Medical Injury Rehabilitation Specialists

The first outpatient Traumatic Brain Injury Rehabilitation Clinic in Texas with Three American College of Graduate Medical Education (ACGME) Board Certified Brain Injury Medicine Physicians.

We strive to treat your pain and neurological symptoms in order to get your life back on track. Our board certified doctors understand that living with pain or a disabling neurological condition is not a choice, but a life changing ailment that requires an empathic understanding of its impact on your life.

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4201 Bee Caves Rd, Suite C-213
West Lake Hills, TX 78746

valerie rundle-gonzalez, md

Valerie Rundle-Gonzalez, MD


Adult Neurology, Movement Disorders, Brain Injury Medicine

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hector miranda-grajales, md

Hector Miranda-Grajales, MD


Physical Medicine & Rehabilitation, Pain Medicine, Brain Injury Medicine

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christina saldivar, md

Christina Saldivar, MD


Neuromuscular Specialist, Neurohospitalist, Brain Injury Medicine

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  • Post-traumatic headaches/concussion &/or neck/low back pain
  • TBI Neurology evaluation
  • Referrals: Chiropractor, PT, Pain, Neurosurgeon, Neuropsychologist
  • Orders: Diagnostic studies (DTI, VNG, EyeBox, MRIs)

Yan Michael Li, MD, PhD

  • Occipital/supra-orbital nerve blocks
  • Diagnostic study clinical correlation
  • ACDF/Lumbar fusion/Disc replacement/Spinal Cord Stimulator if indicated
  • Continued Neurological care
surgery room state of the art

Medical Treatment For Pain & Neurological Symptoms

We strive to treat your pain and neurological symptoms in order to get your life back on track. Our board certified doctors understand that living with pain or a disabling neurological condition is not a choice, but a life changing ailment that requires an empathic understanding of its impact on your life.

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Conditions Our Doctors Specialize In Treating

Musculoskeletal Pain Fibromyaxlia RSD/CRPS Discogenic Back Pain Sciatica Concussions
Headaches Diabetic Peripheral Neuropathy Plantar Fascitis Post-Laminectomy Syndrome Shingles Spinal Stenosis
Traumatic Brain Injury Parkinson's Disease Tremors Dystonia Chorea Myclonus

Techniques/Procedures We Use To Help Our Patients

If your condition requires it, we do in-house fluoroscopically-guided interventional spine procedures, like spine epidural steroid injections and/or spinal facet blocks. These injections are designed to reduce inflammation and, therefore, pain. In and of themselves, spinal injections alone will not necessarily relieve all your pain. Proper body mechanics and a healthy lifestyle can also contribute to reducing your pain after these procedures are done. You may also require physical therapy and/or conservative care to maintain your progress.

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surgery room

List of Procedures We Perform

Tubular Retractor Spine Decompression Surgery Cervical/Lumbar Spinal Instrumentation Revision Surgery
PCL Reconstruction Surgery Ulnar Nerve Decompression Surgery
Shoulder Labral Tear Repair Disc Replacement
Disc Replacement Spinal Cord Simulator Implant
Kyphoplasty Vertebroplasty
Lumbar Fusion DTRAX
ACDF ALIF
XLIF OLIF
Occipital Nerve Peripheral Nerve Stimulator Implant Rotator Cuff Repair
Medial/Lateral Meniscus Repair Cervical/Thoracic/Lumbar ESIs
Cervical/Thoracic/Lumbar Facet Blocks Shoulder Decompression Surgery
Cervical/Thoracic/Lumbar Radiofrequency Lesioning/Ablation SI Joint Blocks/Fusions