Principal Spine & Pain Consultants

10/01/2026

Getting through the day should not require constant workarounds.

Discomfort that keeps returning, travels into a leg, or disrupts sleep deserves a medical assessment. These patterns do not identify a diagnosis on their own, but they help guide an examination.

Before your visit, jot down when symptoms began, what changes them, and which activities have become difficult. Save this checklist to help describe your experience.

Find office details and request a visit: https://principalspineonline.com/contact/

09/29/2026

As Pain Awareness Month wraps up, we want to close it the way it started, with you.

If Dr. Kurian and the team have helped you find relief this year, a quick Google review helps another person in Carrollton or Denton find the same. And if you are still fighting pain on your own, let this be your sign to stop waiting.

Leave a review to help someone else, or book your consultation today: https://principalspineonline.com/contact/

09/28/2026

The rash healed weeks ago. So why does the pain, burning, or sensitivity still linger?

It is called postherpetic neuralgia, and it is one of the most under-treated types of nerve pain after shingles. The good news is that it is treatable, and you do not have to wait it out and hope.

Know someone still dealing with pain long after shingles? Tag them, and read the full guide here:

Is post-shingles pain still burning after the rash cleared? Learn how targeted nerve blocks & advanced treatments in Carrollton & Denton help PHN.

09/25/2026

Nothing we say about our care means as much as what our patients say.

This is the standard Dr. Kurian holds to at every visit in Carrollton and Denton: real listening, an accurate diagnosis, and a plan built around you.

Tag someone who has been putting off getting help, and if that person is you, book your consultation today: https://principalspineonline.com/contact/

09/24/2026

Not all facial pain is the same, and mistaking one type for another can send you down years of the wrong treatment, including unnecessary dental work.

Trigeminal neuralgia is often confused with other kinds of facial pain, but the differences matter enormously for getting real relief. Our new guide breaks down how to tell them apart.

Have you ever had facial pain brushed off or misdiagnosed? Read the full comparison:

Shock-like facial pain? Learn how Trigeminal Neuralgia differs from TMJ and shingles, and explore advanced treatments in Carrollton & Denton, TX.

09/22/2026

When nerve pain does not respond to medication, there is an option many patients have never heard of: peripheral nerve stimulation.

It works by calming the specific nerve sending pain signals, using tiny electrical impulses, without major surgery. For the right patient with stubborn nerve pain, lingering post-shingles pain, or pain that held on after back surgery, it can be a turning point, and there is a trial phase so you can see if it helps before anything permanent.

Have you heard of this one? Comment below, and to find out if you are a candidate, schedule a consultation: https://principalspineonline.com/contact/

09/17/2026

If your pain returned after back surgery, the worst thing you can do is assume nothing else will work.

Our latest guide explains why failed back surgery syndrome happens, what is often missed the first time, and the options that come next when surgery was not the full answer. Clear, honest, and no false promises.

Read the full guide:

Back surgery didn't relieve your pain? Learn the common causes of Failed Back Surgery Syndrome and how advanced treatments like SCS in Carrollton & Denton help.

09/15/2026

We are accepting new patients at our Carrollton and Denton locations, and we know the hardest part is often just starting.

Chronic back pain, nerve pain, and the stubborn cases that have not responded elsewhere are exactly what Dr. Kurian and the team do every day. No referral needed to begin, just a decision to stop pushing through it.

If something has been holding you back, tell us in the comments, honestly, we read every one. When you are ready, book your appointment: https://principalspineonline.com/contact/

09/11/2026

You did the hard thing. You had the surgery. And the pain is still there, or it came back. That is more common than most people realize, and it even has a name: failed back surgery syndrome.

It does not mean you are out of options. It means the source of the pain was never fully resolved, and there are targeted, non-surgical approaches that can still help. Dr. Kurian sees these cases often across Carrollton and Denton.

If you have been through this, share your experience in the comments, and when you want a fresh look at what is causing the pain, schedule your evaluation: https://principalspineonline.com/contact/

09/09/2026

That pinched nerve feeling has several possible sources, and knowing which one is yours changes everything about how it is treated.

Our new guide breaks down how to tell nerve entrapment from ordinary aches, where it tends to happen, and what actually calms a compressed nerve. If our carousel earlier this week sounded familiar, this is the deeper read.

Which sign surprised you most? Read the full guide:

Tingling, burning, or weakness? Learn the difference between a pinched nerve and nerve entrapment, and how our advanced care in Carrollton & Denton helps.