Complex regional pain syndrome (CRPS) is a painful chronic condition that affects the distal extremities, usually the limbs. It often follows a traumatic injury…
Diabetic neuropathy is a type of nerve damage that can occur if you have diabetes. It is a serious and common diabetes complication that may
Spinal discs are made up of several layers: a hard outer layer called the fibrous ring and a soft, jelly-like core called the central pulp.
Up to 40% of patients have experienced continued pain after surgery, which is often referred to as Failed Back Surgery Syndrome (FBSS)…
There are multiple causes of joint pain, also known as “arthralgia”, which may involve injury to the surrounding ligaments, cartilage, bursa, tendons and bones within
Headaches, depending on the cause, can range in severity from being a mild sensation of discomfort to acute pain. They are very common, with about
Neuropathy is damage to a nerve. Sensory neuropathy may present as numbness, tingling, burning, stabbing, or electrical pain. Motor neuropathy usually presents…
Osteoarthritis is the most common form and is due to the normal “wear-and-tear” of the joint due to our daily activities. Over time, normal use
Some back pain after back surgery is normal, and full recovery can generally take about 4 to 6 weeks. However, in some cases, the back
Some neck pain after neck surgery is normal, and full recovery can generally take about 4 to 6 weeks. However, in some cases, the neck
In some patients, acute post-surgery pain can evolve into a chronic pain condition. Post-surgical complications (such as nerve damage, tissue damage, and scar tissue formation)…
Posttraumatic stress disorder (PTSD) is the third most common psychiatric diagnosis among Veterans seen in the Veterans Health Administration (VHA). PTSD can…
It can be difficult to pinpoint the cause of chronic spinal pain. There are several nonsurgical treatments that can treat pain in your spine or
A spinal fracture can cause sudden back pain, loss of height, or a hunched posture. Treatment helps restore comfort and mobility…
The PainSmith team has reviewed this information. It is intended for informational purposes only, not to replace the advice of your doctor or other health care provider. Please discuss any questions or concerns you may have with your provider.
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
