How we handle spine care
OSI evaluates and manages common spine complaints — neck pain, low back pain, sciatica, disc-related symptoms, and degenerative changes anywhere from the cervical spine through the lumbar spine. That includes a thorough physical exam, X-rays in our clinics, and MRI ordered when the clinical picture calls for it. Most spine problems improve with a structured non-operative program — physical therapy, activity modification, medications, and bracing — and that is where we spend the majority of clinic time.
OSI is also a sound place to bring imaging done elsewhere for a fresh look or a second opinion before any spine procedure. When symptoms persist despite non-operative care, or when imaging identifies a problem best handled with an interventional procedure or surgery, we refer to a fellowship-trained spine surgeon or pain management physician we know and trust. The handoff happens seamlessly when it is the right call, and you stay in our care for the conservative work.
What we treat here
When advanced care is needed
We do not perform spine surgery or interventional spine procedures at OSI. That covers epidural steroid injections, facet injections, medial branch blocks, radiofrequency ablation, kyphoplasty, and any open spine surgery. When imaging and clinical findings make one of these the right next step, we coordinate the referral to a trusted pain management physician or fellowship-trained spine surgeon and stay involved on the conservative side for as long as it helps.
When to call us vs. go to the ER
If you have severe pain, an obvious deformity, new weakness or loss of sensation, loss of bladder or bowel control, or any concern for a fracture after a fall, go to the nearest emergency room. For non-emergent evaluation of back or neck pain, call (830) 625-0009.
Who You'll See Here
Spine complaints are evaluated by our full team — three board-certified orthopedic surgeons and our PAs, seeing patients across our six communities. Meet the providers.
