Orthopedics in Dallas — Spine & Joint Specialists Focused on Function

Not usually. We begin with a targeted history and exam to decide whether imaging would change care. When indicated, we coordinate MRI, CT, or X-ray through trusted independent centers. Many conditions improve with structured rehabilitation and activity adjustments alone. If red-flag symptoms appear, we expedite imaging and referrals. The goal is timely answers without unnecessary delays or tests. 

Most patients improve with conservative care: activity modification, bracing, medications when appropriate, and rehabilitation. Fluoroscopy-guided injections are considered for targeted pain generators if progress stalls. Surgery is reserved for specific indications—instability, neurologic deficit, displaced fractures, or structural disease unlikely to improve conservatively. Decisions are individualized, evidence-informed, and centered on restoring function and reaching your real-world goals. 

Right-sized care matches the least intensive intervention to the biggest functional gain. We avoid reflexively ordering imaging or procedures that won’t change your plan. Instead, we stage care: graded loading, skillful rehab, and only then—if needed—fluoro-guided procedures or surgical referral. This approach reduces downtime, cost, and risk while keeping momentum toward work, sport, and daily life. 

Timelines vary by diagnosis, baseline fitness, and job/sport demands. We set clear milestones—pain control, range, strength ratios, movement quality, and task or sport-specific skills. As you meet milestones without symptom spikes, we progress activities. For heavy labor or cutting/pivoting sports, we’re meticulous about criteria so the return is durable, not rushed. 

Yes. With your permission, we coordinate with physical and occupational therapists and, when indicated, surgical teams. Shared goals, restrictions, and milestones cut confusion and speed progress. If surgery becomes appropriate, our documentation and exam findings streamline decision-making and postoperative planning so you don’t lose momentum in recovery. 

Bring any prior imaging and reports if available, a medication list, allergies, and a brief timeline of your symptoms. Include details about work tasks or athletic demands, braces/orthotics you use, and goals that matter most. Wear comfortable clothing for movement testing. The clearer the picture we have, the more precisely we can tailor your plan.