Kevin S. Barton, D.C.
Doctor of chiropractic
In practice in San Antonio since 2003. The chiropractic exam, adjustments, hands-on treatment and rehab, and the DRX9000 decompression program.
For attorneys & case managers · San Antonio
Care decided by the exam.A record that shows why.
When a client of yours is hurt in a wreck, we can see them the same day. A chiropractor examines them on the first visit, our nurse practitioner sees them that same day if the injury calls for medication, imaging is ordered and arranged when the exam or the symptoms call for it, and interventional pain management is in the same building — start to finish, without sending your client from office to office.
Ask for Silvia, our practice manager. Monday–Thursday, 8 a.m.–5 p.m.
Same day
appointments, Monday–Thursday
$0
out of pocket at the first visit
Accepted
letters of protection
20+
years in San Antonio
What your client gets
One building, one team, start to finish.
Recovering from a wreck can take more than one kind of care. At Texas Spine Clinic it all happens under one roof, so your client isn't sent across town between providers — and the record isn't scattered across five offices.
- Seen the same day. Same-day appointments, Monday–Thursday. The first visit costs your client nothing out of pocket.
- A full exam on day one. A chiropractor examines your client on the first visit, and the findings open the chart.
- A medical provider when your client needs one. If the injury calls for medication, our nurse practitioner, Meredith Reynolds, ACNP-BC, sees your client that same day, in the same building.
- Hands-on care from the first visit. Chiropractic adjustments, myofascial release, laser, therapeutic modalities and rehab exercise — non-invasive, no narcotics.
- Imaging ordered and arranged. When the exam or the patient's symptoms call for an MRI, we order it, schedule it and handle the paperwork, then review the images with the patient on the screen.
- Decompression when imaging shows a disc injury. The DRX9000 is in the building.
- Interventional pain management, in-house. When hands-on care isn't enough, Praful C. Singh, M.D., or Lisa D. Persyn, M.D. evaluates the patient here, in the same building.
- Pain management procedures when appropriate. Based on imaging findings and the patient's symptoms, and performed in our own procedure room.
- Referral to an outside specialist when it's warranted. If a patient isn't improving as expected with conservative care, medication and interventional pain procedures, we refer them on — orthopedic surgery or neurosurgery, depending on what's injured — and their findings and imaging go with them.
The record
What the chart shows, visit by visit.
We document the way we practice: every finding written down, every decision tied to a finding. The record is written for the patient's care first, which is exactly why it reads clearly to anyone who reviews it later.
The history of the crash.
Direction of impact, where the patient was sitting, the vehicle, where it hurts and when it started.
Exam findings.
Range of motion, which movements provoke pain, reflexes and strength — and, when the nurse practitioner sees the patient, her findings in the same chart.
Standardized assessment questionnaires.
Given at the initial exam and at follow-ups.
A written reason for every visit.
The plan changes as the patient changes, and the chart says why.
Measured progress at each re-exam.
Pain severity, pain frequency and daily function — standing, walking, sitting tolerance — compared against day one.
Imaging, ordered when indicated and reviewed.
The MRI is ordered from exam findings and reviewed with the patient on the screen.
Release at maximum medical improvement.
Care runs until the exam shows your client has recovered as far as this injury is going to let them. For many patients that is back to where they started; for some it isn't, and the record says so.
We record what the exam shows. We don't
write to a claim, and we don't treat to one.
Working with your office
Letters of protection, records and billing
We accept letters of protection for car-accident patients. Send yours over and we'll take it from there.
- Send the letter of protection by fax to 210-545-5120, or email it to Dr. Huffman or Silvia.
- Records come to you automatically. You don't have to ask. We send them as soon as your client finishes their final exam, or when they reach maximum medical improvement.
- Billing questions go to Silvia, our practice manager, or to Dr. Huffman.
- Questions about your client's status go to Dr. Huffman directly.
Where to send it.
Fax (210) 545-5120
Kevin S. Barton, D.C. — kevin@texasspineclinic.com
Joshua C. Huffman, D.C. — joshua@texasspineclinic.com
Silvia, practice manager — silvia@texasspineclinic.com
Scheduling — scheduling@texasspineclinic.com
Fax (210) 545-5120
Kevin S. Barton, D.C. — kevin@texasspineclinic.com
Joshua C. Huffman, D.C. — joshua@texasspineclinic.com
Silvia, practice manager — silvia@texasspineclinic.com
Scheduling — scheduling@texasspineclinic.com
Email isn't a secure channel, so please keep clinical details out of it — send those by fax to (210) 545-5120, or call (210) 741-9166.
Our standards
How accident care is decided here.
-
1. The exam decides the care.
Every patient is examined before treatment is planned, and the plan follows the findings.
-
2. Care starts with chiropractic treatment.
Most accident patients begin with hands-on chiropractic care. If the injury calls for medication, one of our pain management doctors or our nurse practitioner sees them right away to get that started, and we track how they respond at each re-evaluation.
-
3. X-rays here, advanced imaging when it's indicated.
We have X-ray on site and take films on almost every accident patient, including clients who haven't had any yet. Advanced imaging — MRI or CT — follows the symptoms: we order it when the extent of the injury, the findings at re-exam, or a lack of improvement calls for it.
-
4. Findings decide the next step.
When the MRI findings and the severity of the symptoms warrant it, our pain management department takes that part of the care, which may include an interventional procedure.
-
5. The response decides the referral.
We watch how pain and function answer the treatment. If they don't come along the way they should, the patient may be referred to an outside specialist, such as an orthopedic surgeon or a neurosurgeon.
-
6. Detailed notes on every patient.
Every visit is documented as it happens — findings, what was treated, and how the patient is responding.
-
7. Release is a clinical decision.
Treatment ends when the patient reaches maximum medical improvement — the point where the exam shows they have recovered as far as this injury is going to let them. For many patients that is back to where they started. For some it isn't, and we say so plainly in the record.
The goal, in every case, is to get your client back as close to pre-injury status as possible. How close depends on what was damaged. Some injuries come all the way back; with others, despite everyone's best work, part of it stays with the patient for life. We'll tell you what we're seeing as we go.
Who does what
Scope, stated plainly.
Chiropractic care — the exam, the treatment, the decompression program
Joshua C. Huffman, D.C.
Doctor of chiropractic
In practice since 2007. Sees accident patients for the exam, adjustments, hands-on treatment and rehab, and manages decompression cases alongside Dr. Barton.
Medical care — same building, when the injury calls for it
Meredith Reynolds, ACNP-BC
Nurse practitioner
Board-certified acute care nurse practitioner. When an injury calls for medication, she sees the patient that same day, in the same building.
Praful C. Singh, M.D.
Pain management physician
Board-certified anesthesiologist, fellowship-trained in pain management (residency, SUNY Buffalo; fellowship, University of Rochester), practicing medicine since the early 1990s. Performs injections and interventional procedures here.
Lisa D. Persyn, M.D.
Physical medicine & rehabilitation
Board-certified in physical medicine and rehabilitation (M.D., UT Health Science Center San Antonio; residency, Baylor College of Medicine). Performs interventional procedures here alongside Dr. Singh.
For referring offices
Questions attorneys and case managers ask
Can you see my client today?
Yes. Call (210) 741-9166 and ask that your client be seen right away. You can also ask for Silvia, Dr. Huffman or Dr. Barton.
Will my client pay anything at the first visit?
No — not at the first visit. We bill the coverage responsible for the accident, and we accept letters of protection.
Do you accept letters of protection?
Yes, for car-accident patients. Fax the letter to 210-545-5120 or email it to Dr. Huffman or Silvia. Where to send it →
Who performs injections?
Praful C. Singh, M.D., and Lisa D. Persyn, M.D., perform them here. Dr. Singh is board-certified in anesthesiology and fellowship-trained in pain management; Dr. Persyn is board-certified in physical medicine and rehabilitation. Most accident patients start with hands-on care, and the exam and imaging decide whether someone needs injections.
Do you order MRIs?
When the exam or the patient's symptoms call for one, we order it and arrange it, then review the images with the patient.
Will my client see a medical provider?
When the injury calls for it. A chiropractor examines every accident patient. If the injury calls for medication, our nurse practitioner, Meredith Reynolds, ACNP-BC, or one of our pain management physicians — Praful C. Singh, M.D., and Lisa D. Persyn, M.D. — may evaluate them as well. If the case needs it later in care, an interventional pain procedure is performed here by Dr. Singh or Dr. Persyn.
How long will treatment run?
It depends on the extent of the injury. Progress is measured at each re-exam, and care continues until your client reaches maximum medical improvement — the point where the exam shows they have recovered as far as this injury is going to let them. For many patients that is back to where they started; for some it isn't, and we say so in the record rather than treating past the point of benefit.
My client was hurt weeks ago. Can you still see them?
Yes. Tissue that healed stiff can still be treated, and a disc injury can still be found.
How do I request records?
You don't have to. Records go out automatically once your client reaches maximum medical improvement and finishes their final exam. If you need them before that — for a demand, a filing deadline, or anything else — email Silvia at silvia@texasspineclinic.com or Dr. Huffman at joshua@texasspineclinic.com and we'll send what you need.
Refer a client
One call. Silvia takes it from there.
Call (210) 741-9166 and ask for Silvia, our practice manager. She'll schedule your client — same day, Monday–Thursday — and keep your office in the loop from there.
Or send it over.
Fax (210) 545-5120 — letters of protection, records requests, referral forms.
Email scheduling@texasspineclinic.com to get a client on the schedule.
Fax (210) 545-5120 — letters of protection, records requests, referral forms.
Email scheduling@texasspineclinic.com to get a client on the schedule.
Texas Spine Clinic · 3212 Napier Park, San Antonio, TX 78231
Monday–Thursday, 8 a.m.–5 p.m. · 20+ years in San Antonio
