Coastal Virginia Spine and Pain Center use of medication for pain management places an emphasis on a multimodal approach, patient education and clinical decision making to achieve pain relief while reducing opioid-related risks.
Our priority is placed upon the identification of the source of the pain and then consider the best treatment approach for your care. We start with non-opioid medications, Physical Pherapy, and potentially, interventional techniques.
When using limited opioid-based medications, in addition to the current treatment plan, strict patient compliance is necessary to reduce potential risks and maximize functional return.
Coastal Virginia Spine and Pain Center adheres to State and Federal Guidelines, as well as our Opioid Prescribing Policy related to the prescribing of controlled medications. by using minimally invasive techniques to diagnose and treat the patient. While we do prescribe medications to help with the management of pain for the patient’s benefit, the emphasis is on a minimal reliance on medication, whenever possible.
Coastal Virginia
Spine and Pain Center
Reducing PAIN
Returning FUNCTION
Restoring QUALITY OF LIFE
Coastal Virginia Spine and Pain Center
Dedicated and Skilled Professionals
Treating Spinal and Musculoskeletal Pain
Providing Quality Care
Using Cutting-Edge Technology
Utilizing over 30 Years of Experience
Covering the Coastal Virginia Region
Centrally Located in Virginia Beach near Norfolk, Virginia
INTERVENTIONAL PAIN MANAGEMENT
Pain resolution for chronic pain sufferers can be a difficult and daunting task. For many patients, finding a practitioner who understands their needs can be very frustrating.
Many have been shuffled between emergency room physicians, primary care physicians, physical therapists, chiropractors and other specialists. Interventional Pain Management provides an avenue for patients who have not responded to other treatment methods.
Interventional Pain Management is a medical sub-specialty that uses injections and minimally invasive techniques in order to diagnose and treat painful conditions.
The goals are to focus on pain management and to improve the patient’s quality of life by using minimally invasive techniques to diagnose and treat the patient. For the patient’s benefit, the emphasis is on a minimal reliance on medication, whenever possible. This method involves: .
- A team of professionals working together
- Providing a multidisciplinary approach to patients suffering from chronic and/or acute pain
- Proving the best result possible for their pain management.
Interventional Pain Management Specialists
Looking for the Missing Pieces to Help with the Management of Your Pain.
Surgery is not only irreversible, but it has a high potential for failure. Therefore, both physicians and patients have long sought out less invasive and risky alternatives to hep achieve pain relief.
Interventional Pain Management is considered to date back to 1901, when the first epidural was performed to treat sciatic pain. Today, there are numerous minimally invasive outpatient procedures that may effectively manage your pain. These were made possible by technological advancements in imaging techniques and pain treatment systems.
Advances in diagnostic Interventional Pain Management techniques permit physicians to pinpoint the source of pain, which optimizes the potential for a positive outcome in 85% of the patients we treat. This specificity permits a more focused treatment plan for those patients.
Interventional Pain Management uses conservative methods such as medication, exercise and Physical Therapy initially, but minimally invasive procedures are also needed to more effectively diagnose, treat, and manage your pain. To better help manage your pain, Coastal Virginia Spine and Pain Center offers the following treatment options:
Fluoroscopically-Guided Spinal and Joint Injections
Spinal Pain
Treatment of back pain, which includes the neck, mid and lower back region and pelvis, involves a comprehensive evaluation to help determine the best plan of care to help relieve the pain and restore function and improve quality of life. At Coastal Virginia Spine and Pain Center, we do not just want to help relieve your pain, but to provide education, postural and behavioral retraining along with hands on therapy.
Initially the course of treatment for back pain is conservative, which typically include some combination of medication, exercises, physical therapy and education, or just letting the injury heal through modification of body mechanics.
There are times when conservative efforts fail to bring adequate relief of pain and then interventional options need to be entertained. Fluoroscopically-Guided Injections in and around the spine are used to help decrease the source of the pain which is resulting from mechanical or chemical irritation of the nerve.
- Epidural Steroid Injections
- Selective Nerve Root Blocks
- Facet Joint Injections
- Sacroiliac Joint
- Radiofrequency Ablation/Denervation
- Spinal Cord Stimulator/Dorsal Column Stimulator
- Intra-articular Hip Injections
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Joint Pain
Joint pain affects everyone at some point in their lives. The reasons vary whether it be from an acute sports injury or an old one, or it may just be the results of the natural aging process. Regardless of the cause, joint pains hurt, and they impact our day-to-day functions at times.
At Coastal Virginia Spine and Pain Center, our clinicians will identify the cause through careful examination, and if necessary, advanced diagnostics. We will educate you on your options towards pain relief, and work with you to form an individualized treatment plan to get you feeling better and more functional.
Treatments widely vary, and while we hope all our patients achieve pain relief with the most conservative measures, some cases require interventional care to obtain optimal improvement. Our providers perform joint injections under Musculoskeletal guidance in order to improve our patients outcomes.
The use of Musculoskeletal Ultrasound-Guided Injections have improved the accuracy of joint, bursa, and tendon injections all the while improving patient comfort levels during the procedure.
We also provide Viscosupplementation injections to the knee secondary to Osteoarthritis. This uses Hyaluronic Acid which is naturally found in the joint synovial fluid, and injecting this into the knee can help with increasing the lubrication of the joint and decrease pain
Musculoskeletal Ultrasound Guided Joint Injections
- Peripheral Joint Injections
- Shoulder Pain: Osteoarthritis, Bursitis and Tendonitis
- Ribs
- Elbow - (Tennis Elbow, Golfer's Elbow)
- Wrist (Carpal Tunnel Syndrome)
- Hip Pain: Osteoarthritis, Bursitis and Tendonitis
- Knee Pain: Osteoarthritis, Bursitis, Tendonitis
- Ankle
- Plantar Fasciitis
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Regenerative Medicine
Regenerative Medicine, (commonly referred to as "Biologic Healing" describes a process by which an intervention is performed in order to initiate regeneration of injured or damaged sites within the body. This cutting-edge treatment has been shown to improve both pain and function in many painful conditions such as osteoarthritis, tendonitis, partial tendon tears and ligament injuries.
Our provider team at Coastal Virginia Spine and Pain Center will assess the cause of your pain, and then decide which Regenerative Treatment method would be best to heal your condition. We currently offer:
- Platelet-Rich Plasma (PRP)
- Prolotherapy (Proliferative)
Common pain conditions patients can benefit from Regenerative Injection Therapy:
- Golfer's and Tennis Elbow
- Rotator Cuff Conditions
- Plantar Fasciitis
- Osteoarthritis - Shoulder, Elbow, Wrist, Hip, Knee, Ankle
- Bursitis - Shoulder, Elbow, Wrist, Hip, Knee, Ankle
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Trigger Point Injections
Myofascial Pain Syndrome results from Trigger Points that occur from trauma, such as a whiplash injury or microtrauma that can result from improper posture, muscle imbalances, overuse or working at a computer. The pain or referral patterns of the trigger points help us to determine which muscles are the primary problem which are impacting other areas.
Trigger Points can be treated with physical therapy, including dry needling, as well as trigger point injections. The injections involve injecting a numbing agent to make the muscle immediately relax and relieve pain. Trigger Point Injections are relatively safe and can even be performed during pregnancy.
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Physical Therapy
Our physical therapists are specialists in the evaluation and treatment of movement and postural dysfunction. They are interested in preventing the onset and/or slowing the progression of conditions resulting from injury, disease, and other causes.
To provide the best care for our patients, our therapists rely on their training, continuing education and years of experience to use a combination of techniques, and innovative approaches, in order to restore function and quality of life for our patients.
Every patient is evaluated and treated specifically for their needs... not typical protocols to "treat the masses". Patients are evaluated and treated by the same therapist for the duration of their care. In addition to treatment, education and learning long-term management skills are key elements in helping our patients achieve THEIR GOALS.
Treatment that we provide through Coastal Virginia Spine and Pain center includes...
- McKenzie Exercises for Neck and Back Exercises
- Osteopathic Manipulations
- Restoration of Postural Mechanics and Function
- Breathing Techniques
- Myofascial Release Techniques
- Soft Tissue and Scar Tissue Mobilizations
- Craniosacral Release Techniques
- Stain-Counterstrain Techniques
- Dynamic Neuromuscular Stabilization (DNS)
- NeuroMobilization
- Neurokinetic Techniques
- Hypopressives
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Electromyography/Nerve Conduction Study
An Electromyography (EMG) is done to find diseases that damage muscle tissue and nerves or the function between nerve and muscle by measuring electrical activitiy in muscles. An EMG measures the electrical activity in muscles. It can help to differentiate problems in a muscle, nerves supplying a muscle, the spinal cord or the brain, which can cause paralysis, weakness or muscle twitching.
Nerve Conduction Studies (NCS) are performed to find damage or injury to the peripheral nervous system. The peripheral nervous system includes all nerves that lead away from the brain and spinal cord and the smaller nerves that branch out from those nerves. NCS are used to help in the diagnosis of such conditions as nerve entrapments, plexopathy, peripheral neuropathy and radiculopathy.
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Medical Weight Management
Coastal Virginia Spine and Pain Center offers a six-month, supervised program for patients needing to lose weight.
It is for patients who:
- Want or need to lose weight
- Cannot have surgery because of weight
- Have been unsuccessful in weight loss or other diet programs
- Cannot tolerate regular exercise
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Medication for Management of Pain
Workers Compensation Case Management
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Location
Coastal Virginia Spine and Pain Center
Southport Center Building
4525 South Boulevard
Suite 200
Virginia Beach, Virginia 23452
Hours
Monday-Thursday: 7:30AM - 5:00PM
Friday: 7:30AM - 4:00PM
The physicians and staff at Coastal Virginia Spine and Pain Center have over 30 years of experience in Pain Management.
We provide comprehensive treatment for spinal and musculoskeletal pain to help improve and manage acute or chronic pain.
The goal of treatment is to help our patients become empowered over their pain- to help reduce pain and increase function through intervention, therapy and education.
Frequently Asked Questions
Schedule an Appointment
To make an appointment, you may call us at 757-227-3820 between 7:30 a.m. and 4:00 p.m. Monday – Friday, or you may stop by our office to schedule an appointment.
You can also e-mail us, and we will reply as soon as possible. If you wish to be called back, please include your name and preferred contact number in your e-mail.
Patient Portal
You can access the Patient Portal after receiving a password from our office. If you have any questions please contact us
Initial Evaluation
Patients are generally scheduled within two weeks for a new evaluation.
You will receive a welcome packet in the mail or e-mail, prior to your visit, or you can download the New Patient Packet. It is recommended that you arrive about 15 minutes prior to your initial evaluation if you have completed your paperwork, and 30 minutes before if you have not completed the paperwork.
After your initial evaluation, your provider will discuss with you the most effective treatment program and care plan for your problem.
First Appointment
To assist in making your first visit to COVA Spine and Pain Center more time efficient, please bring any relevant medical records as well as:
- Photo ID
- Insurance Card
- Referrals from your Primary Care Physician
- All completed New-Patient Paperwork
- Co-Pay, if required
We will request any other medical records, MRI’s, CT scans, X-rays or laboratory results or MRIs be faxed to our office from your referring physician’s office. To expedite this process, you can download the Medical Records Request Form before your first visit.
Prescription Refills
You can call our office at 757-227-3820 for prescription refills, Monday through Friday between 7:30:00 a.m. and 4:00 p.m. Please allow three (3) business days to process your request.
If someone is picking up the prescription for you, an Authorization for Release of Prescriptionhas to be completed in order for the prescription to be released.
Pre-Authorization
You should check with your insurance to determine if a referral is necessary prior to receiving treatment.
If your insurance requires a pre-authorization to see a specialist, then you must get a referral from a Primary Care Physician or OB/GYN to see a pain specialist for an initial appointment.
After the initial consultation, our office will obtain any future authorizations, sometimes with the assistance of your referring doctor.
Medical Records Request
We will be happy to provide you with a copy of your medical records. You will need to fill out a copy of the Medical Records Release Form.
Insurance Questions
Insurances We Accept
• OPTIMA - Physician Services Only, Not Physical Therapy• Anthem/Blue Cross/Blue Shield - Effective 3/1/2025, COVA PHYSICAL THERAPY will NO LONGER be In-Network with Anthem BC/BS. Read more..
• Medicare
• Tricare
• Cigna
• Aetna
• United Healthcare
• Most Commercial Insurances
Insurances that Require Referral
• Tricare PrimeInsurances We DO NOT Accept
Plans which we DO NOT accept:
• HealthKeepers Plus
• Optima Family Care
• Optimum Choice
• Virginia Premier
• MAMSI
• Alliance
Worker's Comp Guidelines
• Case manager or adjuster must call and schedule the first appointment• The following information must be provided
• Date of injury
• State of injury
• Body part injured
• Case manager or adjuster’s name and number
• Insurance name, number, address and adjuster
No Health Insurance
The costs vary depending on what type of treatment is needed. We will try to work with you to help you obtain the care you need.Please contact our office at 757-227-3820 to see how we can help you.
Difference Between a Co-Pay and Co-Insurance
A co-pay is the amount designated by your carrier that identifies a set amount for the office visit. Typically, there is one for your primary care provider and a different amount due a specialty provider.Co-insurance is a percentage due, determined by your benefit plan and the contract with your carrier and your provider.