NuHope is a better treatment path for patients who need to progress away from opiate dependency.

What We Do

We have combined the expertise of medical doctors, physician’s assistants, nurse practitioners, social workers, licensed counselors, drug counselors, certified counselors, and physical therapists to care for patients dependent on opiates.  To support our success, we provide in-house drug screening results on a qualitative basis, referring out to a quantitative lab if and when medically appropriate.  This combination of treatment addresses the physical, biological, and mental components of opiate use, and is done in conjunction with a graduated taper of opiate medications.  This protocol must be done in totality to limit or eliminate signs and symptoms of craving and withdrawal.  Our providers also have the capability of prescribing Suboxone and Methadone when medically appropriate for chronic pain.  The treatment protocols are customized to address each patient’s individual needs. 


NuHope Leadership Team

We are nothing without the board-certified physicians, renowned counselors, and therapists, that make up the NuHope team. These experts have countless years of experience battling the dependency on opiates, treating pain, withdrawals, and the scars that affect not only the patient but the family. We want every one of our patients to reach a state of lifelong recovery, and our team will be with them until they do.

Adam Bruggeman, M.D.

Founder, NuHope

Adam was one of the first class of 1,000 in the United States who became board certified in addiction medicine. There are now 1,577 board certified in the United States, which is about the same number of orthopedic surgeons just in the state of Texas. There are just over 1,000,000 physicians in the United States. In other words, one tenth of one percent of all doctors have become board certified in addiction medicine. Adam is the only physician in Texas board certified in both addiction medicine and orthopedic surgery.

As a leading orthopedic surgeon in Texas, Adam has made it his mission to treat his patients with a laser-sharp focus on pain management. He knows what works and his dedication to treating the “whole” patient led him to his work with NuHope. The number one reason people take opiates is orthopedic-related, which is why Adam is has made it his personal goal to be a leader in this area.

Adam started his own practice, the Texas Spine Care Center in San Antonio, TX after working in a group practice for just one year. He quickly rose to one of the most sought-after doctors in the city and proudly calls San Antonio his home. Adam was named one of the Top Doctors of San Antonio in 2015 and received Texas Super Doctors Rising Star award each year from 2015-2019.

Adam’s career trajectory began with a focus on Health Administration and Policy and then he went on to receive as Masters in Hospital Administration at Trinity University in San Antonio. He quickly realized that his ultimate goal was to become a doctor and he received his Medical Doctorate just four-short years after receiving his Masters. Adam performed his orthopedic residency at the prestigious University of Florida/Shands Hospital System before returning once again to San Antonio to complete his Spine Fellowship from the South Texas Spinal Clinic.

Adam is a sought-after speaker and published researcher. His most recent lecture was a presentation to the Texas Medical Association about the new opioid rules and best practices. He is a proud member of the American Society of Addiction Medicine and is the current president of the Texas Orthopaedic Association.

Hussein Musa, M.D.

Medical Director, NuHope

Hussein is triple-board-certified in Anesthesiology, Pain Medicine, and Addiction Medicine. He completed his residency in Anesthesiology at Columbia University Medical Center at New York-Presbyterian Hospital. He then completed his Pain Medicine fellowship at the University of Texas Health Science Center at San Antonio. 

Hussein completed his fellowship training in Pain Medicine at the University of Texas Health Science Center in San Antonio. He was trained to perform interventional pain medicine procedures such as Epidural steroid injections, Radiofrequency ablation, Ultrasound guided nerve blocks, Spinal Cord stimulator placement, and more.

Hussein is originally from Chicago, IL. where he attended the University of Illinois at Urbana-Champaign (UIUC). He went on to become a Howard Hughes Research Fellow and pursued molecular biology research at UIUC and at the NIH sponsored Summer Research Internship Program at the University of Virginia, which resulted in several scientific presentations and publications. He graduated from UIUC with a B.S. in Molecular and Cellular Biology and received his Medical Doctorate from the University of Chicago Pritzker School of Medicine in 2011.


Chief Medical Officer, NuHope

A successful entrepreneur, Dr, Smith has pioneered a number of training programs and protocols which have influenced the treatment of wounds in the military, the public and private sectors globally and which have been the subject of scores of lectures, articles, book chapters, citations and were compiled into a book, Wound Care Practice 1st edition. 

Dr. Smith has applied her managerial and administrative talents in the corporate world, serving in leadership positions for a number of the country’s most innovative companies, including Kinetic Concepts (KCI) in San Antonio, Regenesis Biomedical and BioD LLC before assuming her latest role as Chief Medical Officer for San Antonio-based, NuHope, a unique treatment center bringing the expertise of a wide variety of medical specialists and health professionals to treat patients with opioid dependency and debilitating pain in addition to offering preoperative assessments.

Her broad career and dedication to cutting edge research have resulted in significant improvements in treating patients and training physicians. This has earned her many awards and honors from both military and her professional peers. While on active duty she received the Air Force Commendation Medal, Meritorious Service Medal, and National Defense Medal. In 2003, she was given the most prestigious award for her contributions to Hyperbaric Medicine and in 2004 she was recognized as the Physician of the Year for her teaching and patient care at the Texas Diabetes Institute (TDI) in San Antonio, Texas. She was one of the first eight candidates distinguished with recognition at a Masters level by the American Professional Wound Care Association (APWCA) in Wound Care.

Dr. Smith graduated from Duke University, cum laude, received her MD from Washington University Medical School (St. Louis) and completed fellowships and post graduate training in Internal Medicine, Emergency Care and Hyperbaric Medicine in Wound Care.

Dr. Smith grew up in a military family, spending time in Ohio, North Carolina and Hawaii during her formative years. She was taught to fish at a young age and spent summers camping and hiking with her family. She loves to garden, venture out into nature and continues to search out opportunities to fish in streams, lakes and the deep sea whenever possible.

David Biediger, PT, DPT

Physical Therapy Director, NuHope

David has experience managing outpatient clinics, developing clinical protocols, adhering to safety and compliance regulations, and treating patients with chronic pain. He specializes in the McKenzie Method, modalities and traditional therapy.

Prior to his current position, David served as the Regional Director of San Antonio for ATI Physical Therapy, was the Owner Treating Therapist at Physical Therapy Providers, Inc. and the Physical Therapy Director of the NASA Rehab Center. During his tenure at Physical Therapy Providers, Inc., David proudly spearheaded the CARF Accreditation process for several clinics. CARF is the Commission on Accreditation of Rehabilitation Facilities; David won the maximum certifications of three years while managing this process. 

David received his BS in Physical Therapy from University of Texas Health Science Center at San Antonio. In 2016 he received his Doctorate of Physical Therapy from Evidence in Motion, a leading organization that solely works with practicing rehab professionals to provide cutting-edge programs, research and training.

Alicia Scott, CRT​

NuHope, Program Administrator

Prior to her tenure at NuHope, Alicia spent 15 years working in the recovery community where she experienced nearly every conceivable recovery scenario in inpatient and outpatient settings and positively affected the recovery of countless patients who are profoundly grateful for her compassion, honesty, and encouragement.

Those essential traits were born out of her own struggles with substances and her success in conquering them. Her personal commitment to NuHope’s mission combined with her passion, positively impacts the entire staff and thus, the patient population.

NuHope isn’t the first center to recognize Alicia’s strengths, as she has been asked repeatedly to speak nationally and internationally about recovery. She is able to use all that she has been through to bring hope to those who are struggling.

Raquel Rother, NP-C

NuHope, Nurse Practitioner

While working at South Texas Spine and Surgical Hospital, Raquel developed a strong interest in pain management and how the treatment process is administered through medication. Raquel was drawn to NuHope after an automobile accident required treatment through both pain management and physical therapy. She now uses both her training and personal experience to serve others.

Raquel is a native of San Antonio and has deep roots in South Texas. She received her initial medical training at Baptist School of Health Professionals after which she began a nursing career at Baptist Medical Center in downtown San Antonio, Texas. In order to better care for the patients she served, Raquel pursued additional education, earning her BSN and MSN through the University of Texas, Arlington.