Frequently Asked Questions


Find answers to frequently asked pain questions and stem cell questions. We answer our most common questions to save you time. Contact with any further questions and to set up an appointment.

Pain Management


Chronic pain is diagnosed when your pain continues a month or more beyond the usual recovery period for an injury or illness. Pain that goes on for months or years due to a chronic condition is also considered chronic pain. The pain does not need to be constant but can interfere with daily life at all levels.

No, not necessarily. With appropriate pain management, our patients often live active, normal lives.

Be as specific as possible with your pain description. Any information, even if it seems small, can be important in your pain situation. Our staff is trained to ask you important questions, so responding honestly will help us create the best plan for you.

By taking pain medications as prescribed, the risk for addiction is reduced. Individuals with a history of addiction, or individuals who take their medications inappropriately, are at a higher risk for pain medication addiction.

Medication tolerance is a normal response to narcotics and occurs when the initial dose of a substance loses its effectiveness over time. Changing the dose or the medication often solves the problem. Just because you have become tolerant to a drug does not mean that you are addicted to that drug.

Yes. Having multiple physicians on your case is the most effective way to manage chronic pain. A combination of different modalities and therapies provide the best care.

Interventional injections, such as facet and epidural injections, are used to numb areas that produce pain. Often times, a patient is able to reduce the amount of medications they are on if they respond well to injections.

Most procedures take five to fifteen minutes. Including check-in and check-out time, you may be at our office up to 1 hour.

In situations of chronic pain the answer is usually yes. Most procedures are performed in a series of two or three (over the course of several weeks). Occasionally just one procedure provides lasting pain relief.

All pain management techniques from medications to interventional procedures carry risks. Generally, interventional pain management techniques carry unlikely and minimal risk. Upon your consultation visit, these risks will be explained.

For the majority of our patients, the procedures are relatively painless. Most procedures are performed with a local anesthetic, which usually decreases the discomfort of the procedure.

These treatments are considered conservative treatments and should be your first option, not a last resort. Most of our patients are candidates for the interventional, non-surgical procedures. There are certain situations that would require a surgical consultation, but this is not the norm. If that is the case, we will refer you to the appropriate location.

History and physical examination are performed by our doctor and nurse practitioner. We also order radiological studies, such as an MRI and x-rays, to assist in the evaluation.

Regenerative Therapies


Stem cell therapy treats physical pain and injury by adding natural living cells that improve regeneration and healing. Once injected into the area of concern, the stem cells promote the natural regeneration process and may regenerate different types of tissue.

Platelet rich plasma therapy treats physical pain and injury by increasing growth promoting factors. Once injected into the area of concern, the growth factors and chemicals will speed up the natural healing process. PRP can also be used in conjunction with stem cell therapy.

Stem cell and platelet rich plasma therapies are a versatile treatment that can be beneficial for a wide variety of injuries and degeneration. Common issues treated with stem cell therapy are large joint and spine arthritis, ligament/tendon tears, meniscus tears, inflammation, and more.

The cost of treatment depends on injection type and injection location. Stem cell injections typically cost more than PRP injections. Hip and back injections typically cost more than knees and shoulders due to the use of fluoroscopy. The exact prices and payment plans will be discussed during the consultation.

Since these injections are considered experimental, insurance companies have not authorized stem cell or PRP therapy for reimbursement. Our services are paid directly by the patient. The exact prices and payment plans will be discussed during the consultation.

We offer stem cell injections from three sources – bone marrow, fat tissue, and amniotic fluid/placenta. The bone marrow and fat tissue stem cells are taken from the patient, processed, and injected into the area of concern. Amniotic fluid/placenta stem cells are taken from placental tissue. The placental tissue is donated by pre-approved, thoroughly screened individuals undergoing scheduled C-section births. The mother and child are not harmed during this process.

No, we do not use embryonic stem cells. All of our regenerative medicine therapies are taken from either the patient or from placental tissue. The placental tissue is donated by pre-approved, thoroughly screened individuals undergoing scheduled C-section births. The mother and child are not harmed during this process.

Both stem cell and PRP therapies are considered safe with very minimal chance of adverse effect. There is always risk involved with medical procedures and injections. These risks will be discussed more fully during the consultation.

With our clinical experience we have seen many positive outcomes with these therapies. Many of our therapies are considered experimental and are at the cutting edge of medical interventions. Because of this, long term studies on patient benefits from these injections are not yet available. The current research is very promising, and individual outcomes have been excellent in pain relief and improved function.

Many of our therapies are considered experimental and are at the cutting edge of medical interventions. Because of this, long term studies on patient benefits from these injections are not yet available. Since there is the potential for regrowth of certain tissues with these interventions, there is a possibility that you may not need further injections.

Many of our therapies are considered experimental and are at the cutting edge of medical interventions. Because of this, long term studies on patient benefits from these injections are not yet available. Since there is the potential for regrowth of certain tissues with these interventions, there is a possibility that you may not need further injections.

The most common adverse affect is an increase in pain at the area of harvest and injection. This is temporary and won’t last more than a few days.

Our regenerative therapies adhere to FDA regulations put in place to ensure the safe use of stem cells and platelet rich plasma.