Move, Live, and Thrive with Confidence

Empowering you to live a pain-free life so you can feel your best every day and enjoy all that life has to offer.

Move, Live, and Thrive with Confidence

Empowering you to live a pain-free life so you can feel your best every day and enjoy all that life has to offer.

Personalized Care for a Stronger, Healthier You

Total Spine Institute recognizes that each person’s health journey is unique, which is why we offer a comprehensive approach to spine care. Our team of board-certified spine surgeons provides both surgical and non-operative treatments tailored to your specific needs. Whether you’re seeking relief from chronic pain or in need of advanced spine surgery, we are committed to strengthening your body and improving your overall well-being. With our expertise in both pain management and cutting-edge surgical procedures, we collaborate closely with you to develop a personalized treatment plan that aligns with your goals, helping you achieve a healthier, more vibrant life.

Active Living

Total Spine Institute

At Total Spine Institute, we are an independent physician group committed to delivering the highest quality care. Our mission is to enhance your quality of life, improve functional ability, and help you achieve personal fulfillment. We offer a full range of treatments, including minimally invasive and complex spine surgeries, as well as interventional pain management procedures.

Our expert team works with you to create personalized care plans tailored to your unique needs. Whether you’re seeking relief from neck and back pain or aiming to improve your overall wellness, we’re here to support you on your journey to feeling your best every day.

Our Services

Spine Treatments & Surgeries

Our spine treatments are designed to relieve pain, improve mobility, and restore quality of life. From advanced, minimally invasive techniques to more complex surgeries, we focus on enhancing function and helping you regain the ability to live pain-free. Whether you’re managing a chronic condition or recovering from surgery, our treatments are tailored to support your spinal health and overall well-being.

Pain

We offer a variety of pain management treatments to help you find relief from chronic pain and improve your daily function. Whether you’re experiencing neck and back pain, sciatica, or other painful conditions, our personalized approach targets the source of your discomfort. With these treatments, we aim to reduce pain and promote healing.

Wellness

Our wellness treatments focus on enhancing your overall health and vitality. We offer non-invasive solutions that target your body’s natural strength and function, helping you feel your best inside and out. Improve muscle tone, boost energy, or support long-term wellness with our personalized approach.

About Us

Your Path to a Healthier,
More Vibrant Life Starts Here

The board-certified physicians at Total Spine Institute are dedicated to providing the highest standard of care for patients dealing with chronic, acute, and cancer-related pain, as well as decreased spine function.

Led by Dr. Ryan Mattie and Dr. Andrew Fox, we serve Oakland, Calabasas, Los Angeles, Sacramento, Bay Area, and Arizona, offering prompt access to expert care. we pride ourselves on a collaborative, multidisciplinary approach. Our team includes specialists in pain management, physical medicine and rehabilitation, minimally invasive procedures, and complex spine surgery. This enables us to focus on delivering effective pain relief, promoting recovery, and improving quality of life. We understand the challenges that come with spine-related pain and dysfunction, which is why we ensure timely appointments for those in need.

Our Providers

With over 50 years of experience, our team includes specialists in pain management, physical medicine and rehabilitation, minimally invasive procedures, and complex spine surgery. Each provider is committed to working collaboratively to deliver personalized, effective treatment plans tailored to your unique needs.

Andrew Fox, M.D.

Neuro Spine Surgeon

Ryan Derby, M.D.

Pain Medicine Physician

Ryan Mattie, M.D.

Pain Management

Cheri Geist, PA-C, MPAP, FAAPA

Physician Assistant

Dr. John Michael Holmes

Pain Management

Dr. James Silverthorn

Neuro Spine Surgeon

David Pilkington, DO

Interventional Pain Management Physician

What our patients say

Just want to say thank you to Total Spine Institute for all your care that I have received. Dr Mattie and Dr Fox are real heroes that really help and listen to their patients. That is the service that I received and would definitely recommend them to anyone and everyone.

Dr. Fox truly made my visits a breeze! From calming my nerves before surgery to providing comforting reassurance afterward, he went above and beyond to ensure I felt at ease throughout the entire process. Along with his incredibly accommodating staff, scheduling appointments was a breeze. The best part? I experienced minimal pain post-surgery and I’m absolutely thrilled to share that my procedure was an outstanding success. A heartfelt thank you to you, Dr. Fox!

Dr. Fox and his Team of Friendly, Courteous Professionals are the very best you can get! I am a critical care RN, so I am always censoring the care I receive and can easily see the difference.

Foot numbness and leg and back pain had been increasingly limiting my mobility, and activity level. Dr. Fox cleaned up scar tissue that was putting pressure on the spinal nerve. I’ve regained feeling and am working on re-strengthening the leg. I was in and out of surgery the same day and the surgical site has healed well with no complication. Should have done this sooner!

Dr. Fox and his team are extremely professional and caring. They had our total and complete trust from day 1. We are so grateful!

Highly recommend this office and Dr.Fox! Everyone I ever spoke with was very polite and kind. Dr.Fox has a great bedside manner. He feels more like a caring, trustworthy, friend. Being in pain is horrible, but knowing your Dr. Has your best interest at heart makes you feel more at ease. I trust and respect Dr.Fox and his colleagues very much!

Contact Us

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Move, Live, and Thrive with Confidence

Move, Live, and Thrive with Confidence

Personalized Care for a Stronger, Healthier You

Active Living

Total Spine Institute