pkwy Unit A, Sugar Land, TX 77479
• Pearland: 2404 Smith Ranch Rd Suite #200, Pearland, TX 77584

To book an appointment, visit our appointment page or call 832-614-9845. Follow our latest updates on Facebook and Instagram.

Ready to live without limits? Choose 21st Century Pain Management for Advanced Pain Treatment Procedures in Sugar Land under the expert care of Dr. Junaid Kamal, M.D. — call now!

Frequently asked questions

Is the procedure painful?

Most procedures are performed with local anesthesia and some with conscious sedation; discomfort is minimized and brief. You’ll receive detailed pre-procedure instructions.

How long does recovery take?

Recovery varies by procedure—from same-day return to activity after a simple injection, to several days for minor soreness after vertebroplasty or device implantation follow-up during the trial period for spinal cord stimulation.

Are these treatments covered by insurance?

Many interventional procedures are covered by major insurance plans; our staff will verify your benefits and discuss potential costs before scheduling.

Evidence-based care and patient outcomes

Interventional pain procedures have a strong evidence base for selected conditions—epidural steroid injections for radicular pain, radiofrequency ablation for facetogenic pain, and spinal cord stimulation for refractory neuropathic pain are examples. We practice using current guidelines and tailor treatment to the patient’s clinical picture.

White-hat approach to care

We follow a white-hat philosophy: transparent communication, evidence-first recommendations, conservative escalation of care, and prioritizing patient safety. Our focus is long-term function and quality of life—not quick fixes.

Patient story (anonymized)

“After months of sciatica that limited my work, a targeted transforaminal epidural steroid injection combined with a structured PT plan gave me dramatic relief. I returned to gardening and daily walks without pain.” — a Richmond area patient

Learn more & related resources

For additional reading about pain procedures and safety, see resources from the American Society of Regional Anesthesia & Pain Medicine and the U.S. Food & Drug Administration (FDA).

Discover relief with Advanced Pain Treatment Procedures in Sugar Land by Dr. Junaid Kamal, M.D. at 21st Century Pain Management — book your consultation today!

Take the next step

If you are searching for advanced pain Treatment Procedures in Sugar Land, our team at 21st Century Pain Management is ready to help. Book a consultation online at Schedule an Appointment or call 832-614-9845 today.