Meet Our Physicians

Innovative Solutions, and Patient-Centered Approach
Our physicians prioritize compassionate care, ensuring that every patient feels valued and understood. They embrace innovative solutions to provide the best possible outcomes. With a patient-centered approach, they focus on individual needs and preferences.
Hablamos Español
Bilingual care to ensure clear communication and comfort for Spanish-speaking patients.
Sedation During Procedures
Relaxing, safe sedation options for a more comfortable treatment experience.
In-Office Procedures
Convenient, minimally invasive treatments performed in our state-of-the-art facility.
Our Physicians
With years of experience, our physicians are here to provide the care you deserve.

John Akhnoukh, MD
John Akhnoukh, MD
Diplomate of American Board of Anesthesiology
Dual Board Certified Anesthesiology and Pain Medicine
Dr. John Akhnoukh is board certified in Anesthesiology and Pain Management. He completed his residency in Anesthesiology, Perioperative, and Pain Medicine at the Icahn School of Medicine at Mount Sinai West, followed by fellowship training in Pain Management at the Weill Cornell Tri-Institutional Pain Fellowship Program, which includes rotations at New York-Presbyterian Hospital, Memorial-Sloan Kettering Cancer Center, and Hospital for Special Surgery.
Dr. Akhnoukh has pioneered a novel cervical ultrasound technique, enhancing the precision and safety of spinal interventions performed in the neck. His expertise in endoscopic discectomy allows for minimally invasive, highly effective treatments, providing patients with significant pain relief and quicker recovery times.
Dr. Akhnoukh specializes in interventional acute, chronic, and cancer pain management, with expertise in minimally invasive therapies, spine and joint injections, radiofrequency ablation, cryotherapy, PRP/stem-cell therapy, and spinal cord stimulation. He emphasizes a comprehensive, multimodal approach to treatment, addressing both the physical and emotional aspects of pain to improve his patients’ function and quality of life.
Education & Training
- SUNY Downstate Medical School
- Anesthesiology Residency at Icahn School of Medicine at Mount Sinai West
- Pain Fellowship at Weill Cornell Tri-Institutional Pain Fellowship Program, which includes rotations at New York-Presbyterian Hospital, Memorial-Sloan Kettering Cancer Center, and Hospital for Special Surgery

Samir Patel, D.O.
Samir Patel, D.O.
Diplomate of American Board of Anesthesiology
Dual Board Certified Anesthesiology and Pain Medicine
Dr. Patel is originally from Nairobi, Kenya. He moved to Texas for college and attended the University of Texas at Arlington, where he graduated Magna Cum Laude. He then attended the Texas College of Osteopathic Medicine, where he learned to embrace a holistic approach to medicine early in his career. In 2008, he arrived in San Antonio to train in anesthesiology at the University of Texas Health San Antonio. He also completed a pain fellowship at UT Health San Antonio (2013).
In addition to providing balanced and compassionate care to his patients, Dr. Patel also believes in the power of learning and educating. He is involved in multiple anesthesia and pain societies which keeps him updated with the latest advances and research in pain management and anesthesiology. He has been involved in various publications and has presented at national and international society meetings. When not at work, Dr. Patel enjoys spending time with family and dogs, hiking and watching sports.
Education & Training
- University of North Texas Health Science Center - Texas College of Osteopathic Medicine
- Anesthesiology Residency at University of Texas Health, San Antonio
- Pain Fellowship at University of Texas Health, San Antonio

Sandip Savaliya, MD
Sandip Savaliya, MD
Diplomate of American Board of Neurological Surgery
Board Certified Neurosurgeon
Dr. Sandip Savaliya is a highly skilled, board-certified neurosurgeon with specialized expertise in complex and minimally invasive spinal surgeries. He completed his medical degree at Penn State University College of Medicine, followed by residency and fellowship training at Penn State Hershey Medical Center.
During his fellowship in minimally invasive and complex spine surgery, Dr. Savaliya gained advanced knowledge of cutting-edge surgical techniques, including robotic spinal surgery. As part of his residency, he also spent a year in Australia, where he further refined his skills and broadened his experience.
Dr. Savaliya has made significant contributions to spinal research, focusing on various spinal pathologies and treatment advancements. He is deeply committed to delivering compassionate care and strongly believes in the power of a collaborative, team-based approach to patient care.
Education & Training
- Penn State University College of Medicine
- Neurosurgery Residency at Penn State Hershey Medical Center

Manish Patel, MD
Manish Patel, MD
Diplomate of American Board of Orthopedic Surgery
Board Certified Orthopedic Surgeon
Fellowship Trained Hand & Microvascular Surgery
Dr. Patel is a fellowship trained upper extremity specialist with expert knowledge on conditions affecting the body from shoulder to hand. With his decades of specialized experience, he is able to treat these conditions without the need for additional referrals.
Education & Training
- Baylor College of Medicine
- Orthopedic Surgery Residency at University of California Los Angeles
- Hand & Microvascular Surgery Fellowship with David P. Green MD

Sean Welch, MD
Sean Welch, MD
Diplomate of American Board of Physical Medicine and Rehabilitation
Dual Board Certified in Physical Medicine Rehabilitation and Pain Medicine
Dr. Welch is Dual-Board Certified in Physical Medicine and Rehabilitation and Pain Medicine. His clinical practice focuses on musculoskeletal and nerve-related injuries. He provides medication management, injections and minimally invasive surgeries.
Dr. Welch was raised in Portland, Maine and moved to San Antonio, Texas in 2019 to start his residency. After falling in love with Texas, he and his wife settled on San Antonio as their home. In his free time he loves to spend time with his wife, son, and three huskies. He also enjoys CrossFit and snowboarding and skiing.
Education & Training
- Tufts University School of Medicine
- Physical Medicine and Rehabilitation Residency at University of Texas Health San Antonio
- Pain Fellowship at University of Texas Health, San Antonio

Rebecca Tapia, MD
Rebecca Tapia, MD
Diplomate of American Board of Physical Medicine and Rehabilitation
Dual Board Certified in Physical Medicine Rehabilitation and Traumatic Brain Injury
Dr. Tapia is a highly experienced specialist in the long-term management of traumatic brain injuries, with over twelve years dedicated to teaching, academic writing, and leading advancements in this complex and evolving field. She holds dual Board Certifications in Rehabilitation Medicine and Brain Injury Medicine and is deeply committed to delivering patient-centered care. Her dedication has earned multiple honors, including a national award for Inclusive Care from the Elizabeth Dole Foundation and the Faculty of the Year awards at UT Health San Antonio.
Education & Training
- University of Texas Health San Antonio School of Medicine
- Physical Medicine and Rehabilitation Residency at University of Texas Health San Antonio
- Board Certified in Traumatic Brain Injury
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