Improving Lives
Over 40 years of continuous practice, longer than any other private practice pain management clinic in San Antonio.

As of Late June 2021, James Growney, D. O., will be leaving River City Pain Management to enjoy his much-earned retirement! We sincerely thank Dr. Growney for his many years of dedicated service to our patients and wish him all the best!
Meet Our Physicians
Arnold DeLeon, M.D.
Arnold DeLeon, M.D.
Dr. DeLeon is a native of Corpus Christi, Texas. He attended Texas A&M University Kingsville where he graduated summa cum laude with a degree in Biology...
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Jay Ellis, M.D.
Jay Ellis, M.D.
Dr. Ellis has been a practicing Pain Management physician and anesthesiologist for over 30 years. After his anesthesiology residency at Wilford Hall Medical Center...
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Bryan Lai, M.D.
Bryan Lai, M.D.
Dr. Bryan Lai is a dual board-certified physician in Interventional Pain Medicine and Anesthesiology. As a Dallas, Texas native...
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Michael Hunter, M.D., M.B.A.
Michael Hunter, M.D., M.B.A.
Dr. Hunter is a native of Lafayette, Louisiana. He attended the University of Louisiana at Lafayette where he received his degree...
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We can see new patients within 5 days

We offer office-based procedures
EXCELLENT Based on 162 reviews Trish and Veronica VintonHernandez2025-04-18Trustindex verifies that the original source of the review is Google. Albeit not a place you come to see in the best of circumstances, however I am grateful for the entire medical team at River City pain management . Dr Deleon, Dr Lie (anesthesiologist), Nancy the best phlebotomist experienced as well as efficient, Isabel surgical nurse and absolutely everyone here. Thank you Cynthia l Gonzalez2025-04-17Trustindex verifies that the original source of the review is Google. Yes, good morning, this is for Doctor hunter.You were so awesome.They had told me that I was gonna have trouble with you.But no, you listen to everything that I had to tell you and boy was I.Surprised, thank you so much, Doctor hunter.I wish all the doctors were like you and listen to the patient.Have a blessed day Sherry Camp2025-04-16Trustindex verifies that the original source of the review is Google. Really appreciate the effective and compassionate care that Dr Lai has provided for the pain I have in my neck. Diane Moore2025-04-16Trustindex verifies that the original source of the review is Google. Appt went very well . Cindi2025-04-15Trustindex verifies that the original source of the review is Google. If Google had 10 starts, 100 stars, or even a MILLION stars to rate satisfaction that STILL would not be nearly enough for how happy I am with Dr. Hunter, PA Emily Scutter, Jojo, Nawal, Sandy, Kimberly, Liz, Layla, and all the other staff members at River City Pain Management!!! I avoided pain management for years, because I did not want to be drugged up or unheard. From the very moment I met Dr. Hunter I knew he was different! He, Emily, and the entire staff are AMAZING blessings to me!!! Annette Pena2025-04-14Trustindex verifies that the original source of the review is Google. I had a great first visit with Dr. Hunter at River City Pain Management. He was very thorough in explaining my condition, the procedures available, and the treatment plan moving forward. I felt heard, informed, and confident in his approach. I'm very happy with this visit and optimistic about working with Dr. Hunter to better manage my pain. The office staff was welcoming and friendly, also. Highly recommend!!! Carla Hamilton2025-04-14Trustindex verifies that the original source of the review is Google. Awesome Dr and staff. Excellent care. Highly recommend. patty moreno2025-04-11Trustindex verifies that the original source of the review is Google. I have had trygeminal Nerve pain for 4 years… Dr Bogaev did surgery on upper part and took care of the pain. Then the bottom part of my cheek and area had excruciating pain of nerve and Dr. Lai did a nerve block treatment and helped me so much. Thank you for your expert help and all the expertise in your hands. The best in Pain Management! Thank you. Blessings Judy Hoberman2025-04-11Trustindex verifies that the original source of the review is Google. I have been going to the clinic for many years. The staff has always been wonderful, shout out to JoAnn and Liz who have helped me through the years. I am the very fortunate patient of Dr. Lai. He is the very best!!! Kind and caring, he has helped me to be the best me.He always seems to know what will help my back problems. I have nothing but praise for everyone at the clinic, but Dr. Lai is simply amazing!! Judy Hoberman John Burns2025-04-09Trustindex verifies that the original source of the review is Google. Outstanding staff. I called one day and had appointment in two days. Dr Hunter treats you like family. Holly seems to love her job assisting the doctors and remembers the patients names. She is very caring. Can’t say enough.Verified by TrustindexTrustindex verified badge is the Universal Symbol of Trust. Only the greatest companies can get the verified badge who has a review score above 4.5, based on customer reviews over the past 12 months. Read more
Dr. DeLeon takes time to explain his diagnoses of your situation and discusses all your options. He allowed me to offer feedback before deciding treatment or further imaging. I was thoroughly satisfied with my initial visit.
- BENITO S.
Dr. DeLeon has helped me with a chronic pain condition. He has the best clinical judgment and surgical skills of any pain management physician whom I have ever encountered.
- Deborah M.
I don’t see Dr. DeLeon often, because when I do, he does a great job and I have relief for many months if not for years. Michael does so great with the IV that I can barely tell it’s being done. Dr. Ellis always does a fantastic job with my sedation also. It’s always a great experience for what it is!
- PATTI B.
Very quick and great, got an injection in upper back and wasn’t even scheduled. Dr. D is awesome! Love the new office too.
- LEAH F.
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