Pain management in San Antonio
Most pain has a source you can find: a disc, a joint, a nerve, an injured muscle. We find it, and we treat it there. Chiropractors, pain management physicians and a nurse practitioner work as one team under one roof, so when your case needs more, the next step is down the hall. No surgery first. No narcotics, ever.
Sound familiar?
Managing pain means living around it. We'd rather find where it's coming from and fix it. That's what pain management means here.
Where your care starts
Before anything is recommended, you're examined: your history, a hands-on exam, and imaging when your case needs it. X-rays are taken in the building, and when the exam calls for an MRI, we order and arrange it. The goal of that first visit is a plain answer: what is hurting, and why.
A bulging or herniated disc pressing on a nerve. Low back pain, sciatica down the leg, neck pain and arm pain.
A stiff or inflamed joint in the spine. The back that locks up when you stand, the neck that won't turn.
A nerve that keeps firing on its own. The burning, numbness and electric pain of neuropathy, CRPS and shingles.
Muscles and ligaments strained in an injury, like the neck and back pain that follows a car accident.
How your care is built
We start by treating the source of your pain, without surgery and without narcotics. Most patients never need more than that. When a case does, the next step is already in the building.
Step 1 · Where most care begins and ends
Chiropractic care, DRX9000 spinal decompression, scrambler therapy for nerve pain, therapies like laser, ultrasound and muscle stimulation, and the strengthening that holds a result in place. We're treating the disc, the joint, the nerve and the soft tissue itself — not masking the pain with pills.
Chiropractic Care · DRX9000 Spinal Decompression · Scrambler Therapy
Step 2 · When it helps
Sometimes an anti-inflammatory or a short course of steroids lets you heal faster. Our nurse practitioner, Meredith Reynolds, ACNP-BC, can prescribe it alongside your care. Never narcotics.
Step 3 · When a case calls for it
For the most serious cases, often car accident injuries, interventional pain procedures are performed here, in our own procedure room, by Praful C. Singh, M.D., and Lisa D. Persyn, M.D. Your exam and your imaging decide whether your case calls for one.
Find your pain
The ache that won't let you sit through a movie, and the pain that runs down the leg.
DRX9000 spinal decompression →The stiff neck, and the pain, tingling or weakness that travels into the arm and hand.
More on neck pain →Neuropathy in the feet, CRPS, shingles pain, and nerve pain that nothing has touched.
Scrambler therapy →The back that locks up when you stand and the neck that won't check your blind spot.
Chiropractic care →Whiplash, back pain, and the soreness that shows up days later. Its own program, with medical care in the building when you need it.
Our injury program →The back that was supposed to be fixed, and the pain that returned anyway.
After back surgery →In the building
Our procedure room is down the hall from the treatment rooms, with image guidance on site. If your physician recommends a procedure, you'll hear what it is, why your case calls for it, and what to expect, in plain words, before anything is scheduled.
Your care keeps going alongside it, with the same team.
How care is decided here
Here's how pain management works at Texas Spine Clinic. Hold us to every line.
Who you'll see
We work as a team. Chiropractors, physicians and a nurse practitioner under one roof, and your care is a team effort from your first visit.
Pain management physician
A board-certified anesthesiologist, fellowship-trained in pain management at the University of Rochester after his anesthesia residency at SUNY Buffalo. Practicing medicine for more than three decades, focused on pain management since his fellowship. Performs interventional pain procedures.
Physical medicine & rehabilitation
Board certified in physical medicine and rehabilitation. M.D. from UT Health Science Center San Antonio, residency at Baylor College of Medicine. Performs interventional pain procedures and medically supervises our scrambler therapy program.
Nurse practitioner
A board-certified acute care nurse practitioner. When your care calls for medication, she can see you that same visit.
Common questions
Yes. Interventional pain procedures are performed here by Praful C. Singh, M.D., and Lisa D. Persyn, M.D. Your exam and your imaging decide whether your case calls for one. Most of our patients' care is non-surgical and narcotic-free.
Our nurse practitioner or our pain management doctors can prescribe an anti-inflammatory or a short course of steroids as part of your care, and sometimes muscle relaxers. We don't prescribe narcotics.
Your first visit starts with an exam. The medical side of the team sees you when your care calls for it, whether that's medication or a procedure your imaging supports.
No. If you have one, bring it. If your exam calls for imaging, we order and arrange it.
No. No referral is needed for your initial visit. If your care later requires one, we’ll get it for you.
We accept most insurance plans and Medicare. What's covered depends on the service and your plan, and our front desk checks your benefits before your visit.
Accident injuries have their own program: nothing out of pocket at your first visit, same-day appointments, and medical care in the building. Most accident patients start with hands-on care, and the MRI decides if someone needs injections. See the injury program.
3212 Napier Park, San Antonio, TX 78231. Monday–Thursday, 8 a.m.–5 p.m. (210) 741-9166.
What happens next
Know what you need? Each service has its own first visit:
Back or neck pain from a disc$49 DRX9000 decompression consultation Nerve pain$19 scrambler therapy consultation Car accidentNothing out of pocket at your first visit Stiff back or neckChiropractic, seen the same dayNew patients can be seen the same day. No referral needed. Most insurance and Medicare accepted. Monday–Thursday, 8 a.m.–5 p.m. · 3212 Napier Park, San Antonio.
No referral needed. Same-day appointments available.
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Rather book by phone? Call (210) 741-9166.
P.S. Pain you've been managing for months has a source. One visit tells you what it is and what it will take to fix it. Call (210) 741-9166.
