Chronic Back Pain Doctor in San Antonio, TX
At San Antonio Pain Consultants in San Antonio, TX, Dr. Darius Zagunis, M.D., specializes in diagnosing and treating chronic back pain with personalized pain management approaches. Our team evaluates the underlying causes of discomfort and develops customized treatment plans to help reduce pain, improve mobility, and enhance quality of life. Patients receive compassionate care focused on achieving long-term relief and better function. For more information, contact us or schedule an appointment online. We are located at 3903 Wiseman Blvd, Ste 117, San Antonio, TX 78251.


Table of Contents:
When should I see a chronic back pain doctor in San Antonio, TX?
What causes chronic back pain that requires medical treatment?
What treatments does a chronic back pain doctor offer in San Antonio, TX?
Can chronic back pain be treated without surgery?
How is chronic back pain diagnosed by a specialist?
What type of doctor should I see for chronic back pain in San Antonio, TX?
How long does chronic back pain treatment usually take?
Do chronic back pain doctors offer non-invasive treatment options?
Can a chronic back pain doctor help with nerve-related back pain?
What Tests Does Dr. Darius Zagunis Use to Evaluate Chronic Back Pain in San Antonio, TX?
You should consider seeing a chronic back pain specialist in San Antonio if your back pain persists for several weeks, interferes with daily activities, or does not improve with rest, over-the-counter medications, or physical therapy. Additional warning signs such as numbness, tingling, weakness, or changes in bladder or bowel function indicate the need for immediate evaluation. Early consultation allows our team to identify underlying causes, prevent further complications, and develop a personalized treatment plan tailored to your condition.
Chronic back pain can result from a variety of conditions that require professional intervention. Common causes include degenerative disc disease, herniated or bulging discs, spinal stenosis, facet joint arthritis, muscle weakness, ligament injuries, and nerve compression. Previous injuries or surgeries can also contribute to ongoing pain. At San Antonio Pain Consultants, specialists evaluate each patient carefully to determine whether the pain is primarily mechanical, nerve-related, or caused by an underlying degenerative condition. Understanding the root cause is critical for choosing the most effective treatment and restoring functional mobility.
Chronic back pain doctors offer a range of treatments that may include minimally invasive interventions such as epidural steroid injections, facet joint injections, radiofrequency ablation, nerve blocks, and spinal cord stimulation. These procedures are designed to target pain sources while minimizing risks associated with surgery. Additionally, our clinic integrates physical therapy, exercise programs, medication management, and lifestyle modifications into a comprehensive care plan to improve mobility, strength, and overall quality of life.
Yes, many cases of chronic back pain can be effectively managed without surgery. San Antonio Pain Consultants emphasizes non-surgical interventions, including injections, nerve blocks, radiofrequency ablation, and guided physical therapy. These approaches can reduce pain, restore function, and help patients maintain independence without undergoing invasive procedures. Surgery is generally considered only when non-invasive methods fail to provide sufficient relief or when structural spinal issues require correction.
Diagnosis of chronic back pain involves a comprehensive evaluation of the patient’s medical history, symptom patterns, and functional limitations. Specialists perform physical examinations and may order imaging studies such as X-rays, MRI, or CT scans to identify structural issues like disc herniation, spinal stenosis, or joint degeneration. Electromyography (EMG) or nerve conduction studies may be used to assess nerve involvement. This multi-faceted approach ensures an accurate diagnosis and informs a personalized treatment plan.
For chronic back pain, patients should seek care from a board-certified pain management specialist or interventional pain physician. These specialists have advanced training in diagnosing and treating complex spinal and nerve conditions. At San Antonio Pain Consultants, our team includes physicians experienced in minimally invasive procedures, non-surgical interventions, and comprehensive management strategies tailored for both acute and chronic back pain.
The duration of treatment varies depending on the underlying cause, severity of symptoms, and patient response. Some patients experience relief after a single minimally invasive procedure, while others may require a combination of treatments and ongoing therapy over several weeks or months. Our team develops individualized timelines for each patient, providing clear guidance on what to expect throughout the treatment process.
Yes, non-invasive options are a central part of chronic back pain management. These include physical therapy, guided exercise, medication management, lifestyle counseling, and pain-relief injections. Our clinic prioritizes minimally invasive and non-surgical interventions whenever possible, allowing patients to achieve pain relief while avoiding major surgical procedures and minimizing recovery time.
Absolutely. Chronic back pain is often related to nerve irritation or compression, such as in cases of sciatica, spinal stenosis, or radiculopathy. San Antonio Pain Consultants offers specialized treatments targeting nerve-related pain, including nerve blocks, epidural injections, and radiofrequency ablation. These interventions help reduce inflammation, relieve pressure on affected nerves, and restore mobility, improving both function and comfort for patients.
At San Antonio Pain Consultants, Dr. Darius Zagunis, M.D, may use a combination of diagnostic tests to better understand the cause of chronic back pain. Depending on the client’s symptoms, medical history, and physical examination, testing may include X-rays to evaluate spinal alignment, arthritis, or bone changes, as well as MRI or CT scans to examine discs, nerves, joints, and surrounding soft tissues.
Electromyography, also known as EMG, may be recommended when nerve irritation, weakness, numbness, or tingling is present. In selected cases, blood tests may also be ordered to help identify inflammation, infection, or other medical conditions. For more information, contact us or schedule an appointment online. We are located at 3903 Wiseman Blvd, Ste 117, San Antonio, TX 78251. We serve patients from San Antonio TX, Helotes TX, Alamo Ranch TX, Leon Valley TX, Shavano Park TX, Balcones Heights TX, Fair Oaks TX, Fair Oaks Ranch TX, Castroville TX, and surrounding areas.


Conditions We Treat
▸ Back & Spine Pain
▸ Herniated Disc Treatment
▸ Sciatica
▸ Neck Pain
▸ Knee Pain
▸ Arthritis Pain
▸ Arm & Shoulder Pain
▸ Abdominal & Pelvic Pain
▸ Headaches & Migraines
▸ Hip Pain
▸ Neuropathy
▸ Cancer Pain

