A New Approach

to Your Pain

What We Do

NuHope is a center of excellence founded by a physician, designed to treat patients based upon consensus opinions, clinical practice guidelines, medical organization recommendations, and publications in leading medical journals We use a multidisciplinary approach to outpatient treatment integrating medical, psychological, and physical disciplines into each patient’s treatment plan. Our screening program is designed to help identify each patient’s specific needs to develop an individualized treatment plan.

NuHope Leadership Team

Adam Bruggeman, M.D.

Founder, NuHope

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.