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Custom Solutions for Your Pain

You're Unique

Your Pain Treatment Should Be Too

At SA Pain Clinic in San Antonio, TX, we realize that each case is different and unique. When it comes to pain mitigation and pain management, there is no “one size fits all” solution. That’s why we provide our patients with a wide range of services to manage their pain and a customized treatment plan to fit their individual needs.

Did You Know?

Chronic Pain Effects Over0% of Adults
In The United States
We Have Performed Over0
Pain Relief Procedures
Our Doctors Have Over0Years
Of Experience In Pain Management

What Patients Are Saying

“Have been Treated at this facility for over 2 years and Dr Diaz is such an amazing pain Dr. his staff are amazing as well Melissa is always helpful and courteous and everyone else i didn’t mention by name. Dr. Diaz has treated my pain and stabilized it as well. In my opinion Dr Diaz is the best Dr. I have come to know. I would definitely 100% refer him to all.”

Evonne P.
Rating: 5

“I see Dr Gutenburg (she’s a DO & and emphasizes diet & supplements alongside traditional meds) & her PA, Michael Valdez. They are both compassionate & wonderful. My mom has been with the practice for years & loves them, too.”

Kim H.
Rating: 4

“The staff was very courteous and professional. Dr Guttenberg was friendly and thorough as to explaining my options and procedures.”

Barbara H.
Rating: 5

Meet The Doctors

Dr. Larina Gutenberg, DO

Dr. Gutenberg, a board-certified pain management specialist, is a founder of SA Pain Clinic in San Antonio, Texas. Using the most advanced and state-of-the-art methods available, SA Pain Clinic offers an incredibly wide array of treatment options, including pharmaceutical pain management and interventional procedures, all under one roof. The pain management doctors at San Antonio Pain Clinic have expertise in treating both simple and complicated pain issues, thereby eliminating the need for patients to visit multiple specialists in order to receive customized care.

In 2004, Dr. Gutenberg earned her Doctor of Osteopathic Medicine degree from Arizona College of Osteopathic Medicine – Midwestern University in Glendale, Arizona. She then went on to complete her residency in anesthesiology and her fellowship in pain medicine at the Cleveland Clinic Foundation in 2008 and 2009, respectively. Among her most impressive achievements, she is board-certified in anesthesiology by the American Board of Anesthesiology, whose mission is to advance the highest standards of the practice of anesthesiology. She is also board-certified in pain medicine by the American Board of Anesthesiology, whose mission is to improve the quality of pain medicine.

Dr. Roberto Diaz, MD

“I specialize in all the latest advancements in pain management including Kyphoplasty, Interspinous spacers, Spinal Cord Stimulators, Pain Pumps, and multiple types of pain procedures for headaches, neck and back pain, any joint pain, cancer related pain, and visceral abdominal pain.”

Dr. Adam Fish, DO

Dr Fish is a fellowship trained interventional pain management physician, double board certified by the American Board of Anesthesiology and American Board of pain management. He specializes in all different aspects of pain including headache, neck pain, neuropathic pain, post-surgical pain and chronic low back pain and Sciatica. Dr. Fish firmly believes in treating the entire person and promotes the interconnected healing of the mind, body, and spirit.

He completed his Anesthesiology residency at the University of New Mexico (the only level 1 trauma center within a 500 square mile radius.) He stayed at UNM for his Pain fellowship where he learned the latest, innovative minimally invasive techniques to treat patients with Chronic Pain.

A dedicated husband and father of 5, Dr. Fish has a passion to serve his community and provide the highest level of care for his patients in San Antonio. When meeting him you will notice that Faith, Compassion, and Integrity permeate everything he does.


5522 Lone Star Pkwy, Building 2, Ste 101
San Antonio, TX 78253

  • Phone: (210) 298 4900
  • |
  • Fax: (210) 298 6631
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