Chronic pain after surgery can linger long after a procedure has healed. Learn what causes chronic post-surgical pain (CPSP), common risk factors, and the treatment options available to help reduce pain and improve quality of life…
This healthy spring veggie pasta combines asparagus, zucchini, peas, tomatoes, and bell peppers in a light lemon-garlic sauce for a fresh, flavorful meal packed with anti-inflammatory ingredients. Enjoy it on its own or pair it with a healthy protein like salmon, grilled chicken, tofu, or turkey meatballs for an easy spring dinner…
Explore the most effective treatments for nerve pain, from medications and lifestyle changes to advanced procedures like nerve blocks and ablation. Learn what causes neuropathy, how different treatments work, and how a personalized approach can help relieve pain, restore function, and improve your overall quality of life…
If you’re experiencing joint pain, it’s easy to assume it’s caused by arthritis or a minor injury. However, joint pain can sometimes signal a deeper underlying condition. From autoimmune disorders to infections and hormonal changes, some causes may surprise you. Understanding what’s behind your discomfort is the first step toward effective treatment…
Dr. William Zachary “Zack” Smith has once again been recognized as a Top Pain Management Physician in San Antonio, earning this distinction for the second consecutive year in the 2026 Top Doctors list published by San Antonio Magazine…
This hearty, antioxidant-packed, powerhouse salad combines fresh greens with crisp apples, pomegranate arils, pecans, rich blue cheese, and roasted butternut squash. This salad is hearty enough to enjoy on its own as an entree, or is a perfect pairing for a soup or other equally healthy dish…
If you are experiencing back pain, it can be easy to categorize any discomfort in that area as just general “back pain.” However, in order to properly diagnose and treat the pain, you need to identify the portion of the spine that is actually affected. There are significant differences between upper back pain and lower back pain…
This recipe for Healthy Pumpkin Spice Banana Muffins avoids some of the typical inflammatory ingredients that can exacerbate chronic pain (dairy, eggs) and includes some super-powered ingredients that can give you a boost of potassium, vitamin A, and vitamin C. Pumpkin is an excellent source of…
The PainSmith is proud to announce the renewal of two sponsorships for the 2025-2026 school year. We feel that it is vitally important to support our local area schools. We have renewed our sponsorships of Las Lomas Elementary through their PTA and Ronald Reagan High School athletics through the Diamondbackers Sports Association.
08/03/2026
Dear Painsmith Patients,
It has been a pleasure caring for all of my patients over the past several years here in San Antonio. Unfortunately, due to ongoing personal health issues, I will be unable to continue caring for you with the same high level of care you are used to. Because of this, my last date treating patients at Painsmith will be September 5, 2026.
If you have a scheduled appointment prior to this date, we are more than happy to keep that appointment, and will attempt to accommodate other patients who wish to be seen prior to our final date. If you wish to cancel your appointment please contact the office.
Your medical records will remain at Painsmith, and we are happy to forward your records to yourself or a physician of your choosing. Our office staff can assist you with forwarding or obtaining your records. Additionally, we are currently in discussions with other local area pain physicians who have expressed interest in assisting with your care moving forward. If we locate a physician with both capacity and capability to deliver the same quality of care, we will provide an update at that time.
Thank you,
William (Zack) Smith, MD
