About Us
Your Trusted Experts for Spine Health
With over 50 years of combined spine-specific experience, the dedicated team at Total Spine Institute delivers exceptional care to patients facing chronic, acute, and cancer-related pain, as well as reduced spine function. Patients are welcomed at the conveniently located Northern California, Southern California and Arizona offices, where the team ensures prompt, personalized treatment and support.
Total Spine Institute uses an innovative approach, including wide-ranging options like interventional pain management procedures, minimally invasive spine surgery, image-guided injections, and platelet-rich plasma (PRP) treatments.
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.
Interventional Pain Management
Ryan Mattie, M.D.
Interventional Pain Management
Cheri Geist, PA-C, MPAP, FAAPA
Physician Assistant
John Michael Holmes, DO, JD
Interventional Pain Management
James Silverthorn, D.O.
Neuro Spine Surgeon
David Pilkington, DO
Interventional Pain Management
Pouriya Ghayoumi, M.D.
Orthopedic Spine Surgeon
Vlad Gendelman, M.D.
Orthopedic Surgeon
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.
– Steve L.
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!
– Claudio C.
Dr. Fox and his team are extremely professional and caring. They had our total and complete trust from day 1. We are so grateful!
– Amanda B.
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.
– Yvonne
All the girls are super welcoming! Dante is always wonderful to work with. She is educated and talented in her practice and I am always so pleased with the results! She is very easy to talk to and listens to my concerns. I know I am in good hands at The Lip Bunny and recommend!
– Danielle L.
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!
– Vanessa M.
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!
– Nicole P.
Brianna is truly a master of her craft. She is constantly continuing her education and investing in the latest technology to bring the newest and best for her clients. Not only is Brianna professional, she is the most genuine person and will make you feel completely comfortable in her chair. I always leave the Lip Bunny looking and feeling beautiful.
– Michael K.
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.
– Steve L.
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!
– Claudio C.
Dr. Fox and his team are extremely professional and caring. They had our total and complete trust from day 1. We are so grateful!
– Amanda B.
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.
– Yvonne
All the girls are super welcoming! Dante is always wonderful to work with. She is educated and talented in her practice and I am always so pleased with the results! She is very easy to talk to and listens to my concerns. I know I am in good hands at The Lip Bunny and recommend!
– Danielle L.
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!
– Vanessa M.
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!
– Nicole P.
Brianna is truly a master of her craft. She is constantly continuing her education and investing in the latest technology to bring the newest and best for her clients. Not only is Brianna professional, she is the most genuine person and will make you feel completely comfortable in her chair. I always leave the Lip Bunny looking and feeling beautiful.
– Michael K.