Wilson Almonte, MD

08/26/2025

Ever feel like your back pain
controls your entire life?

Getting out of bed hurts.
Walking to the mailbox feels impossible.
Even the simplest daily tasks become battles.

And the hardest part about it is that,
it feels like no one really understands
how much it takes from you.

Your independence,
Your sleep,
Even your joy.

But here’s the good news:
There’s a proven way forward.

The largest study of its kind
—the EVOLVE study—
followed 350 patients
living with painful spinal fractures.

Here’s what happened after kyphoplasty:

✨ Back pain went down by 72%
✨ People regained mobility
✨ Day-to-day activities became manageable again
✨ Many patients reduced or stopped relying on opioids

For so many, it wasn’t just about less pain.
It was about getting their life back.

If you or someone you love is living with
back pain from osteoporosis or spinal fractures,
know this, you don’t have to accept it
as “just part of getting older.”

There are options.
And they work.

Call us.
We can help.

08/20/2025

Your hands do more than you realize.
Until they can’t.

Carpal tunnel syndrome isn’t just
about tingling fingers.

It’s about the frustration of not being able to:

🖊️ Write without discomfort
💻 Type more than a few lines
🛠️ Grip tools for more than a moment

But there is some good news.
It’s treatable.

And the earlier you address it,
the better your chances of
avoiding long-term damage.

Our treatment plans are
tailored to you...
your work, your lifestyle,
and your recovery goals.

Because your hands are
more than just part of your body.

They’re how you live, connect, and create.

If pain, numbness, or weakness in your hands
is slowing you down, let’s talk about your options.

06/27/2025

A slight curve shouldn't change a life.
But for many living with scoliosis, it does.

At first, it’s subtle:
• Uneven shoulders
• Back pain that comes and goes
• One pant leg that always fits differently

But over time, scoliosis can become
more than a cosmetic curve.

It can affect breathing, movement, confidence...
and quality of life.

And the hardest part is that
many people don’t even know they have it.

• Until the pain becomes constant.
• Until posture turns into pressure.
• Until they’re told,
“This could’ve been caught earlier.”

Early screening matters.
Non-invasive treatments help.
The earlier you act, the better the outcome.

If you or someone you love
is showing early signs of scoliosis,
give our physical therapy team a call
to see how we can help.

Let’s start with a simple conversation.

Know the signs.
Know your options.

06/24/2025

They told her to stand up straight,
but her spine had other plans.

Scoliosis isn’t a posture problem.

It’s a spinal condition that affects
millions of children and teens,
often without obvious symptoms at first.

• 7 million people in the U.S. have scoliosis
• Most are diagnosed between ages 10–15
• Girls are 8x more likely to need treatment

Early signs might include:
• Uneven shoulders
• One hip higher than the other
• Clothes that don’t hang right

Left untreated, scoliosis can lead to:
• Chronic pain
• Reduced mobility
• Breathing issues in severe cases

But here’s the good news.

With early detection and the right care,
most children can avoid surgery altogether.

This Scoliosis Awareness Month,
don’t ignore the signs.

Call us to learn more about
how our Physical Therapy team
can help you.

06/21/2025

Tired of being told your joint pain
is just ‘part of aging’?

You know your body.
And when something doesn’t feel right,
you feel it in your bones.

Literally.

Joint pain that won’t go away
isn’t just inconvenient.

It could be
your immune system
sending a signal.

A persistent, aching signal.

➜ Stiff knees after rest
➜ Swollen hands in the morning
➜ Fatigue that hits harder than it should
➜ Pain that moves from one joint to another

These are more than just "getting older."
They could be early signs of
Rheumatoid Arthritis.

It’s not just a wear-and-tear issue.

It’s your immune system
turning against your joints,
causing inflammation, pain,
and over time… DAMAGE.

We’re not here to scare you.
We’re here to remind you that...
Early attention matters.

𝗗𝗼𝗻’𝘁 𝗶𝗴𝗻𝗼𝗿𝗲 𝗹𝗼𝗻𝗴-𝗹𝗮𝘀𝘁𝗶𝗻𝗴 𝗷𝗼𝗶𝗻𝘁 𝗽𝗮𝗶𝗻.
𝗗𝗼𝗻’𝘁 𝘄𝗮𝗶𝘁 𝘂𝗻𝘁𝗶𝗹 𝗶𝘁 𝗹𝗶𝗺𝗶𝘁𝘀 𝘆𝗼𝘂𝗿 𝗹𝗶𝗳𝗲.

➜ Talk to someone.
➜ Ask questions.
➜ Seek support.

RA may be chronic.
But your discomfort
doesn’t have to be constant.

Scroll through this carousel to learn more.

Then take care of yourself
like you’d take care of
someone you love.

05/30/2025

𝗧𝗵𝗶𝗻𝗸 𝘆𝗼𝘂'𝗿𝗲 𝘁𝗼𝗼 𝘆𝗼𝘂𝗻𝗴 𝘁𝗼 𝗵𝗮𝘃𝗲 𝗮𝗿𝘁𝗵𝗿𝗶𝘁𝗶𝘀?
Think again.

There are 𝗼𝘃𝗲𝗿 𝟭𝟬𝟬 𝘁𝘆𝗽𝗲𝘀 𝗼𝗳 𝗮𝗿𝘁𝗵𝗿𝗶𝘁𝗶𝘀.

Many of them start in your 30s, 20s, or even earlier.

Here are 3 of the most common:

𝟭. 𝗢𝘀𝘁𝗲𝗼𝗮𝗿𝘁𝗵𝗿𝗶𝘁𝗶𝘀
The classic “wear and tear” type.

𝟮. 𝗥𝗵𝗲𝘂𝗺𝗮𝘁𝗼𝗶𝗱 𝗔𝗿𝘁𝗵𝗿𝗶𝘁𝗶𝘀
An autoimmune form that is
2–3x more common in women.

𝟯. 𝗣𝘀𝗼𝗿𝗶𝗮𝘁𝗶𝗰 𝗔𝗿𝘁𝗵𝗿𝗶𝘁𝗶𝘀
Linked to psoriasis and often overlooked.

⚠️ Warning signs?
• Fatigue
• Morning stiffness
• Swelling or joint pain
• Trouble moving like you used to

If joint pain is creeping into your
daily routine, don’t ignore it.

𝗪𝗲’𝗿𝗲 𝗵𝗲𝗿𝗲 𝘁𝗼 𝗵𝗲𝗹𝗽 𝘆𝗼𝘂
𝗺𝗼𝘃𝗲 𝗲𝗮𝘀𝗶𝗲𝗿 𝗮𝗻𝗱 𝗹𝗶𝘃𝗲 𝗯𝗲𝘁𝘁𝗲𝗿.

Stop by Victoria Pain & Rehab or
Brazos Pain Management.

Let’s talk.

05/21/2025

Sometimes, finding the pain
is the first step to fixing it.

If you’ve tried rest,
physical therapy, or
even medication—
and the pain is still there—
it might be time for a new approach.

Your pain could be coming from
the 𝘀𝗺𝗮𝗹𝗹 𝗷𝗼𝗶𝗻𝘁𝘀 𝗶𝗻 𝘆𝗼𝘂𝗿 𝘀𝗽𝗶𝗻𝗲,
called 𝗳𝗮𝗰𝗲𝘁 𝗷𝗼𝗶𝗻𝘁𝘀.

And one of the best ways to find out
is with a 𝗺𝗲𝗱𝗶𝗮𝗹 𝗯𝗿𝗮𝗻𝗰𝗵 𝗯𝗹𝗼𝗰𝗸 (𝗠𝗕𝗕).

Here’s how it works.

• We inject a local anesthetic near
the nerves that carry pain
from your facet joints.

• If your pain decreases,
we’ve found the likely source.

• Even better, the injection
can provide 𝘁𝗲𝗺𝗽𝗼𝗿𝗮𝗿𝘆 𝗿𝗲𝗹𝗶𝗲𝗳—
a small win that opens the door to bigger ones.

• If it works, you may be a candidate for
other treatments that offer
longer-lasting relief.

A medial branch block isn’t just
about managing symptoms.

It’s about 𝗴𝗲𝘁𝘁𝗶𝗻𝗴 𝗮𝗻𝘀𝘄𝗲𝗿𝘀—
so you don’t have to live in the dark anymore.

Still hurting?
Don’t guess your way through pain.
𝗟𝗲𝘁’𝘀 𝗳𝗶𝗴𝘂𝗿𝗲 𝗶𝘁 𝗼𝘂𝘁—𝘁𝗼𝗴𝗲𝘁𝗵𝗲𝗿.
Book a consultation today.

05/13/2025

1 in 4 Americans have arthritis.
That’s not rare—that’s reality.

If you think arthritis is
“just a little stiffness,”
think again.

↳ It’s pain that lingers.
↳ It’s swelling that limits movement.
↳ It’s fatigue that makes everyday tasks feel impossible.

And it’s not just a condition for older adults.

Arthritis affects people in their 30s, 20s—even kids.

There are many different types,
and they don’t all look the same.

↳ Some flare up.
↳ Some creep in slowly.
↳ All of them are real—and they’re treatable.

We see the frustration.
We hear the stories.
We help you take the next step.

𝗕𝗲𝗰𝗮𝘂𝘀𝗲 𝗽𝗮𝗶𝗻 𝘀𝗵𝗼𝘂𝗹𝗱𝗻’𝘁 𝗿𝘂𝗻 𝘆𝗼𝘂𝗿 𝗹𝗶𝗳𝗲.

Living with arthritis?
Let’s talk about what’s next—
and what relief can look like.

05/09/2025

We didn’t set out to win awards.
We set out to serve.

But this week, something incredible
happened at our Victoria Location:

🏆 Best Doctor
🏆 Best Therapy & Rehabilitation
🏆 Best Medical Clinic
🏆 Best Place to Work

All voted by our local community.

We’re honored.
We’re humbled.
And we’re deeply grateful.

To every patient who trusted us,
To every family who referred us,
To every person who cast a vote—

Thank you.

These awards aren’t just for us.
They’re a reflection of the
care, trust, and connection
we work to build every day.

If you haven’t been to our clinic yet—
We’d love to meet you.

Come experience the care your neighbors voted for.

Because healing isn’t just about medicine—
It’s about being seen, heard, and cared for.

Award-winning care starts with a single step.
Let’s take it together.

#

04/26/2025

What’s the difference between an Epidural Steroid Injection and a Facet Joint Injection? 🤔

If you’ve been dealing with back pain,
you may have heard your doctor mention
Epidural Steroid Injection or
Facet Joint Injection

Both involve injections.
Both help with pain.
But they target different issues.

Think of Epidural Steroid Injection (ESI)
as a treatment for nerve-related pain.

If your pain shoots down your
leg or arm (like sciatica),
this may be your doctor’s go-to.

🔹 It delivers medication into the epidural space—right around the spinal nerves.
🔹 The goal is to reduce inflammation and calm irritated nerves.

Facet Joint Injection focuses more on
joint pain in the spine—not nerve pain.

If you feel stiff or achy in your lower back,
especially when turning or twisting,
this might be the better option.

🔹 It goes directly into the small joints of the spine (the facet joints).
🔹 The goal is to reduce pain coming from arthritic or irritated spinal joints.

So, which is right for you?

That depends on your pain pattern,
MRI results, and
your doctor’s evaluation.

We help you decide what works best—
and we’re here to answer all your questions.

Because when it comes to back pain,
the right treatment makes all the difference.

Still unsure which one you need?

Let’s talk.

Book a consultation and we’ll
walk you through it—step by step.

Interventional Pain Management and Physical Therapy in Sugar Land, TX

04/11/2025

Back pain is personal.
So is your treatment.

If your doctor has mentioned
an epidural steroid injection or
a medial branch block,
your first thought was probably:

“Umm… what’s the difference?”

Totally fair.

They might sound similar—
and they both involve a needle—
but they’re actually used for
very different types of pain.

Here’s the quick version
(the long one has way too many medical terms):

Epidural Steroid Injection (ESI)
Used when nerves are inflamed—

Think sciatica or shooting pain
down your leg or arm.

It targets swelling and
calms irritated nerve roots.

Medial Branch Block (MBB)
Used when the problem is in the facet joints (those little joints along your spine).

This one is often more about
diagnosing where your pain is coming from.

It’s great for arthritis-type pain
that sticks to your back or neck.

So:
• If your pain radiates → ESI
• If it stays local and achy → MBB
• Still not sure? → That’s what we’re here for.

Both are outpatient
Both take just minutes
Both can help you get answers—and relief

Back pain isn’t one-size-fits-all.
Your treatment shouldn’t be either.

If you’ve tried meds, therapy, or rest
and you’re still in pain,
we can help.

Schedule a visit and let’s talk about what’s best for you.

Interventional Pain Management and Physical Therapy in Sugar Land, TX