Back & Sciatica Pain Treatment in Dallas–Fort Worth
(Frisco • Allen • North Dallas)
Serving patients from Frisco, Allen, North Dallas, Mesquite & Arlington—minutes from Plano, McKinney, and Richardson.
Overview
Eight in ten adults battle low-back pain, and as many as 40 % develop true sciatica—a sharp, electric pain that shoots down the leg when a disc bulge or spinal stenosis pinches the sciatic nerve. While many flare-ups ease within weeks, roughly one in five becomes chronic and activity-limiting. Untreated inflammation can spread from a single disc to surrounding facet joints, ligaments, and muscles, entrenching pain pathways.
Common Symptoms
Deep, aching lumbar soreness
Sharp or burning pain that radiates into the buttock, thigh, calf, or foot
Tingling, “pins-and-needles,” or leg weakness
Pain that worsens when sitting, bending, coughing, or sneezing
Common Causes of Sciatica
Sciatica isn’t one-size-fits-all. Most flare-ups start with one of these trouble spots:
Herniated (bulging) lumbar disc
soft disc material slips out and presses on a nerve root.
Spinal stenosis
arthritis and thickened ligaments tighten the spinal canal, crowding several nerves at once.
Degenerative spondylolisthesis
an arthritic joint lets one vertebra slide forward, pinching the nerves behind it.
Piriformis syndrome
an over-tight buttock muscle traps the sciatic nerve as it passes into the leg.
How We Diagnose
1
Targeted neuro exam:
reflex, strength, and sensation checks tell us which nerve root is irritated.
2
On-site MRI or ultrasound:
high-resolution imaging shows discs, joints, and soft tissues in real time.
3
Image-guided diagnostic block:
a tiny dose of anesthetic placed on one suspect nerve confirms (or rules out) the pain generator in minutes.
Biologic vs Traditional Treatments
Biological Care
What is it
Platelet-Rich Plasma (PRP) or your own stem-cell matrix, delivered with live X-ray or ultrasound guidance.
How it works
Uses your body’s growth factors and cells to calm inflammation and support tissue repair.
Pain-relief curve
Gradual, steady improvement—most feel better in 4–6 weeks, gains often last a year or more.
Pros
Non-surgical, drug-free, extremely low rejection risk, targets root cause.
Cons
Out-of-pocket, requires brief activity modifications post-injection.
Traditional Care
What is it
Epidural steroid shots, pain pills or spine surgery.
How it works
Temporarily masks inflammation or removes tissue to relieve pressure.
Pain-relief curve
Quick relief (days to weeks) but often wears off or requires repeat procedures.
Pros
Widely covered by insurance, rapid short-term relief, clear role for urgent nerve damage.
Cons
Potential steroid side-effects, hardware or fusion risks, longer recovery if surgery.
Why Back Pain Persists
A small tear in a disc’s outer ring lets inflammatory proteins bathe nearby nerves. Disc height loss then overloads the facet joints; thickening of the ligamentum flavum narrows the canal; core-muscle shutdown steals spinal stability. Without intervention, this cascade fuels a vicious cycle of stiffness, muscle spasm, and recurrent nerve irritation.
Our Biologic Solution
Platelet-Rich Plasma (PRP)
High-platelet PRP injected under real-time X-ray or ultrasound releases growth factors that calm nerve inflammation, seal annular tears, and re-energise local stem cells.
Stem-Cell Matrix
Autologous mesenchymal stem cells (MSCs) seeded into the disc nucleus can rehydrate tissue, lower Modic-type bone-marrow edema, and improve disc biomechanics.
Precision Guidance
Every injection is image-guided—never “blind”—to millimetre accuracy and maximal safety.
Six-Month Regeneration Program
Three biologic sessions (PRP ×2, MSC ×1) combined with Class IV laser, core-stability physiotherapy, nutrition coaching, and quarterly imaging for a truly comprehensive, non-surgical reset.
Meet Our Care Team
Scott Farley, DO
Board-Certified Orthopedic Spine Surgeon
- Specializes in cervical, thoracic, and lumbar spine surgery
- Fellowship-trained in spinal reconstruction surgery
- Board Certified by the American Osteopathic Board of Orthopedic Surgeons
- Published researcher in Spine and national conference presenter (NASS, SRS)
Arash Bidgoli, DO
Board-Certified Pain Management & Rehabilitation Specialist
- Fellowship-trained in interventional spine & pain management
- Board Certified in Physical Medicine and Rehabilitation
- Expertise in musculoskeletal pain, neuromuscular disorders, and electrodiagnostics
- Member of AAPMR, AAP, and American Osteopathic Association
George Farley, MD
Board-Certified Radiologist & Neuroradiologist
- Board Certified in Radiology with CAQs in Interventional Radiology and Neuroradiology
- Fellowship-trained in both interventional radiology and neuroradiology
- Former Chief Resident at University of Nebraska Medical Center
- Member of ACR, RSNA, SIR, and International Spine Intervention Society
Self-Care & Rehab Essentials
- Daily movement: two brisk 10-minute walks
- McGill “Big Three” core routine: bird-dog, side plank, modified curl-up
- Ergonomics: lumbar support when driving; standing-desk breaks every 30 min
- Sleep: medium-firm mattress; pillow between knees if side-sleeper
What can I do at home to manage my back pain?
Stay active
Take two brisk 10-minute walks daily.
Focus on your core
Incorporate McGill’s “Big Three” core exercises, including bird-dog, side plank, and modified curl-up.
Improve ergonomics
Use lumbar support while driving, and take standing-desk breaks every 30 minutes.
Get good sleep
Sleep on a medium-firm mattress, and place a pillow between your knees if you’re a side-sleeper.
Looking for back-pain PRP & stem-cell care in your neighbourhood? Visit our Frisco clinic or book at our Allen and North Dallas locations.
What Our Patients Are Saying
John D.
“I had been dealing with chronic back pain for years, and PRP therapy at NTX Regen Center was a game-changer. After just a few sessions, my pain has decreased significantly, and I’m back to playing golf without any discomfort!”
Tina W.
“After suffering from sciatica for months, I finally found relief with stem-cell therapy at NTX Regen Center. The pain that radiated down my leg has reduced dramatically, and I can walk and exercise again without constant pain.”
Mark H.
“I thought surgery was my only option for my back pain, but PRP therapy helped me avoid that. I feel stronger, more mobile, and I’m able to stay active—something I haven’t been able to do in years!”
Our Dallas–Fort Worth Locations
Frequently Asked Questions
Sciatica usually starts when a lumbar disc bulge, inflamed facet joint or tight piriformis muscle presses on the L4-S1 nerve roots, triggering sharp leg pain, numbness or tingling.
Image-guided PRP may calm inflammation around bulging discs or arthritic joints, reducing nerve irritation; many patients report less leg pain within several weeks as tissues heal.
Using live fluoroscopy or ultrasound, clinicians place the needle precisely and under sterile conditions; most people feel only brief pressure and head home the same day.
Improvements often persist six-to-twelve months—and sometimes longer—when combined with stretching, core strengthening and posture training.
Because PRP uses your own blood and targets repair rather than temporary inflammation control, it offers a biologic option that may delay repeated steroids or surgical intervention.
Light desk duties usually resume within one-to-two days; physically demanding jobs may require a brief modified schedule until soreness subsides.
