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Meet Our Team

Alexa B. Royston, DO

Physical Medicine and Rehabilitation


Meet Dr. Royston

Dr. Alexa Royston brings her knowledge and skills in the field of physical medicine and rehabilitation to Spine Team Texas. She specializes in noninterventional spine, sports, and neuromusculoskeletal medicine. 

Dr. Royston earned her medical degree from the University of North Texas Health Science Center in Fort Worth, TX.  She then completed her internship and residency in Physical Medicine & Rehabilitation at the University of Texas Southwestern Medical Center in Dallas, TX. 

Dr. Royston is double board certified in Physical Medicine & Rehabilitation and Electrodiagnostic Medicine. She is an expert in the nonsurgical treatment of spine and musculoskeletal conditions, as well as peripheral nerve injuries and neuromuscular disorders. Equipped with this unique combination of skills and expertise, Dr. Royston has the ability to diagnose and treat spine and nerve conditions with the goal of helping patients improve their physical function and quality of life. 

Dr. Royston also has a passion for women’s health and musculoskeletal needs including pelvic floor rehabilitation, pelvic pain, pregnancy and postpartum mobility. Her distinct training as a physiatrist bridges the gap between orthopedics and gynecology, providing non-surgical solutions to help patients with pelvic floor dysfunction.

Dr. Royston has deep roots in Texas. Prior to her medical training, Dr. Royston graduated cum laude with a Bachelor of Science Degree from Baylor University in Waco, TX where she competed as a D1 NCAA Athlete in cross country and triathlon. In her collegiate career, she led the team to two National Championship appearances in 2009 and 2010 and qualified for the Ironman 70.3 World Championships her sophomore year. She is also a 2x Academic All-Big 12 Athlete.

Dr. Royston has conducted numerous research studies and been featured in many publications including the Journal of the American Medical Association, American Journal of Sports Medicine, and Current Physical Medicine and Rehabilitation Reports. She participates in public speaking and has presented her research at multiple national conferences. She stays informed of medical advances as a member of the American Academy of Physical Medicine & Rehabilitation, and the American Association of Neuromuscular and Electrodiagnostic Medicine.

Dr. Royston also believes in giving back to her community. She served on the planning committee for the UT Southwestern Adaptive Sports Expo, among many other charitable activities. She is dedicated to giving back to her community by mentoring students and trainees from diverse backgrounds.


  • The University of Texas Southwestern Medical Center, Dallas, TX
    • Physical Medicine & Rehabilitation


Medical School

  • University of North Texas Health Science Center, Fort Worth, TX
    • Doctor of Osteopathic Medicine



  • Electrodiagnostic testing including EMG/NCS of spine-related and other neurologic pathology
  • Ultrasound-guided peripheral joint injections
  • Trigger point injections
  • Neuropathic pain management
  • Musculoskeletal rehabilitation
  • Pelvic floor rehabilitation and pregnancy related back pain

Board Certifications + Memberships

  • American Board of Physical Medicine and Rehabilitation
    • Board Certified, Physical Medicine and Rehabilitation 
    • Board Certified, Electromyography (EMG)
  • American Academy of Physical Medicine and Rehabilitation 

Personal Interests

  • Dr. Royston is a third-generation native Texan. She enjoys spending time with her husband and four young children. You can find her swimming, biking, or running around White Rock Lake while training for her next triathlon or marathon. She and her family remain active in their church.


Locations Served:

  • Allen
  • Richardson

Neck and back pain take the joy out of life. We’re here to help you find it again.

Our founder, Dr. David Rothbart, understood that people struggling with back or neck pain often fear surgery as the first option. He shared this concern, which is why he founded Spine Team Texas—to treat patients conservatively and avoid surgery as the initial solution. Dr. Rothbart’s team of carefully selected pain management experts has helped many patients find relief from their back and neck pain. Schedule your appointment today to find out how they can help you achieve your goals.
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tom winders

Meet Tom Winders

Businessman, golfer & back pain conqueror
For a while, the only place Tom Winders could get a decent night’s sleep was on his living room love seat, where he could position his back just right. That’s when he knew something had to be done.

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