Nikhil Iyer, MDPain & Wellness Clinic

The pain, explained

Straight answers about chronic pain

Plain-English guides written from the clinic — what conditions actually are, what treatments actually do, and how to make good decisions about your care.

Latest

Sciatica: Why It Happens and What Actually Helps

Most sciatica gets better without surgery — but the path matters. A Houston pain specialist explains what's happening to the nerve and which treatments have real evidence behind them.

2 min read

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TreatmentsInjections

Epidural Steroid Injections: What to Expect, Start to Finish

Nervous about your first epidural steroid injection? Here's exactly what happens before, during, and after — and how to judge whether it worked.

3 min

TreatmentsArthritis

Radiofrequency Ablation: 6–24 Months of Relief From Arthritis Pain

How a 30-minute outpatient procedure quiets the nerves carrying arthritis pain from your spine or knees — and how we know in advance whether it will work for you.

2 min

TreatmentsNerve pain

Spinal Cord Stimulation: The Therapy You Get to Test-Drive First

For nerve pain that has outlasted surgery and medication, spinal cord stimulation offers durable relief — and a one-week trial tells you whether it works before anything is implanted.

2 min

Back painGetting care

Chronic Low Back Pain: When 'Wait and See' Stops Being a Plan

Most back pain resolves on its own. Here's how to tell when yours won't — and what a pain specialist actually does differently.

2 min

Neck painNerve pain

Neck Pain and Pinched Nerves: Why Your Arm Hurts When the Problem Is Your Neck

Cervical radiculopathy can masquerade as shoulder, arm, or hand trouble. How to recognize it, what imaging really shows, and the treatment ladder that works.

2 min

Knee painArthritis

Knee Arthritis Pain Without Surgery: The Genicular Nerve Option

Not ready for a knee replacement — or still hurting after one? Genicular nerve blocks and radiofrequency ablation offer a proven middle path most patients have never heard of.

2 min

Nerve painNeuropathy

Burning Feet at Night? Peripheral Neuropathy Has Better Options Than It Used To

Painful neuropathy — diabetic and otherwise — was long treated with pills alone. Spinal cord stimulation changed that. Here's the current playbook.

2 min

Getting care

How to Choose a Pain Management Doctor (From a Pain Management Doctor)

Credentials, red flags, and the questions worth asking — an honest field guide to finding pain care that actually restores function.

2 min

Reading about pain won't fix it

But one appointment can start to. Book online — most new patients are seen within the week.

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