Evaluation
Your history, a focused exam, and a review of the imaging you already have. Many patients leave the first visit with a plan, not a procedure.

Board-certified, fellowship-trained pain physicians
When back, neck, joint, or nerve pain will not let up, we start with the question that matters most: what is actually generating the pain — and what can be done about it. Five physicians, three offices, one standard of care.
Most major commercial plans, Medicare and workers' compensation accepted. New patients and physician referrals welcome.
Call (832) 916-2075 →New in 2026 Now welcoming Peter Vu, MD and Taylor Moore, DO — fellowship-trained pain physicians accepting new patients. Our Pearland office opens November 2026.
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Voted by Houston-area readers. Together with 850+ Google reviews, it is one more reason new patients and referring physicians choose Gulf Coast Pain & Spine.
Patients most often mention being listened to, clear explanations of what is causing their pain, and clean, on-time offices.
Board certified in anesthesiology or physical medicine & rehabilitation, with pain medicine fellowships at UMDNJ–Robert Wood Johnson, UTMB, Brigham and Women's, and Beth Israel Deaconess / Harvard Medical School.
Fax (832) 916-2480. Consult notes go back to you after the first visit. Refer a patient →
Most patients arrive with more than pain — imaging, prior injections, medications, work limits, poor sleep. The first job is to organize that history into a working diagnosis and a plan you understand.
Your history, a focused exam, and a review of the imaging you already have. Many patients leave the first visit with a plan, not a procedure.
When the diagnosis is uncertain, a short-acting diagnostic block tells us whether a disc, facet joint, nerve root, SI joint or peripheral nerve is the generator.
Injections, radiofrequency ablation, physical therapy, medications or an implanted device — matched to the diagnosis and judged against your own goals.

Warning signs that need an emergency room. How long an epidural usually lasts. Why a medial branch block is a test, not a treatment. What the evidence really shows for newer options. All reviewed by a physician.
Browse treatment guidesSpine, joint, nerve, post-surgical and chronic pain. We do not manage primary headache disorders such as migraine, but we do offer occipital nerve blocks and, on neurology referral, other headache-related procedures.
Pain with standing, bending, sitting or walking may point to a disc, facet joint, SI joint, stenosis or a compression fracture — each treated differently.
Explore lower back pain → Pain down the legNumbness, tingling, burning or electric pain usually starts with finding which nerve root is irritated.
Explore sciatica → Neck pain with arm symptomsShoulder-blade pain, hand numbness or arm pain calls for careful cervical spine and nerve evaluation.
Explore neck pain → Pain after spine surgeryPersistent symptoms after surgery need a fresh look at the imaging, the nerves and what has already been tried.
Explore pain after surgery → Shoulder, hip, knee or SI joint painJoint and pelvis pain each need different diagnostic questions before treatment is chosen.
Explore joint pain →Clear illustrations and plain-language guides explain how each procedure works, what a normal recovery looks like, and how long relief typically lasts.

Anti-inflammatory medication placed next to an irritated spinal nerve. Relief typically begins within a week and lasts weeks to months for nerve-related leg or arm pain.
Learn about epidurals →
Heat interrupts the small nerves that carry facet, SI joint or knee pain — after diagnostic blocks confirm the target. Relief often lasts 6–12 months and can be repeated.
Learn about RFA →
A trial first, always. If a week-long trial cuts your pain by half or more, a small implant can provide lasting relief for nerve pain after surgery, neuropathy or CRPS.
Learn about SCS →
Image-guided injections confirm and calm sacroiliac joint pain; radiofrequency ablation or minimally invasive fusion are options when injections stop lasting.
Learn about SI joint care →Every patient is seen by a physician who is board certified in anesthesiology or physical medicine & rehabilitation and completed a pain medicine fellowship. Profiles list training, board status, focus areas and languages.
Meet the physicians13009 Gulf Commerce Dr, Suite 200, Houston, TX 77034. Off I-45 South near Beltway 8. Free parking.
1015 W. Medical Center Blvd, Suite 2800, Webster, TX 77598. Convenient for Clear Lake, League City, Friendswood and the Bay Area. Free parking.
10907 Memorial Hermann Dr, Suite 370, Pearland, TX 77584. Pearland Medical Plaza 2, beside Memorial Hermann Pearland Hospital (we are an independent practice).
Call or request an appointment online. New patients are welcome; our team confirms insurance and referral requirements before scheduling.