North Texas Comprehensive Spine & Pain Center

North Texas Comprehensive Spine & Pain Center: Effective Pain Management in Sherman

Dr. Vattam, of North Texas Comprehensive Spine & Pain Center, is board certified in physical medicine and rehabilitation and pain medicine through the American Board of Physical Medicine and Rehabilitation. He completed his residency in PM&R, and his fellowship in pain medicine at UT Southwestern in Dallas, Texas. He went on to serve as faculty member at UT Southwestern, where he trained resident doctors and medical students. Dr. Vattam has hospital affiliations with Texoma Medical Center in Dennison, TX, Wilson N. Jones Regional Medical Center, and Baylor, Scott and White Surgical Hospital in Sherman, Texas.

Dr. Nocerini is board certified in anesthesiology and pain medicine by the American Board of Anesthesiology. He completed a residency in anesthesia and fellowship training in pain medicine in the Department of Anesthesia and Pain Management at UT Southwestern in Dallas, Texas.

Both Dr. Vattam and Dr. Nocerini are experienced in many pain procedures, including more advanced minimally invasive procedures, such as spinal cord stimulation, intrathecal pain pumps, Vertiflex, kyphoplasty, and sacroiliac joint fusion, all of which they perform at North Texas Comprehensive Spine & Pain Center.

At North Texas Comprehensive Spine & Pain Center, our goal is to decrease your pain, improve your function and your overall enjoyment of life using a combination of therapies, including medications, injections, physical therapy, counseling, and minimally invasive procedures. This multidisciplinary approach of combining different types of treatment can be more effective than using just one treatment modality.

We begin each visit with questions about the history of your pain, how long you have had it, what kind of activities or movements make it better or worse, what kind of treatments you have had for it in the past. A physical examination gives us additional important information about where your pain may be coming from. With a history and exam we can narrow down to the likely source of pain, but often we will need imaging studies, such as x-rays or MRIs, to confirm the location of your pain.

In our Sherman office, we also offer physical therapy to our patients. This is often an important part of our care plan. Medications and injections may help your pain, but with physical therapy, you can rebuild strength, flexibility, and endurance so that you can rehabilitate your body and regain function that chronic pain has taken away from you. Many of our patients enjoy therapy after experiencing its benefits.

Chronic pain can wear a person down physically, but it can also have negative psychological effects. Many individuals with chronic pain experience depression and anxiety. We regularly screen for these conditions and offer referrals for psychological counseling or a consultation with a psychiatrist if needed. This is done in connection with a smartphone app our patients can use to track their pain levels, mood, sleep, and functioning.

Injections and minimally invasive procedures are a big part of our practice and play an important role in decreasing your pain. We are able to perform many of these procedures in our office fluoroscopy suite, and we also perform more advanced minimally invasive procedures in our ambulatory surgery center, which is adjacent to our clinical office. This offers the convenience of being able to come to the same location for your office visits, physical therapy, and procedures. We are also close to TMC hospital and a Baylor imaging facility, which is convenient for scheduling x-rays and MRIs.

Often, care of chronic pain requires more than a pain physician. We have strong long-term relationships with multiple specialists in the Sherman/Dennison area. We regularly refer to orthopedics, spine surgery, rheumatology, psychiatry, and neurology.

With injections and minimally invasive surgical procedures, we are able to treat many sources of pain.


Epidural/Transforaminal Steroid Injections
Selective Nerve Root Blocks
Cervical/Lumbar Medial Branch Blocks
Radiofrequency Ablation (Rhizotomy)
Intraarticular Joint Injections (Shoulder, Hip, Knee)
Sympathetic Nerve Blocks
Intrathecal Pain Pump
Vertiflex/Superion for Lumbar Spinal Stenosis
Sacroiliac Joint Fusion
Spinal Cord Stimulation
Facial injections, including Gasserian Ganglion and Sphenopalatine Ganglion Block


Spinal Stenosis
Facet Joint Pain
Postlaminectomy Syndrome/Failed Back Surgery Syndrome
Herniated Discs
Degenerative Disc Disease
Degenerative Joint Disease
Spinal Compression Fractures
Low Back Pain
Neck Pain
Myofascial Pain Syndrome
Carpal Tunnel Syndrome
Peripheral Neuropathy
Pelvic Pain
Abdominal Pain
Chest Pain
Headaches/Facial pain
Spinal Cord Injury Pain
Cancer Pain

We enjoy being part of the Sherman community, and we are privileged to be able to serve our wonderful patients. We have a hard working, dedicated team of medical assistants, nursing, physical therapy, anesthesia, office and ASC staff that will treat you with respect and try to brighten your day with each visit. We look forward to the opportunity to care for you.

North Texas Comprehensive Spine & Pain Center

1001 Sara Swamy Drive, Ste. #220
Sherman, TX 75090

Mon-Thu: 8AM – 4PM
Fri: 8AM – Noon