Automobile accidents can cause injuries that aren’t always immediately noticeable but may lead to long-term pain if left untreated. At our orthopedic clinics, we specialize in diagnosing and treating accident-related conditions such as whiplash, joint injuries, and soft tissue damage. Our team takes a comprehensive approach, combining advanced imaging, personalized treatment plans, and rehabilitative care to restore mobility and improve quality of life.
Slip and falls can lead to injuries that may not seem serious at first but can develop into lasting pain and mobility issues if not properly treated. We focus on identifying and treating fall-related conditions such as fractures, sprains, and soft tissue damage. Early evaluation and targeted treatment are key to preventing long-term complications and supporting a smooth recovery.

Arthroscopic surgery is a minimally invasive procedure used to diagnose and treat joint conditions with precision and reduced recovery time. We use advanced techniques to address issues such as torn ligaments, cartilage damage, and joint inflammation. This approach allows for smaller incisions, less discomfort, and a faster return to daily activities.
Pain management focuses on relieving discomfort and improving function for patients dealing with acute or chronic orthopedic conditions. We use a range of treatment options, including medications, targeted therapies, and minimally invasive procedures, to address the source of pain. Our approach is tailored to each patient to enhance mobility, restore quality of life, and support long-term relief.
Robere Missirian, MD, is a highly trained and experienced orthopedic surgeon who has been treating injured patients for over 22 years using a comprehensive, multi-modality clinical approach. Dr. Missirian believes in starting with conservative, non-surgical care such as physical therapy, rehabilitation, medications, trigger point injections, and bracing, progressing to pain management and surgical intervention when necessary.
Dr. Missirian earned his Bachelor of Science in Biology from University of Southern California in 1988 and his medical degree from George Washington University in 1992. He completed his orthopedic surgery residency in Long Island, New York, in 1997, and began his private practice in Los Angeles, eventually expanding to 10 clinics and a surgery center.
In 2014, he relocated to Florida and established Vital Orthopedic & Spine Institute, where he built a strong reputation for high-quality orthopedic care. Building on that success, the practice has now expanded into Texas, allowing Dr. Missirian to bring his experience, advanced techniques, and patient-centered approach to a broader community.

3100 Timmons Lane, Suite 330, Houston, TX 77027 6750 N MacArthur Blvd., Suite 151, Irving, TX 75039 texasfrontdesk@texasvitalortho.com Ph: 855-898-4825 Fax: 888-844-1675