Frequently Asked Questions

We provide these questions and answers to help you.

Questions About Our Practice

Do I Need a Physician Referral?

A referral is not necessary unless your insurance requires it. Our staff will check your insurance benefits prior to an appointment and let you know.

Does Insurance Cover the Procedures?

We accept most private insurance, Medicare and Workers’ Compensation but do not accept Medicaid. As many of you have witnessed, insurance companies have tightened coverage over the past few years with many medical decisions subject to pre-authorization. Thankfully, despite these restrictions, most of our procedures (except for platelet rich plasma/stem cell) remain covered. However, you will need to check with our staff when your appointment is made to see what kind of restrictions/pre-authorizations are unique to your policy.

If your insurance doesn’t cover your procedure, your insurance denies your procedure pre-approval, or if you have a high deductible, don’t worry, we have the most affordable self pay rates in Charleston – less expensive than other offices, surgery centers or hospitals.

Why Do I Have to Fill Out So Many Forms?

Paperwork has become an unpleasant but necessary part of modern medicine.  Insurance companies and governmental agencies require that certain forms be completed.  In order to properly bill your insurance company, we need specific information.  To expedite your evaluation, we ask that you fill out a questionnaire addressing your present and past medical conditions.

Questions About Pain Treatment

How Can I Reduce My Anxiety About Epidurals?

We offer self-administered nitrous oxide which you can use to provide comfort and reduce anxiety related to injection procedures. Nitrous oxide is fast-acting, and because it relieves anxiety, it can help you to relax and better manage any discomfort.

Why Do You Insist on Evaluation All Patients Before a Procedure?

Interventional Pain Medicine is a sophisticated, highly specialized field.  Even though a primary care physician or specialist may recommend a specific procedure, we want to evaluate you before your procedure.  While this evaluation may confirm the diagnosis and the suggested treatment, it is not uncommon for this evaluation to shed light on different aspects of the problem, resulting in different treatment options.  It is important for the patient to ask questions and explore all alternatives prior to consenting to any procedure.

Recently, I’ve Heard About Platelet Rich Plasma (PRP) and Stem Cells to Treat Spinal Pain. Does it Work?

We have had success treating various spine related pains in the neck and back using regenerative therapies (platelet rich plasma and stem cells). These treatments are a breakthrough way to help jump start your body’s own healing process using cells from your own body, giving your body a great chance to heal without steroid injections or surgery. We were the first clnic in Charleston to integrate these treatments into our epidural steroid injection treatment for disc bulges, arthritis, stenosis and degenerative disc disease.

Questions About Epidurals

How Do I Reduce My Anxiety About Epidurals?

We offer self-administered nitrous oxide which you can use to provide comfort and reduce anxiety related to injection procedures. Nitrous oxide is fast-acting, and because it relieves anxiety, it can help you to relax and better manage any discomfort.

Are Epidurals Painful?

No. The patient may feel a pressure sensation down the legs or in the back. The injection is rarely uncomfortable and most patients report that the anticipation of the injection is worse than the actual treatment.

Questions About Prolotherapy

Are All Patients with Structural Dysfunctions (Ligament / Tendon / Joint) Candidates for Injections?

Proper patient selection is crucial to the success of prolotherapy regenerative treatments. Patients require a healthy healing potential and a strong immune system to benefit from this treatment. Good nutrition, exercise, and sleep habits are very important. Nutritional supplements including glucosamine, chondroitin sulfate, MSM, vitamin C, multivitamins/minerals are very beneficial. Poor prognosis is associated with patients who have primary discogenic pain or spine fusions. Individuals who are alcohol or drug abusers, heavy smokers, have chronic illnesses including diabetes and immunosuppressive diseases, have fibromyalgia usually do not respond as favorably.