ADVANCED SPINE CARE,
PERSONALIZED FOR YOU
A conservative-first approach backed
by advanced spine treatment options
Meet Dr. Gautham Prabhakar, one of San Antonio’s leading Spine Surgeons
When spine surgery becomes necessary, the approach matters. Dr. Gautham Prabhakar uses advanced techniques designed to minimize tissue disruption while addressing the source of a patient’s symptoms. From endoscopic and robotic spine surgery to artificial disc replacement, treatment is personalized around each patient’s condition, goals, and lifestyle.
Advanced Spine Treatments & Surgical Options
Explore a range of spine care options designed around each patient’s condition, goals, and lifestyle. From conservative treatment to advanced minimally invasive, robotic, endoscopic, and motion-preserving procedures, Dr. Prabhakar focuses on finding the right approach while minimizing unnecessary intervention whenever possible.
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Robotic Spine Surgery
Robotic-assisted precision for complex cases requiring exceptional accuracy.
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Artificial Disc Replacement
A motion-preserving alternative to fusion for eligible patients with disc degeneration.
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Endoscopic Spine Surgery
Camera-guided procedures through a single small incision, often as an outpatient visit.
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Non-Surgical Spine Treatment
Non-surgical management designed to relieve pain and restore mobility.
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Minimally Invasive Spine Surgery
Smaller incisions, less tissue disruption, and a faster path back to daily life.
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Advanced & Revision Spine Surgery
Complex care for revision, reconstruction, and challenging spine conditions.
Do Any of These Symptoms Sound Familiar?
Spine conditions show up differently for every patient. Here are some of the most common symptoms Dr. Prabhakar's patients bring to their first visit.
Lower Back Pain
Neck Pain & Stiffness
Sciatica & Leg Pain
Numbness or Weakness
Herniated or Bulging Disc
Conditions Dr. Prabhakar Treats
From degenerative wear-and-tear to complex spinal deformity, Dr. Prabhakar treats the full range of spine conditions, always starting with the least invasive path forward.
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Herniated Disc
A disc's inner material pushes through its outer layer, often pressing on nearby nerves.
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Spinal Stenosis
Narrowing of the spinal canal that puts pressure on the spinal cord or nerves.
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Spondylolisthesis
A vertebra slips out of place onto the bone below it, often causing pain or nerve irritation.
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Sciatica
Nerve compression causing pain that radiates from the lower back down through the leg.
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Degenerative Disc Disease
Natural wear of the spinal discs over time, leading to pain, stiffness, or reduced mobility.
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Scoliosis & Spinal Deformity
Abnormal curvature of the spine, ranging from mild to complex cases requiring specialized care.
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Compression Fractures
A weakened or collapsed vertebra, often related to osteoporosis or injury.
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Facet Joint Syndrome
Inflammation or wear in the small joints connecting the vertebrae, often causing localized back pain, stiffness, and reduced mobility.
Meet Dr. Gautham Prabhakar
Dr. Gautham Prabhakar grew up in Dallas and completed his orthopedic residency right here in San Antonio before finishing a complex and minimally invasive spine surgery fellowship in San Diego. Today he cares for patients at Texas Neuro Spine in San Antonio and New Braunfels.
What Dr. Prabhakar’s Patients Are Saying
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“I went to him for my lower back, and he discovered I had something more serious going on. He was very thorough, and referred me to a neuromuscular Dr. I moved back to FL and on 1.16.26 I was diagnosed with Lambert Eaton Myasthenic Syndrome. This dr literally saved my life. I want to tell him thank you!” - Former Patient Amanda
- Former Patient, Amanda
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“Dr. Prabhakar was very professional. He knew I was in massive pain when I went to his clinic and scheduled me for surgery. He explained to me everything in detail about my surgery. Surgery was a success!!! Highly recommend him to anyone!!! Thank you so much for giving me my life back!!! I am able to walk again w/o pain.”
- Former Patient, Argelia
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“Amazing doctor! I had an excellent experience with Dr.Prabhakar! He took time to listen carefully to my concerns and explained everything clearly. he’s very professional and my pain was completely gone after the surgery! I highly recommend this doctor to anyone looking for trustworthy medical care!”
- Former Patient, Olivia
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“One of the most thoughtful, experienced and truly compassionate physicians I’ve met. He is thorough, evaluates the problem from all angles and with the best data to guide his patients & family toward the best possible outcome. Highly recommend!”
- Former Patient, Jenny
Three Locations Across San Antonio & New Braunfels
Medical Center
2829 Babcock Rd
San Antonio, TX 78229
Westover Hills
11123 Christus Hills
Plaza 4 suite 201
San Antonio Texas 78251
New Braunfels
189 E. Austin St
Suite 101
New Braunfels, TX 78130
Get to Know His Approach
Conservative care first, advanced surgery when it's truly needed.
What Is Endoscopic Spine Surgery?
A look at one of the least invasive spine procedures available, performed through an incision smaller than one centimeter.
Do You Need Surgery for a Herniated Disc?
Most patients improve without surgery. Dr. Prabhakar explains what a herniated disc is and how he decides on the right treatment.
Ready to talk about your spine health?
Discover a Personalized Approach to Spine Care