Words From Our Patients
“Dr. Atkins suggested a sinuplasty and it seriously is the best procedure I have ever had done. He was very personable & professional. I enthusiastically recommend him.”
“I’m grateful to Dr J Atkins for giving me a normal life. I just can’t say enough of how satisfied I am with the outcome.”
“Don’t waste your time going to any other doctor for your sinus issues. Dr. Atkins is the best. Excellent Dr. who runs an excellent office!”
“Dr. Atkins and his team are amazing! They welcome you and take awesome care of you. Atkins performed Balloon sinuplasty on me, and my results have been fantastic!”
“Best people, best doctors, and best technology. If anybody says otherwise they are just non-sense. And Dr. A is the man!”
Ent / Otolaryngology Education & Training
According to the American Academy of Otolaryngology, otolaryngologists , are properly trained and prepared to treat patients following up to 15 years of collegiate and post-graduate training. A typical otolaryngologist must complete a bachelors degree , an MD or DO medical degree , and at least five years of specialized training in the form of a residency and/or fellowship.
Following graduation from medical school, the physician must complete a residency program in otolaryngology, which includes surgical training. During residency training, the physician will spend approximately one year in general surgery and four years of otolaryngology-head and neck surgery. Otolaryngology residents gain clinical experience in the examination of the structures of the head and neck, as well as the diagnosis and treatment of common and rare conditions affecting the head, neck, ear, nose and throat. Residents are also exposed to clinical rotations in rhinology/allergy, neurotology and laryngology, among others.
Treatment Of Nasal Polyps
There is good news for patients with sinus polyps. In the past, the only option we had was surgical treatment which involved just removing the polyps and hoping they didn’t come back this was historically very ineffective and patients had frequent recurrences of their polyps. Now, due to technologies such as Propel, patients undergoing polyp surgery can have small absorbable devices placed in their sinus cavities that dissolve during the month following the surgery. These small devices contain steroids which dissolve into the sinus passages and help cut down on the recurrence.
The other advantage of these devices is that they have a spring type effect that keeps the sinuses open. That’s very important for post-operative care, because many patients need to use nasal steroids and saline rinses after their polyps are removed, but their sinuses often close down making the rinses ineffective. By keeping the sinuses open, thus allowing the medicines to get into the root of the sinuses, the results have improved dramatically for patients suffering from sinus polyps.
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Common Sinus Related Problems
We see many patients with facial pain, sinus pressure, and postnasal drainage who are quite certain that they have a sinus problem. Many times they do, but there are instances when a patient has symptoms of a sinus-related condition, but it turns out that the problem has a completely different origin. Our job is to determine what is actually causing the patients discomfort and recommending the right course of treatment. Countless patients have been misdiagnosed and have been taking sinus medications for years with absolutely no relief. That’s because they haven’t been treated for the right problem.
The following is an overview of some of the conditions that cause patients to have symptoms of a sinus problem, when in actuality, it they are suffering from something completely different, A few of these conditions include deviated septum, dental problems such as TMJ, nasal polyps and reflux.
Treatment For Deviated Septum
A deviated septum is treated by a surgical procedure called a septoplasty. There is a newer less invasive form of septoplasty where an endoscope is used to remove the deviated septum. An endoscopic septoplasty can be assisted by TRACT, a newly approved balloon that when inflated in the nose, destabilizes the septum and makes the endoscopic removal easier. Dr. Atkins was the second surgeon in the country to perform a septoplasty using TRACT and has had great success using this technique. Many septoplasties are now performed in the office under IV sedation, so the patient doesnt have to go to the hospital.
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Recurrent Acute Sinus Infections
There is a type of sinusitis called Recurrent Acute Rhinosinusitis or RARS. RARS is acute sinusitis that clears up, or appears to clear up, and then recurs again several weeks to several months after the last episode. This pattern of being sick, getting better, being sick, and getting better is basically the definition of recurrent acute sinusitis. If you are getting several sinus infections a year with periods of time where you clear up in between, you should definitely see a doctor to determine if you are suffering from RARS.
Experience And Background Checks
Check Dr. Atkins’ experience treating your condition or procedure
Dr. Atkins’Top Procedures and Conditions
Dr. Atkins treats Sinusitis more than 100% of his peers
Dr. Atkins treats this condition more than 100% of his peers
Dr. Atkins treats Chronic Sinusitis more than 100% of his peers
Dr. Atkins treats this condition more than 100% of his peers
Dr. Atkins treats Nosebleed more than 98% of his peers
Dr. Atkins treats this condition more than 98% of his peers
Dr. Atkins’ conditions and procedures:
- Ablation or Excision of Nasal Turbinates
- Acute Laryngitis
- Antrostomy and Antrotomy
- Diagnostic Nasal and-or Sinus Endoscopy
- Evaluation and Treatment of Sleep Disorders
- Fiberoptic Endoscopic Evaluation of Swallowing
- Gastroesophageal Reflux Disease
- Loss of Smell and-or Taste
- Loss of Voice or Hoarse Voice
- Malignant Otitis Externa
- Middle Ear Implant Candidacy Evaluation
- Nasal Polyp
Search for your insurance provider
Dr. Atkins accepts
Dr. Atkins accepts the following insurance:
- Blue Cross Blue Shield of Texas
- Blue Advantage HMO
- CareFirst Blue Cross Blue Shield
- HealthyBlue 2.0
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Treatment For Silent Reflux
With medication, most patients will begin to notice some relief in their symptoms in about six weeks. However, it is generally recommended that the medication be continued for several months. If the symptoms completely resolve, then you can start tapering off the medication. Some people will be symptom free without the medication, while others may have relapses which require resuming treatment.
Surgery to prevent reflux is rarely needed. Diet modifications and current medications have allowed LPR to be treated without surgery most of the time. If surgery is needed, it involves tightening the muscle at the top of the stomach to prevent the reflux from happening. This is done by a general surgeon in consultation with a gastroenterologist.
Symptoms Of Chronic Sinusitis
We treat sinus problems for a living and experience has taught us that no two sinus patients suffer from the same symptoms. Some may have congestion severe enough to keep them inside for days, others have symptoms that are mild and live with symptoms for years. Here is a list of common complaints from our sinus patients.
Inability to take in air through one or both sides of the nose
Post nasal drip, sometimes with sore throat
Pressure that may worsen when bending over
Discolored nasal drainage
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Atkins Expert Sinus Care
Your Solution for Sinus Problems
Atkins Expert Sinus Care is a premier sinus treatment practice located in San Antonio, Texas, led by board-certified otolaryngologist James Atkins, MD, and his highly trained team. They specialize in revolutionary TruDi balloon sinuplasty , a minimally invasive procedure that produces better patient outcomes with less pain and downtime than traditional sinus surgeries.
People experiencing nasal congestion, chronic sinus infections, deviated septums, nasal valve stenosis, narrow sinus passages, nasal polyps, allergies, immune problems, or previous failed sinus surgery can turn to Dr. Atkins and his team for premium care.
The team offers the latest advances in sinus procedures to relieve unpleasant symptoms, such as fatigue, chronic nasal drainage, congestion, frequent sinus infections, blocked sinus passages, sinus pressure, and sinus headaches.
Dr. Atkins takes time to listen to individual needs and address all potential causes of unpleasant symptoms. The Atkins Expert Sinus Care team offers in-office testing, including nasal endoscopy, CT scans, and allergy testing.
Dr. Atkins has performed more balloon sinus surgeries than any other physician in the area and has helped many people relieve their symptoms without surgery.
The expert team at Atkins Expert Sinus Care welcomes new patients to the practice and looks forward to helping them breathe easier. Call for an appointment today, or use the online booking feature.
Meet Dr. Atkins
About Ent / Otolaryngology
Otolaryngologists, more commonly known as ENT doctors, are trained in the management and treatment of diseases and disorders of the ear, nose, throat, head and neck. More specifically, ENT physicians are trained in diagnosis and treatment of disorders pertaining to the sinuses, mouth and throat , voice box , and anatomies of the head and neck.
Otolaryngologists play a vital role in the treatment of hearing disorders – according to the American Academy of Otolaryngology some type of hearing loss affects approximately 10% of Americans. An ENTs training enables them to diagnose, treat and manage ear infections, equilibrium problems , tinnitus and nerve pain and disorders.
According to the AAOHNS, approximately 35 million Americans contract chronic sinusitis each yearmaking it one of the most common disorders treated by an ENT physician. These physicians specialize in the treatment of the nasal area and sinuses, allowing them to treat allergies and complications of the nasal cavity and related breathing structures.
Dr Atkins’s Medicare Feeforservice Data
Please Note: The information displayed below is sourced from the 2014 Medicare Physician and Other Supplier National Provider Identifier Aggregate Report. It’simportant to remember that the statistics below are not inclusive of all patients treated byDr. Atkins, but only those who participate in Medicare.
- Doctor participates in Medicare?: Yes
- Number of HCPCS Codes: 36
- Number of Services: 5032
- Number of HCPCS Associated With Medical Services: 0
- Number of Medical Services: 0
- Number of Medicare Patients with Medical Services: 0
Medicare Patient Demographics
- Total Number of Medicare Patients: 549
- Average Age of Medicare Patients: 73
- Number of Patients Under Age 65: 30
- Number of Patients Age 65 to 74: 314
- Number of Patients Age 75 to 84: 158
- Number of Patients Over Age 84: 47
- Number of Female Patients : 280
- Number of Male Patients: 269
- Number of Non-Hispanic White Patients: 495
- Number of Black or African American Patients: 0
- Number of Asian Pacific Islander Patients: 0
- Number of Hispanic Patients: 41
- Number of American Indian/Alaska Native Patients: 0
- Number of Patients with Race Not Elsewhere Classified: 0
- Number of Patients with Medicare Only Entitlement: 536
- Number of Patients with Medicare & Medicaid Entitlement: 13
Medicare Patient Condition Demographics
Medicare Payments Data
Medicare Prescription Drug Data
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Treatment For Sinus Headaches
The medical treatment for sinus headaches is to eliminate or control whatever is causing inflammation in the sinuses such as allergies and recurrent infections. For example, narrowed or blocked sinus passages can harbor bacteria, which can cause chronic sinus infections. In such cases, if more conservative treatment such as medication does not help, surgery is an option.
Surgical treatment to open the sinuses has greatly improved over the last few years because of balloon sinuplasty . By dilating blocked sinus passages when they are contributing to sinus pain and pressure, you can achieve a significant reduction in sinus headaches. Some patients need slightly more aggressive surgery such as BSP and a septoplasty at the same time.
Compare Dr Atkins With Related Surgeons
How often Dr. Atkins performs Allergen Immunotherapy relative to the862 other doctorsalso performing the procedure in Texas:
How often Dr. Atkins performs Ear Wax Removal relative to the1,686 other doctorsalso performing the procedure in Texas:
How often Dr. Atkins performs Face CT relative to the1,313 other doctorsalso performing the procedure in Texas:
How often Dr. Atkins performs Nasal Passage Endoscopy relative to the455 other doctorsalso performing the procedure in Texas:
How often Dr. Atkins performs Nasal Passage Surgery relative to the85 other doctorsalso performing the procedure in Texas:
How often Dr. Atkins performs Nasal Polyp Removal relative to the134 other doctorsalso performing the procedure in Texas:
How often Dr. Atkins performs Sinus Endoscopy relative to the140 other doctorsalso performing the procedure in Texas:
How often Dr. Atkins performs Voice Box Endoscopy relative to the629 other doctorsalso performing the procedure in Texas:
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Treatment For Nasal Congestion And Obstruction
There is good news for patients with sinus polyps. In the past, the only option we had was surgical treatment which involved just removing the polyps and hoping they didn’t come back this was historically very ineffective and patients had frequent recurrences of their polyps.
Now, due to technologies such as Propel, patients undergoing polyp surgery can have small absorbable devices placed in their sinus cavities that dissolve during the month following the surgery.
These small devices contain steroids which dissolve into the sinus passages and help cut down on the recurrence. The other advantage of these devices is that they have a spring type effect that keeps the sinuses open. That’s very important for post-operative care, because many patients need to use nasal steroids and saline rinses after their polyps are removed, but their sinuses often close down making the rinses ineffective.
Total Payments Received Between 2014 And 2018
Dr. Atkins received more money than a majority of surgeons nationally. Dr. Atkins has received a notably large amount of money from medical companies. This graph represents paymentsDr. Atkins received relative to the median payment received bysimilar doctors.
For more information about specific types of payments, see thebreakdown of payments by category.
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Consultant Medical Advisory Board
17 years 1 month
San Antonio, Texas Area
At the Texas Sinus Center, we believe that making a diagnosis before beginning any treatment, is crucial to a successful outcome. In addition to a careful review of your medical history, we can, if needed, perform a variety of important diagnostic procedures in-office. These include nasal endoscopy, low-dose CT scan, and allergy testing.Since 2001 the Texas Sinus Center has been focused on providing sinus care to San Antonio and South Texas. We added in office CT scanning in 2006. In
At the Texas Sinus Center, we believe that making a diagnosis before beginning any treatment, is crucial to a successful outcome. In addition to a careful review of your medical history, we can, if needed, perform a variety of important diagnostic procedures in-office. These include nasal endoscopy, low-dose CT scan, and allergy testing.Since 2001 the Texas Sinus Center has been focused on providing sinus care to San Antonio and South Texas. We added in office CT scanning in 2006. In 2006 we were one of the first offer balloon sinuplasty as a minimally invasive approach to sinus surgery. In 2007 we started doing research on balloon sinuplasty and have helped publish 8 medical papers on this subject. In 2011 we began offering balloon sinuplasty under local anesthesia in the office. We continue to offer this service and do these procedures on a regular basis.
Treatment For Runny Nose
Treatment is sometimes successful with oral medications, antihistamine nasal sprays or nasal sprays which act as drying agents. When these are not successful, there are surgical options such as Clarifix, which is an in office procedure that’s very simple to perform.
It involves freezing the overactive nerve on each side of your nose for about 30 seconds in an effort to block the signals it’s sending to your nose that’s causing it to run all the time. For more details on Clarifix click here.
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