Dennis Karasek, MD

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Dennis Karasek, MD

Dennis Karasek, MD

Pain Doctor


  • Fellowship Trained, Board Certified
  • Pain Medicine

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San Antonio Pain Management Doctor Dennis Karasek

Dennis E. Karasek, MD is Fellowship Trained and Board Certified in Pain Medicine. His 29 years of medical experience and almost 20 years of the exclusive practice of Interventional Pain Management makes him one of the most impressively credentialed physicians in the state of Texas. He is the founding owner of Pain Doctor – San Antonio, currently providing care at 6 locations in the San Antonio area.
His practice has provided ancillary services such as DME, Pharmacy, and Lab for 4 years. All locations have fully equipped fluoroscopy suites. His training and experience are seldom matched in his profession.

Dr. Karasek is also a member of:

  • Texas Pain Society
  • International Spinal Injection Society (ISIS)
  • American Society of Interventional Pain Physicians
  • Instructor of Physicians for correct performance of spinal injection procedures,including fluoroscopically guided injections
Dennis Karasek, MD
"I believe in a multimodal approach to pain management to help improve my patients’ quality of life."
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Dennis Karasek, MD, PLLC (President)

Group Practice-Spinal Diagnostics/Pain Medicine                                                                           2006 – Present
San Antonio, TX
We currently operate five pain clinics in San Antonio.  Each office is equipped for full evaluation and treatment of acute and chronic pain syndromes.  We also operate our own pharmacy and diagnostic laboratory.

Consultants in Pain Medicine

Group Practice-Spinal Diagnostics/Pain Medicine                                                                           2004 – 2006
San Antonio, TX

Neurosurgical Associates of San Antonio

Multi-Specialty Group-Spinal Diagnostics/Pain Medicine                                                              2000 – 2004
San Antonio, TX

Northwest Spine Group

Group Practice-Spinal Diagnostics/Pain Medicine                                                                           1998 – 2000
San Antonio, TX

Tulsa Pain Consultants

Group Practice-Spinal Diagnostics/Pain Medicine                                                                           1994 – 1998
Tulsa, OK

Anesthesia Associates

Anesthesiologist                                                                                                                                    1985 – 1993
Tulsa, OK

Baptist Hospital

Emergency Room Physician                                                                                                                 1980 – 1982
Oklahoma City, OK


University of Pittsburgh                                                                                                                     1993 – 1994
Pittsburgh, PA
Fellowship in Pain Management

University of Oklahoma
Oklahoma City, OK

Clinical Fellowship in Cardiovascular Anesthesia                                                                         1984 – 1985
Chief Resident – Anesthesiology                                                                                                      1983 – 1984
Residency in Anesthesiology                                                                                                             1982 – 1984

University of Oklahoma School of Medicine                                                                                 1975 – 1979
Oklahoma City, OK

Medical School

University of Oklahoma                                                                                                                     1973 – 1975
Norman, OK
Undergraduate – Pre-med

University of Waterloo                                                                                                                       1972 – 1973
Waterloo, Ontario, Canada
Undergraduate School

"We'll treat you like we would our own Mom or Dad."
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Diplomat-Am. Board of Anesthesiology                                                                                         1985
Am. Board of Anesthesiology, Special Qualifications in Pain Management                               1994
Re-certification                                                                                                                                     2005

Special Positions Held/Papers

Instructor – ISIS Cadaver Workshops – Teaching precision spinal injections to physicians.

Instructor – Oratec Interventions Cadaver Workshop – Teaching theory and placement of Spinecath (IDET) catheter.

Clinical Fellow and Chief Resident Department of Anesthesiology                                         1984 – 1985

Oklahoma Society of Anesthesiologists                                                1991 – 1992

“A Controlled Trial of the Efficacy of Intra-discal Electrothermal Treatment for Internal Disc Disruption”                                                                                        Michael Karasek, Dennis Karasek, Nikolai Bogduk.

Abstract – Presented at the NASS Annual Meeting                                                                                            1999

No previous trial testimony (only depositions)                                                                             

Professional Organizations

  • International Spinal Intervention Society (ISIS)
  • American Society of Interventional Pain Physicians
  • Bexar County Medical Association
  • Texas Medical Association
  • American Medical Association
  • Texas Pain Society

Special Qualifications 

  • dr karasek in actionI am Board Certified in Anesthesiology with special qualifications in Pain Management.
  • I have completed a Fellowship in Pain Medicine at the University of Pittsburgh (1993 – 1994).
  • I have practiced Pain Management exclusively since 1994.
  • My medical practice emphasis is interventional pain management specializing in the diagnosis and treatment of spinal pain syndromes.
  • My current medical practice includes a procedure site where all injections are performed under fluoroscopic guidance and has since 1994. I am familiar with the procedural and material costs associated with such procedures.
  • I am a long-standing member of the International Spinal Intervention Society (ISIS), American Medical Association (AMA), Bexar County Medical Society, and the American Society of Interventional Pain Physicians (ASIPP).
  • I have taught physicians the proper techniques of spinal injections, including discography, at multiple cadaver workshops.
  • I have developed and currently operate both a full functioning pharmacy and urine testing laboratory with Analyzer and Liquid Chromatography/Mass Spectrometry instruments.


Texas – L0314
Oklahoma – Number 12718 (Lapsed)
Oregon – Number MD20427 (Lapsed)
Pennsylvania – Number MD049613L (Lapsed)

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Dennis Karasek, MD

San Antonio - North Central

3603 Paesanos Parkway Suite 100
San Antonio, TX 78231

Phone: 210-801-9040

Hours: Mon-Thurs | 8am-5pm, Fri | 8am-3pm

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