TSAOG Orthopaedics & Spine helps patients in San Antonio find care for back pain, neck pain, spine injuries, and other spine conditions. Our team includes spine doctors, nonsurgical physicians, chiropractors, and orthopedic spine surgeons, giving patients access to conservative treatment options and spine surgery when needed.
We focus on identifying the cause of your symptoms and helping you understand the right treatment path for your diagnosis, goals, and daily life.
Back pain and neck pain can have many causes, which is why an accurate diagnosis is important. A spine doctor can evaluate where your symptoms are coming from, how they affect your movement, and whether they are related to the muscles, joints, discs, nerves, or bones in the spine.
Back pain is extremely common. According to MedlinePlus, 8 out of 10 people experience back pain at some point in their lives. Some symptoms improve with time, while others may need medical care, especially when pain keeps returning, spreads into the arms or legs, or affects daily activities.
At TSAOG Orthopaedics & Spine, the goal is to match your care plan to the cause of your symptoms. Some patients improve with nonsurgical spine care, while others may need an evaluation with an orthopedic spine surgeon.

Chiropractic care is an entirely drug free and non-surgical approach to dealing with neck pain and back pain. Common chiropractic treatments include spinal manipulation and flexion-distraction.

Pain management is a non-surgical approach to dealing with neck pain and back pain. Common treatments include osteopathic manipulation, pain medicine, physical therapy, and interventional spinal care (spinal injections).

In cases where surgery is warranted, an orthopedic back surgeon will operate on the spine. Common spinal surgeries include spinal fusion, laminectomy, and disc replacement.
You should consider seeing a spine doctor when back pain, neck pain, stiffness, weakness, numbness, or tingling lasts more than a few days, keeps returning, or starts to affect your daily activities.
Seek emergency care if pain travels into your arms or legs, affects your balance, causes weakness, or follows an injury.
TSAOG Orthopaedics & Spine treats a wide range of back, neck, and spine conditions, including herniated discs, sciatica, spinal stenosis, degenerative disc disease, pinched nerves, arthritis of the spine, neck pain, lower back pain, and spine injuries.
Our spine doctors evaluate each patient's symptoms, medical history, and imaging when needed to recommend an appropriate treatment plan.
Many back and neck conditions can be treated without surgery. Depending on your diagnosis, nonsurgical spine care may include pain management, physical therapy, chiropractic care, injections, or other conservative treatment options.
A spine surgeon may be recommended when symptoms are severe, worsening, or not improving with nonsurgical care. You may also need a surgical evaluation if you have significant nerve compression, loss of strength, spinal instability, or a condition that affects your ability to walk, work, or complete daily activities.
Seeing a spine surgeon does not always mean you need surgery. The evaluation helps determine whether surgery is an appropriate option.
When spine surgery is recommended, TSAOG's orthopedic spine surgeons help patients understand their diagnosis, surgical options, and expected recovery. Surgical care may be considered for certain disc problems, nerve compression, spinal stenosis, spine injuries, or other structural conditions of the spine. Your surgeon will explain the recommended procedure, why it may help, and what to expect before and after surgery.
Your first spine appointment may include a review of your symptoms, medical history, prior treatments, and any available imaging. Your provider may also perform a physical exam to evaluate your movement, strength, reflexes, and areas of pain or numbness.
From there, your spine doctor can recommend next steps, which may include imaging, nonsurgical treatment, referral to another specialist, or a surgical evaluation.
TSAOG Orthopaedics & Spine provides spine care for patients in San Antonio and surrounding communities. Availability may vary by provider and location, so patients can review current appointment options when scheduling care.
Find a TSAOG Orthopedic Clinic Near You
If back pain, neck pain, or spine-related symptoms are affecting your life, TSAOG Orthopaedics & Spine can help you take the next step. Schedule an appointment with a spine doctor in San Antonio to discuss your symptoms and treatment options.
A spine doctor treats back pain, neck pain, spine injuries, disc problems, nerve compression, arthritis of the spine, sciatica, spinal stenosis, and other conditions that affect the spine.
You should see a spine doctor when back pain lasts more than a few days, keeps returning, spreads into your leg, causes numbness or weakness, or limits your daily activities.
A spine doctor evaluates and treats spine-related conditions. A spine surgeon is a physician who can perform surgery when a spine condition requires surgical care. Not every spine doctor visit leads to surgery.
Many patients start with a spine doctor or back pain doctor for an evaluation. If your symptoms or diagnosis suggest that surgery may be needed, your provider may recommend an evaluation with a spine surgeon.
Spine surgery may be recommended when nonsurgical care has not improved symptoms or when a condition causes significant nerve compression, weakness, instability, or loss of function.
Yes. Spine doctors treat neck pain related to muscle strain, arthritis, disc problems, nerve compression, injuries, and other cervical spine conditions.

Mission Trail Medical Plaza
3327 Research Plaza, #215
San Antonio, TX 78235
PHYSICIANS: Kevin L. Kirk, D.O., F.A.O.A. , Emmanuel C. Nwelue, Jr., M.D. , S. Josh Bell, M.D. , Sergio Viroslav, M.D. , Anthony Montanez, M.D. , Alexis Maiella, D.O. , Matthew T. Glazier, D.O. , Shane C. Eizember, M.D. , Harrison Scofield, M.D. , Christian A. Woodbury, M.D. , Charles E. Bryant, M.D.

Christus Santa Rosa NW, Tower I
2829 Babcock Rd., #700
San Antonio, TX 78229

Ridgewood Orthopaedic Center
19138 US-281 N
San Antonio, TX 78258
PHYSICIANS: B. Christian Balldin, M.D. , Patrick Ahern, M.D. , David R. Espinoza, M.D. , Richard L. Ursone, M.D. , David E. Vizurraga, M.D. , Ephraim K. Brenman, D.O., R.M.S.K. , Alexis Maiella, D.O. , Cory J. Moczygemba, DPM , Robert U. Hartzler, M.D., M.S. , Richard Nauert, M.D. , Eloy Ochoa, Jr., M.D. , Matthew T. Glazier, D.O. , Linzy Fitzsimons, M.D. , G. Lane Naugher, M.D. , Matthew C. Swann, M.D. , Bryan W. Kaiser, M.D. , Jonathan S. Duncan, M.D. , Joseph Poku, M.D. , Lauren E. Karbach, M.D. , Alexander S. Rowland, M.D. , Dustin B. Rinehart, M.D. , Scott R. Seidel, D.C. , Sergio Viroslav, M.D. , David T. Hughes, D.P.M. , Justin Robbins, M.D. , Casey D. Taber, M.D. , Stephen C. Drukker, M.D. , Jessica F. Rutstein, D.P.M. , Randall C. Marx, M.D. , M. Brandon Dobson, M.D.

Westover Hills Medical Plaza I
11212 State Hwy 151, #150
San Antonio, TX 78251
PHYSICIANS: Richard Nauert, M.D. , Kevin L. Kirk, D.O., F.A.O.A. , Ephraim K. Brenman, D.O., R.M.S.K. , Anthony Montanez, M.D. , Maria Tijerina-Burleson, D.C. , Shane C. Eizember, M.D. , Stephen T. Gates, M.D. , G. Lane Naugher, M.D. , Emmanuel C. Nwelue, Jr., M.D. , Eloy Ochoa, Jr., M.D. , Christian A. Woodbury, M.D. , Harrison Scofield, M.D. , Nicholas Nira, D.C.

Grayson Heights
1422 East Grayson Street, Ste 102
San Antonio, TX 78208
PHYSICIANS: Charles E. Bryant, M.D. , Alexis Maiella, D.O. , Mickey S. Cho, M.D. , S. Josh Bell, M.D.

The Orthopaedic Institute
400 Concord Plaza Dr.
San Antonio, TX 78216
PHYSICIANS: Ephraim K. Brenman, D.O., R.M.S.K. , Casey D. Taber, M.D. , Justin Robbins, M.D. , Charles E. Bryant, M.D. , G. Lane Naugher, M.D. , Stephen T. Gates, M.D. , David E. Vizurraga, M.D. , B. Christian Balldin, M.D. , Lauren E. Karbach, M.D. , David R. Espinoza, M.D. , Christian A. Woodbury, M.D. , Anthony Montanez, M.D. , Eduardo Moreno, M.D. , Alexander S. Rowland, M.D. , Eloy Ochoa, Jr., M.D. , Randall C. Marx, M.D. , Shane C. Eizember, M.D. , Christopher J. Tucker, M.D. , Matthew C. Swann, M.D.

Resolute Retail Plaza
601 Creekside Crossing #106
New Braunfels, TX 78130

Schertz Parkway Professional Plaza
5000 Schertz Parkway, #600
Schertz, TX 78154
PHYSICIANS: Richard L. Ursone, M.D. , Mickey S. Cho, M.D. , Alexis Maiella, D.O. , Jeffrey B. Shroff, M.D. , Richard Nauert, M.D. , Lauren E. Karbach, M.D. , Emmanuel C. Nwelue, Jr., M.D. , Nicholas Nira, D.C. , Jonathan S. Duncan, M.D. , Charles E. Bryant, M.D. , Justin Robbins, M.D. , Dustin B. Rinehart, M.D.
Quarry Area
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Ridgewood Orthopaedic Center
Schertz
Medical Center
Westover Hills
WorkSmart at Grayson Heights
Brooks City Base
New Braunfels
Please submit your request to [email protected] or Request Medical Records on HealthMark here.
All morning appointments at our Brooks City Base location scheduled for 1/30/2024 are canceled due to unforeseen electrical issues.




Director of Human Resources
Cyndee White has worked in Human Resources for many years mainly in the restaurant and adult alcohol beverage industry prior to joining TSAOG in 2020.
Cyndee earned her degree in Human Resources in 2011 and earned her license in 2012 as a Professional in Human Resources. She grew up all over the country, New York and Indiana and settled in Texas in 2003. I guess you would call her a natural Texan now! Cyndee has four kids and four dogs so her life is always busy. She loves football, traveling and swimming or sitting on the back porch and relaxing every now and then.
Why does Cyndee love working for TSAOG? “Because it pushes me out of my comfort zone and allows me to explore new opportunities in an industry, I haven’t previously worked in. The culture and atmosphere are busy, crazy busy, but I wouldn’t change it for the world. I get to meet new people every day, get to help people every day and get to experience healthcare in a new way. I love engaging with my boss, my peers and my team.“

Human Resources Coordinator, joined TSAOG in June 2019.
Brandunn (Pronounced Brand-in) is from the small town of Pharr, located in the Rio Grande Valley of Texas. When he graduated High School, he moved to Houston and met his wife. They went back to the Valley but soon realized San Antonio was where they wanted to call home.
Brandunn started his career in retail, after about 6 years he decided he wanted to make more of a difference and joined the Physical Therapy world. He started with TSAOG as a PT Tech at our ROC location, after about two years he took a leap and joined the HR Team as one of the HR Coordinator’s.

Human Resources Manager
Andrea is from Somerset, TX, a small town just south of San Antonio. She completed her undergraduate degree at Colgate University in Hamilton, NY. Four years and a bachelor’s degree later she decided the snow, subzero temperature and lack of Mexican food was just too much for her and she moved back home to San Antonio!
In 2019, she started working for TSAOG as a Reception Specialist at our Mission Trails Clinic. Later, she joined the Human Resources department initially as an HR Assistant but continued her growth to her current role as the Human Resources Manager!

Human Resources Coordinator joined TSAOG September 2021.
Noah is originally from Louisiana, where he went to school and got his bachelor’s degree in Health and Human Performance. In August of 2021 he moved to San Antonio with his wife and began looking for places to work. Not yet being certain of exactly which road he wanted to take; Noah applied to TSAOG to be a Physical Therapy Technician at the Schertz location where he stayed for around 5 months.
Although he enjoyed working at the Schertz location greatly, he realized Physical Therapy was no longer the path he wanted to take. Noah moved into the HR Coordinator role over at the Annex where he now assists in New Hire Onboarding and other administrative duties.

Talent Acquisition Coordinator, joined TSAOG in August 2016 (for the 2nd time).
Angela is a San Antonio native. She originally joined TSAOG in 1998 and left in 2014 to continue her education. After earning a degree from the University of the Incarnate Word in 2015, Angela returned to her TSAOG family. She became part of the Compnow department and became the team lead.
When the position of Talent Acquisition Coordinator became available in February of 2022 Angela was beyond excited for the opportunity to recruit for the company that had always supported her over the years. She felt this was her chance to help grow our TSAOG family.
Angela loves spending time with her family. She has a passion for Art and painting. She also loves making celebration baskets for loved ones and friends.
Being part of the HR department makes it possible to meet and learn more about our employees (aka my TSAOG family) and I am grateful to be part of such a wonderful team.

Human Resources Generalist, joined TSAOG in July 2018.
Ericka is from a small town called Harlingen; born and raised there. She started working at Kohl’s about 4 years ago and was able to grow into different positions within the company. During that time, she moved to San Antonio in 2017. Since she has moved she has fallen in love with the city of San Antonio and never wants to leave.
In 2018 she started working as a Reception Specialist at the OI location. She immediately fell in love with TSAOG. Everything from the work environment to my coworkers, to decorating for Halloween and decorating for every Holiday for that matter. I knew at that moment I had found my work home.
About a year later Ericka started working as a Human Resource Assistant where she learned so much more about the Company and all the fun stuff TSAOG has to offer. A little while later she transitioned to a Recruiter role as the, “Talent Acquisition Specialist” where she gets to recruit for the surgery center positions and radiography.