
Epidural Steroid Injection: Procedure and Details
Epidural steroid injection is a procedure used to help address certain types of back and neck pain by delivering medication close to the spinal nerves. This approach is designed to
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If you are experiencing symptoms such as numbness, tingling, burning sensations, or weakness, a consultation can help determine the underlying cause. Dr. Silky Patel is a double board-certified pain management physician in Houston who evaluates nerve-related symptoms as part of a comprehensive approach to pain management.
Peripheral neuropathy refers to symptoms that may be related to nerves outside the brain and spinal cord. These symptoms can affect the arms, legs, or other areas and may vary depending on the underlying cause.
Dr. Patel performs a thorough evaluation, which may include a physical exam and review of medical history and testing, to better understand the source of symptoms. Based on the findings, she discusses appropriate options that may help reduce pain and improve function.
If you are experiencing ongoing nerve-related symptoms that affect your daily activities, scheduling a consultation can help you better understand your condition and explore appropriate care options based on your evaluation.
Dr. Silky Patel begins with a detailed evaluation to help identify the source of nerve-related symptoms. This may include reviewing medical history, symptoms, and diagnostic testing to better understand the area involved.
Based on the evaluation and diagnosis, a personalized care plan may be discussed. This may include non-surgical and interventional options designed to help reduce pain and improve function in certain patients.
Options that may be considered include:
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Dr. Silky Patel is a double board-certified pain management physician in Houston, TX with over 15 years of experience in interventional spine and musculoskeletal care. She focuses on evaluating conditions such as facet arthrosis, sacroiliac (SI) joint dysfunction, and degenerative disc changes, and offers personalized, non-surgical options designed to help reduce pain and improve function. Based on your evaluation and diagnosis, a range of interventional and non-surgical options may be considered, including:
Living with chronic pain can affect every part of your life. Our team offers personalized, evidence-based care designed to help reduce pain and improve function based on your individual evaluation.
PRP (Platelet-Rich Plasma) injections are offered as part of regenerative medicine options and are designed to support the body’s natural healing response and may help reduce pain and inflammation in certain patients.
This type of injection places numbing medicine at the nerves of the neck and back arthritic joints. For example, facet arthropathy, spondylosis, or spine arthritis, can occur in the neck or low back. After a test block, known as a medial branch block, proves effective, Radiofrequency Ablation can be performed.
Having enough experience in practicing non-surgical procedures, Dr. Patel has remarkable expertise in joint injections. Joint injections may be considered as an option to help reduce pain and inflammation in certain patients based on their evaluation and diagnosis.
Whether you are suffering from muscle pains or if you want to get relief from stiff or stressed muscles, Trigger point injections may be used as an option to help reduce muscle-related pain in certain patients. Trigger point injections can be very helpful in soothing Myalgia (muscle knots, aches, inflammation or pain) in your back and neck.
Dr. Silky Patel may recommend Electromyography EMG and nerve conduction studies (NCS) are used to evaluate nerve and muscle function as part of the diagnostic process. Nerve or muscle diseases such as a pinched spinal nerve, peripheral neuropathy, myositis, and carpal tunnel syndrome can be easily identified by performing EMG/NCS tests.
Botox injections may be considered for certain conditions such as muscle-related pain or spasms based on clinical evaluation. Botox injections may also be considered as part of a management plan for certain patients based on evaluation.
The Vertiflex procedure may be considered for certain patients with lumbar spinal stenosis based on evaluation and diagnosis. This minimally invasive procedure involves placing an implant in the spine to help relieve pressure associated with certain positions such as standing or walking.
The MILD procedure may be considered for certain patients with lumbar spinal stenosis who experience difficulty with standing or walking, and may help reduce pain and improve function. Dr. Patel takes proper care of patients while practicing this safe outpatient “Minimally Invasive Lumbar decompression” MILD procedure.
The SI joint is where the spinal column meets the pelvis, and this joint can become inflamed, causing SI joint pain. SI joint pain can feel like low back pain and can sometimes track down the leg. SI joint pain is caused by arthritis, and can also be felt during and after pregnancy. Dr Patel can inject your SI joint to help decrease your pain.
Kyphoplasty/vertebroplasty procedures help by putting a type of 'cement' in a broken vertebrae. Vertebrae can be diagnosed with compression fractures caused by osteoporosis or falls. Without this treatment, compression fractures can be very painful and cause your spine to shorten.

Epidural steroid injection is a procedure used to help address certain types of back and neck pain by delivering medication close to the spinal nerves. This approach is designed to

Spinal cord pain can be a persistent challenge that affects many aspects of daily life, making it difficult to perform routine activities or find comfortable relief. When traditional treatments fall

PRP injections have gained attention among patients in Houston and nearby communities as a potential option for managing musculoskeletal discomfort and supporting joint or soft tissue function. Many people curious
Neuropathy refers to symptoms that may occur when nerves are not functioning normally. These symptoms can include numbness, tingling, burning sensations, weakness, or discomfort. Neuropathy may affect the hands, feet, or other areas depending on the nerves involved. Dr. Gunjan Silky Patel performs a detailed evaluation to determine the possible source of nerve-related symptoms.
Common symptoms may include tingling, numbness, burning sensations, sensitivity to touch, or weakness. Some patients may also notice changes in balance or coordination. Symptoms can vary depending on the individual and the nerves involved. Dr. Silky Patel evaluates symptom patterns and severity as part of the diagnostic process.
Neuropathy symptoms may be associated with a variety of factors, including metabolic conditions, nutritional issues, injuries, or spine-related concerns. In some cases, nerve-related symptoms may be linked to compression or irritation of nerves. A thorough evaluation is important to determine the underlying cause.
You may consider seeking evaluation if symptoms such as numbness, tingling, or weakness persist or begin to interfere with daily activities. Early evaluation can help determine the cause and guide appropriate next steps based on your condition.
The course of neuropathy symptoms can vary depending on the underlying cause. Some patients may notice changes in symptoms over time, while others may require ongoing management. Dr. Silky Patel focuses on evaluation and discussing options that may help reduce pain and improve function in certain patients.
Options may include non-surgical and interventional approaches such as image-guided procedures, medications for symptom management, and other therapies based on the patient’s condition. These options may be considered as part of a plan to help reduce pain and improve function.
In some cases, nerve-related symptoms may be associated with spine conditions that affect nerve pathways. A detailed evaluation can help determine whether symptoms are related to the spine or peripheral nerves.
Managing underlying health factors, maintaining activity levels, and seeking early evaluation when symptoms begin may help with ongoing symptom management. Dr. Silky Patel provides individualized recommendations based on each patient’s condition.