Dr. Paul Kurian Archives - Principal Spine

Trigeminal neuralgia and other causes of facial nerve pain, including TMJ, post-herpetic neuralgia, and atypical facial pain, and the interventional treatments that relieve them.

10 Aug Trigeminal Neuralgia vs. Other Facial Pain: How Are They Different?

Posted at 22:34h in Nerve Pain

Finding lasting relief from facial pain begins with an accurate diagnosis, as different facial nerve conditions require vastly different care strategies. For many patients across North Texas, facial discomfort can be uniquely terrifying and debilitating, often making simple daily activities like eating, speaking, or washing...

Post-Herpetic Neuralgia causing burning nerve pain and skin sensitivity after shingles, and the non-surgical interventional treatments used to relieve it.

07 Aug Shingles Rash Is Gone but the Pain Remains: What Can Help Persistent Nerve Pain?

Posted at 22:23h in Nerve Pain

For many people who contract shingles, the most distressing part is supposed to end once the blistering rash clears up. However, if you are experiencing severe burning, shooting pain, or extreme skin sensitivity long after your skin has healed, you are not alone. This persistent discomfort...

Failed Back Surgery Syndrome causing persistent back or leg pain after spinal surgery, including scar tissue, recurrent disc herniation, and non-surgical treatment options.

05 Aug Pain After Back Surgery? Understanding Failed Back Surgery and Treatment Options

Posted at 22:15h in Back Pain, Nerve Pain, Spine Pain

Undergoing spinal surgery is a major decision made with the expectation of lasting relief and restored mobility. When surgery fails to relieve your symptoms, or even introduces new discomfort, it can leave you feeling frustrated, anxious, and uncertain about your future. If you are dealing with...

Signs of a compressed nerve, including tingling, burning, and weakness from a pinched spinal nerve or peripheral nerve entrapment, and non-surgical treatment options.

03 Aug Pinched Nerve or Nerve Entrapment? Signs of a Compressed Nerve

Posted at 22:07h in Back Pain, Nerve Pain, Spine Pain

When you experience tingling, burning, or sudden weakness in your arms, legs, hands, or feet, your body is sending a clear message: a nerve is under stress. These sensations are often caused by a compressed nerve, but understanding where and how the nerve is trapped...

Numbness and tingling in the hands and feet caused by pinched nerves, radiculopathy, peripheral neuropathy, and nerve entrapment, and when to see a pain specialist.

15 Jul Why Your Hands or Feet Feel Numb: Common Causes and When to See a Pain Specialist

Posted at 15:44h in Back Pain, Nerve Pain

Waking up with a temporary "pins and needles" sensation because you slept on your arm is one thing, but experiencing persistent, unexplained numbness in your hands or feet is entirely different. Ongoing numbness is rarely a simple muscle issue; it is a clear signal from...

Burning leg pain caused by nerve irritation or compression in the lower spine, including sciatica, spinal stenosis, and peripheral neuropathy, and non-surgical treatment options.

08 Jul What Causes Burning Pain in the Legs? Common Causes and Treatment Options

Posted at 15:37h in Leg Pain, Nerve Pain

A persistent burning sensation in your legs is often a sign of underlying nerve irritation or compression rather than a simple muscle strain. Finding lasting relief starts with an accurate diagnosis to identify the true source of your discomfort, whether it originates in your lower...

Serious back pain warning signs, including leg weakness, numbness, and nerve compression symptoms that require prompt evaluation by a spine specialist.

06 Jul When Is Back Pain Serious? Warning Signs You Should Never Ignore

Posted at 15:26h in Back Pain

When you experience back pain, it can be difficult to tell the difference between a minor muscle strain that will resolve on its own and a serious spinal condition that requires immediate medical intervention. For many patients in North Texas, pain is a daily reality,...

Common causes of morning back pain and stiffness, including spinal stenosis, degenerative disc disease, and facet joint arthritis, and when to see a pain specialist.

01 Jul Why Does My Back Hurt More in the Morning? Common Causes and When to Seek Help

Posted at 15:08h in Back Pain

Wake up and feel like your back is locked in place? You are not alone. Waking up with lower back stiffness, minor aches, or sharp pain is an incredibly common experience that can make starting your morning feel like an uphill battle. For many people in...

Peripheral Neuropathy Pain Management Treatment in Carrollton and Denton, Texas

23 Jun Peripheral Neuropathy Treatment Options: What to Do When Medication Is Not Enough

Posted at 19:43h in Chronic Conditions, Nerve Block, Pain Management, Patient Education, Platelet-Rich Plasma (PRP) Therapy, Spinal Cord Stimulators

For many patients living with peripheral neuropathy, the treatment conversation starts and ends with medication. Gabapentin. Pregabalin. Duloxetine. Perhaps a topical cream or a vitamin supplement. The medications may take the edge off, but for a significant number of patients, they do not provide adequate...

Cortisone Injection Pain Management Treatment in Carrollton and Denton, Texas

18 May My Cortisone Shot Wore Off. What Are My Options for Longer-Lasting Back Pain Relief in Carrollton?

Posted at 19:37h in Back Pain, Epidural Steroid Injections, Pain Management, Patient Education, Spinal Cord Stimulators, Spinal Stenosis

It is a pattern that pain specialists hear regularly. A patient receives a cortisone shot, experiences meaningful relief for four to six weeks, and then feels the pain gradually creep back to where it was before. Or worse, they feel good for a few months...

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