Good Friday 2020 – TSAOG and OrthoNow Hours

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TSAOG Hours:

This Friday, April 10th, all TSAOG clinic locations will be open from 8am-Noon only.  All offices will close at the half day in observance of Good Friday.

OrthoNow Hours:

On Friday, April 10th, both OrthoNow Injury Clinics will be open from 9am-1pm.

Regular Saturday hours, 8am-2pm, will resume for the OrthoNow Injury Clinic at our Quarry Area location on Saturday, April 11th.

Learn more about OrthoNow, TSAOG’s Urgent Injury Clinic.

Have a safe and happy Easter weekend!

Information on Coronavirus (COVID-19) for TSAOG Patients

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UPDATE 1/6/2020 – TSAOG Orthopaedics is following the Department of State Health Services protocol for distributing the COVID-19 vaccine as it becomes available to us.

We have received one allocation of 100 doses at this time that will be used to vaccinate our health care providers and staff. When we receive additional allocations, we plan to fully vaccinate the remainder of our staff, then continue to help vaccinate our medical community (healthcare workers and first responders).
Once we have the medical community’s needs, we will then offer doses that are available to our patients according to the distribution protocol set by the State. We currently do not have an estimated date when this will occur, but we are looking forward to when we can open this up to our most vulnerable patient population. When this occurs, we will announce it via our website and social media accounts.
Please continue to visit our website at as well as our Facebook, Instagram, and LinkedIn accounts for the most up-to-date information.
We appreciate your patience as we work as quickly as possible to help protect our entire community.

UPDATE 11/16/2020 – At TSAOG Orthopaedics, the health and safety of our patients, our providers, and Team TSAOG is always our top priority. Due to the rising rate of COVID-19, TSAOG has updated its visitor policy. We ask that you work with us to minimize the risk of infection and limit the spreading of germs. At this time we are not allowing any visitors to accompany patients in the waiting room or exam room. Visitors will be asked to wait in their vehicles until your appointment is completed. Thank you for helping us keep San Antonio safe! 

For the most up-to-date information on the novel Coronavirus (COVID-19) from the Centers for Disease Control and Prevention (CDC), please visit


What is TSAOG doing to protect our patients?

  • Disinfecting – Exam rooms and tables are disinfected between patients. Commonly used surfaces are disinfected multiple times per day.
  • Hand Hygiene – All providers and members of Team TSAOG adhere to a conscientious handwashing protocol.
  • Masking Up – All providers and members of Team TSAOG wear face masks when in contact with patients or when working in close proximity to other team members. 
  • Screening for Symptoms and Risk Factors – Patients and visitors for the clinic and surgery center will be screened for symptoms and risk factors for COVID-19, may have their temperatures taken, and will be asked to reschedule their appointments as appropriate.
  • Social Distancing – Patients concerned with waiting in the lobby will be given the option to wait in their cars. They will be contacted via cell phone when Team TSAOG is ready to bring them back to the exam room.
  • Telemedicine Visits – Telemedicine consultations will be made available for appropriate appointment types. Learn more about OrthoConnect Telemedicine consultations at TSAOG.

What can you do to protect yourself and others?

  • Handwashing – Wash your hands frequently with soap and water for at least 20 seconds. Use an alcohol-based hand sanitizer if soap and water are unavailable.
  • Cover Your Cough – Cough into your elbow or a tissue, not your hand.
  • Mask Up – The Texas Medical Board (TMB) has adopted an emergency rule which requires “a mask must be worn by both the patient and physician or the physician’s delegate when in proximity of the patient (meaning less than a 6-foot distance between the patient and the physician or the physician’s delegate).” In accordance with this rule and effective May 1st, any patient arriving for an appointment without a mask will be turned away at the door and rescheduled. Masks must also be worn by anyone over the age of 10 who is accompanying or visiting a patient. Masks are required to be worn, and cover both your nose and mouth, the entire time you are visiting a TSAOG facility.
  • Leave Family at Home – In order to maintain social distancing, keep our patient areas from becoming overcrowded, and limit exposure for our staff, we are no longer allowing visitors to accompany patients into the waiting room or exam room. Anyone who accompanies you to your appointment will be asked to wait in the car until your appointment is completed.
  • No Touching – Avoid touching your hands to your eyes, nose, and mouth.
  • Disinfect – Clean and disinfect frequently touched surfaces at home and work.
  • Social Distancing – Avoid large groups of people as well as close contact with people who are sick.
  • Recover, Don’t Spread – If you are sick, avoid travel except for medical care. Stay home to recover and do NOT report to work or school.

If you are experiencing flu-like symptoms (including fever, cough, shortness of breath, headache, muscle aches, runny nose, fatigue, and sore throat), please give us a call and we will be happy to help reschedule your appointment for a time when you are feeling better.


Is the office open for clinic and physical therapy visits?
Yes, all TSAOG locations remain open for clinic and physical therapy visits. We also offer telemedicine consultations for those who would prefer to avoid an in office appointment. 

What can I expect when I arrive at the office?
For the safety of everyone involved, we are screening all patients and visitors prior to entry to any TSAOG clinic. This screening will include a temperature check as well as general health-related questions. If you are determined to be at risk based on this screening, your appointment will be rescheduled for a later date.

Can I wait in my car instead of the waiting room?
Yes. When you check in for your appointment, you will have the option to provide your cell phone number to the front desk so that you can wait in your personal vehicle. We will contact you when we are ready to bring you back to the exam room.

Why aren’t you allowing a visitor to come with me to my appointment?
In order to maintain social distancing, keep our patient areas from becoming overcrowded, and limit exposure for our staff, we are no longer allowing visitors to accompany patients into the waiting room or exam room. Anyone who accompanies you to your appointment will be asked to wait in the car until your appointment is completed.

Is there staff in the office working if I have questions?
Many of our staff have been set up to work at home, but their phone lines are being forwarded, so you may reach them on the same phone numbers you normally use to contact them. Please note: our phone communications are somewhat limited in this environment (they may be only able to answer one call at a time vs. up to three lines in the office) and, as such, you may experience higher than normal need to leave a voicemail. This should be expected during this time, so please do leave us a voicemail. We are monitoring our messages and returning calls as quickly as possible. IMPORTANT NOTE: when our staff returns your call, it may register as a “private number” if they are working remotely. Please make sure to answer these calls to avoid an infinite game of phone tag!

Are you still performing surgery?
Yes. In accordance with guidance from local, state, and federal authorities, we have resumed scheduling elective surgical cases. Please be aware, your surgical experience will differ from prior experiences. For example, we will not allow visitors to remain in the surgical facility. Parents/guardians of minor children and other unusual individual circumstances will be the only exceptions to this rule. The American Academy of Orthopaedic Surgeons (AAOS) has released FAQ’s in English and Spanish for patients regarding elective surgeries and COVID-19.

How will you communicate with my loved one after surgery?
Your loved one will be asked to leave a phone number upon check-in so that we may communicate with him/her when you are in recovery. Your physician will call shortly after surgery and our nurses will call again when you are ready to go home. The nurses will give discharge instructions over the phone and will leave written instructions with your loved one when they arrive to pick you up.

What if I need to schedule an appointment?
You may schedule an appointment with us using our online scheduling link. It’s easy and available 24/7! You may also call to schedule an appointment at 210-281-9595, but you may be asked to leave a message and wait for a call back. 

Should I wear a mask to my appointment?
Yes! The Texas Medical Board (TMB) has adopted an emergency rule which requires “a mask must be worn by both the patient and physician or the physician’s delegate when in proximity of the patient (meaning less than a 6-foot distance between the patient and the physician or the physician’s delegate).” In accordance with this rule and effective May 1st, any patient arriving for an appointment without a mask will be turned away at the door and rescheduled. Masks must also be worn by anyone over the age of 10 who is accompanying or visiting a patient.

Thank you for helping us keep TSAOG safe and healthy!

TSAOG Orthopaedics is First in Texas to Offer Mako Robotic-Arm Assisted Knee Replacement in an Outpatient Surgery Center

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TSAOG Orthopaedics is the first in Texas to offer Stryker’s robotic-arm assisted knee application for use with its Mako System in an outpatient surgery center. This latest advancement in joint replacement surgery transforms the way joint replacements are performed.

“We are proud to be the first orthopaedic Group in Texas to offer this state-of-the-art robotic technology in an outpatient surgery center,” said Ron Bullock, Director of Clinical and Ambulatory Services at TSAOG Orthopaedics. “This ensures that our patients undergoing total and partial knee replacement procedures will have access to the most advanced technology possible and reaffirms our commitment to providing the community with outstanding healthcare.”

The Mako Knee application is a knee replacement treatment option designed to relieve the pain caused by joint degeneration due to osteoarthritis. Through CT-based 3D modeling of bone anatomy, surgeons can use the Mako System to create a personalized surgical plan and identify the implant size, orientation, and alignment based on each patient’s unique anatomy. The Mako System also enables surgeons to virtually modify the surgical plan intra-operatively and assists the surgeon in executing bone resections.

“The MAKO robotic knee replacement system assists surgeons in performing total knee replacement by using cutting edge 3-dimensional planning with robotic guidance systems,” said Dr. Richard Ursone, TSAOG Orthopaedic Surgeon and Joint Replacement Specialist. “It allows surgeons to perform a customized ‘perfectly fitted’ knee replacement for the best functional outcome while minimizing surgical exposure to decrease pain after surgery and allow for a more rapid return of function.”

“It is a revolutionary tool that allows us to make intraoperative decisions that can directly affect the patient’s outcome,” said Dr. Casey Taber, TSAOG Orthopaedic Surgeon and Sports Medicine Specialist. “I believe it causes less pain and allows for more exact sizing of the implants. In my experience, people recover quicker and have a more stable knee following the MAKO knee replacement.”

Total knee replacements in the United States are expected to increase 673 percent by 2030, yet studies have shown that approximately 30 percent of patients are dissatisfied after conventional surgery. Mako Total Knee combines Stryker’s advanced robotic technology with its clinically proven GetAroundKnee (Triathlon Total Knee System), which has enabled surgeons to have a more predictable surgical experience with increased accuracy during laboratory testing.

Learn more about Mako Robotic-Assisted Knee Replacement at TSAOG Orthopaedics.

TSAOG Congratulates Our SA Doctors: Best of 2020

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TSAOG is so pleased to announce that 38 of our physicians have been named to San Antonio Scene‘s list of S.A. Doctors: Best of 2020! This issue is on newsstands now and features the best doctors and dentists in San Antonio, TX – as nominated by their peers.

The following TSAOG physicians made the list:

Congratulations to our S.A. Doctors: Best of 2020!

Happy Retirement, Dr. Burkhart!

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Dr. Stephen S. Burkhart – shoulder specialist and long time member of TSAOG – will be retiring from private practice, effective January 31st, 2020.

Current patients of Dr. Burkhart will have the option of transferring their care to another TSAOG physician or any other physician of their choice. If you are a current patient with Dr. Burkhart and have any questions about your medical records or continued care, please contact our main office at (210) 804-5400.

Dr. Burkhart joined TSAOG in 1981 and has served as an important leader in our practice for 38 years. According to TSAOG CEO Sani Mirza, “Dr. Burkhart has led TSAOG Orthopaedics as he has lived his life – with humility, decency, and honesty. His leadership is the reason this organization has grown from six physicians to over forty and continues to attract the very best. His legacy is not only this Group, but all it represents: unequalled patient care, innovation, compassion, and integrity.

I am honored to call Steve Burkhart my friend and, while I wish him well in retirement, I hope he visits us often to ensure we continue to be the type of practice that he built and would be proud to call home.

Please join me in congratulating Dr. Burkhart on an incredible career which has benefited so many people around the world. We will all miss him very much. Happy retirement, Dr. Burkhart!

2019 Holiday Hours – Closures for TSAOG and OrthoNow

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All TSAOG offices and both locations of the OrthoNow Walk-In Injury Clinic will be closed on Tuesday, December 24th and Wednesday, December 25th to allow the members of Team TSAOG to spend Christmas with their families. We will resume normal operating hours at all TSAOG and OrthoNow locations on Thursday, December 26th.

All TSAOG offices and both locations of the OrthoNow Walk-In Injury Clinic will also be closed on Wednesday, January 1st, 2020.  We will resume normal operating hours on Thursday, January 2nd.

We wish you all a safe and Merry Christmas and a Happy New Year!

San Antonio Christian School Announces Partnership with TSAOG Orthopaedics

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San Antonio Christian School Announces Partnership With TSAOG Orthopaedics to Keep Student Athletes Healthy and In the Game

TSAOG Will be the Team’s Official Orthopaedic Provider

San AntonioDecember 12th, 2019 ­­–– San Antonio Christian School (SACS) announced today that TSAOG Orthopaedics (formerly the San Antonio Orthopaedic Group) will be the team’s official orthopaedic provider for the next three years.

“This partnership is truly based upon our desire to have the best possible medical care for our student-athletes” said Brandon Parrott, Athletic Director for San Antonio Christian School. “The knowledge and experience that TSAOG Orthopaedics has will be utilized daily by our coaches, strength and conditioning coordinators, and athletic training staff to improve our student-athletes’ health and performance.”

Parrot continued, saying, “While competing, SACS athletes will be monitored by some of the top sports medicine professionals in the country, but the reach of this program extends throughout the entire SACS community.  On campus clinics, parent seminars, coaching seminars, and the development of a student athletic training course are now possible thanks to the support of TSAOG.”

“TSAOG Orthopaedics is excited to partner with San Antonio Christian School (SACS),” said TSAOG sports medicine specialist Dr. Clayton Nuelle.

“SACS has a tremendous reputation throughout San Antonio for excellence in the classroom, on the field, and in the community and we are looking forward to helping keep SACS athletes and their families healthy so they can continue these endeavors. As an athlete myself growing up, our school had a similar relationship with a health care group that helped get us back on the field quickly after injuries. My experience with the physicians who took care of our teams was my first exposure to sports medicine and it inspired me to become a physician (and ultimately an orthopaedic surgeon) myself. We hope to have a similar impact on the young athletes at SACS and we believe it will be a tremendous partnership for everyone involved.”

Dr. David Espinoza, TSAOG sports medicine primary care specialist, added, “whether SACS student-athletes go on to play collegiate and professional athletics, or become renowned professionals in any respective field, ensuring that they receive proper, well-rounded health care while at SACS can go a long way toward shaping their bright futures.” 

In addition to their presence on the sidelines at games, TSAOG orthopaedic staff will be involved with SACS behind the scenes in a variety of ways, including:

  • Providing physician medical coverage for all home games and sponsored events.
  • Providing a physician in the training room weekly and physician consultations during practices.
  • Holding educational sessions for SACS coaches and staff. These sessions will focus on injury prevention and the recognition and treatment of sports-related injuries.
  • Arranging CPR training and certification for SACS personnel.

About San Antonio Christian School: San Antonio Christian School (SACS) is a non-denominational Christian school with small class sizes, a wide range of art programs and extracurricular activities, and a passionate following for Lions athletics. It provides its students with a wide range of athletics opportunities, a band and music program, award winning art classes, state and nationally recognized journalism classes, and a highly skilled drama department.

  • About Brandon Parrott: Brandon Parrott is the Athletic Director at San Antonio Christian School and has been active in the San Antonio sports community for several years. He is a graduate of Smithson Valley High School and played football at the University of Kansas.

About TSAOG Orthopaedics: Established in 1947, TSAOG Orthopaedics (formerly The San Antonio Orthopaedic Group) provides comprehensive orthopaedic services for San Antonio and surrounding areas. Its 35 specialty trained physicians specialize in diagnosis, treatment, and care for the full range of musculoskeletal disorders.

  • About Dr. Clayton Nuelle: Dr. Nuelle is a board certified orthopaedic surgeon, fellowship trained in sports medicine, with TSAOG Orthopaedics. His previous team coverage experience includes the San Antonio Missions and University of Missouri Athletics.
  • About Dr. David Espinoza: Dr. Espinoza is a board certified sports medicine primary care physician with TSAOG Orthopaedics. His previous team coverage experience includes Robert Morris University Athletics, the University of Pittsburgh Athletics, and Penn State University-Greater Allegheny Athletics.

All TSAOG and OrthoNow Locations Closing Early on Friday, December 13th

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a man sitting in his desk with a santa hat holding a signboard with the text office christmas party written in it

Please note: All clinic locations for TSAOG Orthopaedics and the OrthoNow Injury Clinic will close on Friday, December 13th, at 4PM to allow Team TSAOG to celebrate at our annual Holiday Party!

The OrthoNow Injury Clinic at our Quarry Area location will be open Saturday, December 14th from 8am-2pm and all other locations will resume normal operating hours on Monday, December 16th.

We apologize for any inconvenience this may cause. Thanks and have a fun and safe weekend!

Work Smarter (Not Harder) to Avoid Holiday Decorating Injuries

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Dr. David Espinoza, TSAOG’s Primary Care Sports Medicine specialist, was featured in an interview with WOAI Radio this morning:

“Tis the season” for wanna-be Clark Griswolds to spend Christmas in the hospital, or worse, because they fell off a ladder trying to create the ultimate Christmas display, News Radio 1200 WOAI reports.

Many of the homeowners who want to outdo the neighbors in the annual Christmas lighting competition end up in Dr. David Espinoza’s injury clinic at TSAOG Orthopaedics in San Antonio.

He says the number one rule is to respect the danger that height presents – and work smarter, and not harder.

“Never decorate alone,” he said. “He says if something does happen, you need someone who can help you, or call 9-1-1 if needed.”

He says many of the Christmas decorating accidents he sees involve improper ladder placement. He says the ladder should be positioned so you don’t have to reach too high or too far away from your center of gravity.

“The ladder needs to have at least three points of contact, and make sure that the ladder is on a steady, sturdy base that is not going to give out underneath you.”

He says while height is the biggest concern, you also want to make sure that you don’t reach too far to the side when you’re trying to put that light on Rudolph’s nose. “If you are having to lean too far to the side, where your belt line is no longer aligned with the center rungs, that might be too far to the side.”

He says it isn’t just outside decorations that can be problematic. He says he treats plenty of patients who fell trying to reach the tippy top of the Christmas tree in the living room.

He says a box propped on a chair on top of the couch is not a good way to reach the top of the tree. A stepladder is always the preferred alternative.

Work smarter, not harder, to stay safe this holiday season!

Thanksgiving Hours 2019

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Harvest cornucopia close up with Happy Thanksgiving gift tag on dark wood background

All locations for TSAOG Orthopaedics and the OrthoNow Injury Clinic will be closed on Thursday and Friday, November 28th and 29th, to allow Team TSAOG to celebrate Thanksgiving with their families.

The OrthoNow Injury Clinic at our Quarry Area location – 400 Concord Plaza Dr, Ste 300, San Antonio, TX 78216 – will resume normal operating hours on Saturday, November 30th from 8am-2pm.

All other locations will resume normal business hours on Monday, December 2nd.

We wish you all a safe and Happy Thanksgiving!


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