Facet-mediated pain pathway
Medial branch blocksRadiofrequency ablation
Medial branch blocks can inform reassessment before radiofrequency ablation; a response does not create an automatic sequence.
Interventional pain physician
David Nwokeabia, MD
Board-Certified in Anesthesiology & Pain Medicine
Known to patients as Dr. DavidPronounced woke-ah-bee-ah
Listens first.
Dr. Nwokeabia listens closely, looks for the likely pain source, and builds care around function and goals.
- Medical school
- Howard UniversityDoctor of Medicine
- Residency
- Washington University / Barnes-JewishAnesthesiology
- Fellowship
- StanfordPain Medicine
- Board certification
- Anesthesiology & Pain Medicine
Meet Dr. David
Care built around the person in front of him.
Pain medicine brings careful reasoning and hands-on care together.
History, examination, and relevant imaging come before any procedure discussion.
Findings and patient goals guide intervention, rehabilitation, medication, referral, or observation.
Treat the patient, not the pain: finding the root of the problem.
The Pain Detective
Approach
The same location can tell different stories.
Pain in the same area can arise from overlapping structures or mechanisms. Symptoms can suggest a pattern, but they do not by themselves establish the pain source.
Narrowing the likely pain generator starts with the history, examination, relevant imaging and, when appropriate, the response to a carefully selected diagnostic step.
Treatment decisions follow that working diagnosis. Dr. Nwokeabia explains expected benefits, limitations, alternatives, and uncertainty before proceeding; the evaluation may support rehabilitation, medication guidance, referral, observation, or no procedure.
Listen for the pattern
Onset, triggers, and functional effect.
Test the leading idea
Examination, imaging, and targeted diagnostics in context.
Choose with purpose
Treat only when the clinical question and goal are clear.
Clinical questions, not self-diagnosis
Selected Conditions
Representative patterns Dr. Nwokeabia evaluates. These links educate; they do not diagnose or select treatment.
Spine & radicular pain
Facet & SI joint pain
Nerve pain
Selected treatment pathways
Clinical Focus
A focused practice, not a menu of promises. Linked pages explain options, not individual fit.
Epidural steroid injections
For selected radicular symptoms, with response reassessed.
Neuromodulation
Neuromodulation overviewSCSDRGPNS
Spinal cord, DRG, and peripheral nerve targets when diagnosis and goals support a trial.
Platelet-rich plasma evaluation
Evidence-aware discussion of candidacy, uncertainty, benefits, limits, and alternatives.
Academic journey
Training
Medical school, anesthesiology residency, and pain fellowship shaped his diagnosis-first approach.
- Medical school
Howard University College of Medicine
Doctor of Medicine
- Residency
Washington University in St. Louis / Barnes-Jewish Hospital
Anesthesiology residency
- Fellowship
Stanford University School of Medicine
Pain Medicine fellowship
- Board certification
Anesthesiology & Pain Medicine
Before you request a visit
What to Expect
Evaluation identifies the likely pain source and fitting next step.
- Not every consultation leads to a procedure.
- Options may include a procedure, rehabilitation, medication, referral, or observation.
- The practice emphasizes opioid mitigation while recognizing a role for medication.
- The practice is not designed to take over chronic opioid-prescription management.
Patient perspective
Reviews
I was in so much pain with my SI joint and tailbone. I was not getting much sleep and was walking around in pain. After my initial appointment the treatment began. 3 visits later I am in zero pain with my tailbone and 75% better with my SI joint. I am 100% confident after my next treatment for my SI joint I will be 100% better. Thank you Dr. David for taking care of me so quickly and getting me back to life again. Your professionalism and commitment to my treatment has been amazing. Thanks to your amazing staff for keeping me in the loop with next steps and expectations.
Dr. David and his staff are truly the best! I have been going to him since 2022, and I am so grateful that my surgeon referred me to him. With all of the spinal issues and surgeries I have been through, managing my pain has been a huge part of my journey. Dr. David has completely changed my quality of life through everything he has done to help manage my pain and get me to where I am today. After being on a walker for two years, I am now walking without one and truly thriving again! I cannot thank him and his staff enough for everything they have done for me. Dr. David always takes the time to listen to my concerns, and he has such a wonderful bedside manner. He genuinely cares about his patients, and I truly feel like they are family. I would absolutely recommend him to my family and friends. Thank you so much, Dr. David, for all that you do! I am truly grateful for your care, compassion, and dedication. You have made such a positive difference in my life, and I will always appreciate you and your amazing staff! ❤️
Dr. David has changed my quality of life. I was referred to him by my rheumatologist due to the sheer amount of pain I was in. He was able to isolate the root cause of all the areas I had pain. After just 2 months under his care, my pain level is significantly decreased and I’m able to work out and be active with my family again! I can’t thank him enough! If you’re looking for an amazing pain management doctor, look no further than Dr. David and his staff!
Before your visit
FAQ
What does diagnosis-first pain care mean?
Treatment follows an effort to identify the likely pain source using history, examination, imaging, and sometimes targeted diagnostic procedures. A procedure may not be the right next step.
Does an appointment mean I will have a procedure?
No. The plan may involve further testing, rehabilitation, medication, a procedure, referral, or observation.
What types of pain conditions does Dr. Nwokeabia evaluate?
His focus includes spine, joint, and nerve pain patterns. The linked pages offer education; diagnosis still requires an individual evaluation.
Does Dr. Nwokeabia take over chronic opioid prescriptions?
The practice emphasizes opioid mitigation and recognizes that medication can have a role in care, but it is not designed to take over chronic opioid-prescription management.
Where does Dr. Nwokeabia see patients?
At Solutions in Pain in Allen and Wylie. The location pages provide hours, directions, and appointment links.
