Pain Management Information
SA Pain Clinic is a pain management practice in San Antonio, Texas, operating as a registered DBA of Larina V. Gutenberg DO, PLLC. Co-founded by Larina Gutenberg, DO, the clinic is made up of fellowship-trained, board-certified anesthesiologist pain physicians who look for the root cause of each patient’s pain and combine minimally invasive procedures with supportive therapies, all under one roof.
Interventional Pain Management in San Antonio, TX
Alongside image-guided procedures, the practice coordinates physical therapy, pain psychotherapy, chiropractic care, acupuncture, pool therapy and myofascial therapy, and often gives patients home exercises plus nutrition and supplement guidance for specific chronic pain conditions.
Treatments & Procedures Offered
- Spine Injections & Ablation: Epidural steroid injections, selective nerve blocks, facet and sacroiliac joint injections, trigger point injections and lumbar or cervical radiofrequency ablation.
- Intracept & Spine Procedures: Basivertebral nerve ablation (Intracept), balloon kyphoplasty, the Vertiflex interspinous spacer, minimally invasive lumbar decompression and minimally invasive sacroiliac joint fusion.
- Neuromodulation: Spinal cord stimulator implantation and programming, dorsal root ganglion stimulation and peripheral nerve stimulation.
- Targeted Drug Delivery: Intrathecal pain pump implantation and management for chronic spine pain, spasticity and cancer pain.
- Other Treatments: Major joint injections for the shoulder, hip and knee, sympathetic nerve blocks, Botox for migraine and cervical dystonia, and the TenJet procedure for tendinosis.
Conditions Treated
Chronic spine pain, chronic low back and neck pain, sciatica, disc herniation, spinal stenosis, sacroiliac joint pain, arthritis, vertebral compression fractures, post-herpetic neuralgia, diabetic peripheral neuropathy, neuropathic pain, complex regional pain syndrome (CRPS), chronic spasticity and chronic post-surgical pain.
Medical Team & San Antonio Location
- Lead Physician: Larina Gutenberg, DO (Board-certified in Anesthesiology and Pain Medicine by the American Board of Anesthesiology)
- Also Practicing: Roberto Diaz, MD and Ma Luo, MD, supported by a team of physician assistants
- San Antonio Office: 5522 Lone Star Pkwy, Building 2, Suite 101, San Antonio, TX 78253
- Additional Offices: 9631 Huebner Rd, San Antonio, TX 78240 and 1510 S Main St, Boerne, TX 78006
- Phone: (210) 298-4900
- Website: sapainclinic.com
Frequently Asked Questions (FAQ)
Who founded SA Pain Clinic?
SA Pain Clinic was founded by Dr. Larina Gutenberg, DO, a Cleveland Clinic-trained anesthesiologist who is board-certified in anesthesiology and pain medicine.
What insurance does SA Pain Clinic accept?
The practice says it accepts most major insurance, including Medicare, Blue Cross Blue Shield, Aetna, Cigna, Humana and United Healthcare plans, and also handles letter of protection (LOP) and workers’ compensation cases. Call (210) 298-4900 to confirm your coverage.
Where is SA Pain Clinic located?
The main office is at 5522 Lone Star Pkwy, Building 2, Suite 101, San Antonio, TX 78253, with additional offices on Huebner Road in San Antonio and on S Main Street in Boerne.



