Medical office of Dr. Deborah Holubec, Dr. Jerry Holubec, & Dr. Wesley Merritt

1111 Raintree Circle. Suite 170. Allen, TX 75013

Phone 214.509.9691

Fax 214.509.0947

What We Do

Evaluation

A thorough, objective medical assessment is made to determine the cause of pain. The assessment contains a comprehensive medical evaluation and may include radiological imaging, physical therapist evaluation, psychological tests, nerve blocks, and pharmacological manipulations. The evaluation is intended to associate physical complaints with evident pathology and anatomic possibilities. The evaluation is also intended to elicit psychological factors that may be contributing to and aggravating the pain.

Treatment

Once the true causes of pain are identified, steps are taken to minimize the pain, and a goal-oriented therapy program is designed to increase the individual's independent functional capabilities. One of the most important goals is to eliminate drug dependencies. The patient is instilled with the responsibility of achieving his/her goals, and his/her progress is monitored closely.

Patients are normally evaluated and treated on an outpatient basis. Occasionally, safety reasons and other complexities are indicated that require brief inpatient stays.

Pain We Treat

Spinal Pain

  • Degenerative Disc Disease
  • Pain from Disc Herniation
  • Cervical, Thoracic, & Lumbar Facet Arthritis
  • Sacroiliac Join Pain
  • Post Lumbar Puncture Headache (Spinal Headache)

Neuropathic Pain

  • Causalgia
  • Reflex Sympathetic Dystrophy
  • Complex Regional Pain Syndrome
  • Diabetic Peripheral Neuropathy
  • Post Stroke Pain
  • Spinal Cord Injury Pain

Facial Pain

  • TMJ
  • Neuromas
  • Atypical Facial Pain

Headaches


Pelvic Pain


Other Types of Pain

  • Acute Herpes Zoster
  • Postherpetic Neuralgia
  • Pancreatitis
  • Post Surgical Pain
  • Cancer Pain
  • Coccydynia (Tailbone Pain)

Some of the Procedures We Perform

Nerve Blocks

  • Iilioinguinal & Iliohypogastric Nerves
  • Hypogastric Plexus
  • Occipital Nerve
  • Occipital Nerve Decompression
  • Stellate Ganglion
  • Thoracic Sympathetic Nerve
  • Lumbar Sympathetic Nerve
  • Saphenous Nerve
  • Axillary Nerve
  • Brachial Plexus
  • Radial Nerve
  • Ulnar Nerve
  • Median Nerve
  • Lateral Femoral Cutaneous Nerve
  • Selective Nerve Root
  • Splanchnic Nerve
  • Ganglion of Impar
  • Coccygeal
  • Medial Branch Nerve
  • Intercostal Nerves

Nerve Rhizotomies

  • Iilioinguinal & Iliohypogastric Nerves
  • Occipital Nerve
  • Coccygeal Nerve
  • Thoracic Sympathetic Nerve
  • Lumbar Sympathetic Nerve
  • Medial Branch Nerve (Cervical, Thoracic, Lumbar, Sacral)

Injections

  • Epidural Steroid
  • Facet
  • Trigger Point
  • Sacroiliac Joint
  • Epidural Phenol
  • Joint (Knee, Shoulder, Hip, Elbow, Sacroiliac)

Other Procedures

  • Placement of Epidural Catheters (Axillary, Cervical, Thoracic, Lumbar, Caudal)
  • Brevital Pain Studies
  • Spinal Cord Stimulators

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