What We Treat

TBI, Concussion & Neurology Services in Houston, TX

Comprehensive evaluation and care for traumatic brain injury, concussion, and chronic pain — delivered by a board-certified neurologist and TBI specialist with five certifications and three decades of clinical and research experience.

At St. Michael's Neurology & Pain Medicine, every service begins with a thorough neurological evaluation. As a TBI specialist and concussion expert in Houston, Dr. Pappolla takes the time to understand the full picture before recommending a course of care — combining advanced diagnostics, evidence-based treatment, and a patient-centered approach that prioritizes your goals.

Traumatic Brain Injury (TBI)

Expert evaluation and management of mild, moderate, and severe TBI — including post-concussion syndrome, cognitive impairment, and TBI-related chronic pain.

Traumatic brain injury is one of the most complex and frequently mismanaged conditions in medicine. As a dedicated TBI specialist in Houston, Dr. Pappolla brings both clinical expertise and a deep research background to every evaluation. He assesses the full spectrum of injury — from mild concussion to severe TBI — and develops individualized treatment plans that address cognitive, neurological, and pain-related sequelae. His work on central sensitization in mild TBI informs a nuanced approach to patients whose symptoms persist long after the initial injury.

Conditions & Procedures

  • Post-concussion syndrome
  • Cognitive impairment following head injury
  • TBI-related chronic headache
  • Post-traumatic pain and central sensitization
  • Neuropsychological sequelae of TBI

Concussion Management

Thorough concussion evaluation, return-to-activity guidance, and management of persistent post-concussion symptoms.

Concussion is a form of mild traumatic brain injury that is often underdiagnosed and undertreated. As a concussion specialist and concussion doctor in Houston, Dr. Pappolla provides comprehensive evaluations that go beyond standard screening, using detailed neurological assessment to identify patients at risk for prolonged recovery. He guides patients through evidence-based recovery protocols and addresses persistent symptoms including headache, cognitive fog, sleep disturbance, and mood changes.

Conditions & Procedures

  • Sports-related concussion
  • Work or accident-related concussion
  • Persistent post-concussion symptoms
  • Return-to-work and return-to-activity evaluation
  • Repeat concussion and cumulative injury assessment

Chronic Pain Management

Interventional and non-opioid approaches to chronic pain — including spinal pain, neuropathic pain, fibromyalgia, and complex regional pain syndrome.

Chronic pain is a neurological condition, not simply a symptom. Dr. Pappolla's dual board certification in neurology and interventional pain medicine allows him to evaluate and treat pain at its source — whether that is a structural problem in the spine, a disorder of the peripheral nervous system, or a central sensitization syndrome. He emphasizes non-opioid treatment strategies and uses interventional procedures when appropriate to provide durable relief.

Conditions & Procedures

  • Chronic back and neck pain
  • Neuropathic pain
  • Fibromyalgia
  • Complex regional pain syndrome (CRPS)
  • Spinal pain and radiculopathy
  • Post-surgical pain

Interventional Pain Procedures

Image-guided minimally invasive procedures including epidural injections, nerve blocks, radiofrequency ablation, and sacroiliac joint treatment.

When conservative measures are insufficient, interventional procedures can provide targeted, lasting relief. Dr. Pappolla is board-certified in interventional pain medicine and performs a range of minimally invasive procedures guided by imaging to ensure precision and safety. These procedures are selected based on a thorough diagnostic evaluation and are integrated into a comprehensive treatment plan.

Conditions & Procedures

  • Epidural steroid injections
  • Nerve blocks (cervical, lumbar, occipital)
  • Radiofrequency ablation
  • Sacroiliac joint injections
  • Trigger point injections
  • Facet joint injections

Neurological Evaluation & Diagnostics

Comprehensive neurological workup for a wide range of conditions — including headache disorders, neuropathy, movement disorders, and cognitive complaints.

A thorough neurological evaluation is the foundation of accurate diagnosis and effective treatment. Dr. Pappolla conducts detailed clinical assessments and interprets advanced diagnostic studies — including MRI, EEG, EMG, and nerve conduction studies — to identify the underlying cause of a patient's symptoms. His five board certifications across neurology, neuropathology, and pathology give him an unusually broad diagnostic perspective.

Conditions & Procedures

  • Headache and migraine
  • Peripheral neuropathy
  • Movement disorders
  • Cognitive decline and memory complaints
  • Seizure evaluation
  • Dizziness and balance disorders

Second Opinion & Medical-Legal Evaluation

Independent, expert neurological opinions for patients seeking clarity on complex diagnoses — including medical-legal cases involving TBI and chronic pain.

Neurological and pain-related conditions frequently intersect with legal and insurance matters. Dr. Pappolla provides thorough, unbiased second opinions and independent medical evaluations for patients, attorneys, and insurers. His extensive research background and five board certifications make him a trusted authority in complex cases involving traumatic brain injury, chronic pain, and neurological impairment.

Conditions & Procedures

  • Independent medical evaluation (IME)
  • Second opinion on TBI diagnosis
  • Medical-legal consultation for neurological conditions
  • Expert review of chronic pain cases
  • Disability and impairment assessment

A Different Kind of Neurological Care

Thorough from the start

Every patient receives a comprehensive neurological evaluation before any treatment is recommended. Dr. Pappolla does not rush to conclusions — he takes the time to understand the full clinical picture.

Non-opioid first

Wherever possible, treatment plans prioritize non-opioid medications, interventional procedures, and evidence-based therapies that address the underlying cause of pain rather than masking it.

Research-informed practice

Dr. Pappolla's three decades of published research directly inform how he evaluates and treats patients — particularly in TBI, chronic pain, and neurodegeneration.

Personalized treatment plans

No two patients are the same. Treatment plans are built around each patient's specific diagnosis, goals, lifestyle, and medical history.

Ready to Get Started?

Call the office or send a message to schedule a consultation with Dr. Pappolla at our Houston location.