Congratulations! You have taken your first step in a process to heal your chronic condition through regenerative therapy. After your Regenerative procedure, whether it is Prolotherapy or Platelet-Rich Plasma; there is very little downtime, as opposed to a surgical procedure, and the healing process goes on for the next 4-6months. The first 1-2 weeks, however, are when you may feel the most discomfort. It is advisable to plan for a few days of rest post-procedure to accommodate the expected soreness. Please follow the following guidelines to make sure your healing progresses and in order to optimize your outcome. If you have any questions or problems, please contact this office at 757-227-3820
Coastal Virginia
Spine and Pain Center
Reducing PAIN
Returning FUNCTION
Restoring QUALITY OF LIFE
Coastal Virginia Spine and Pain Center
Dedicated and Skilled Professionals
Evaluating and 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
REGENERATIVE MEDICINE
Regenerative Medicine, (commonly referred to as "Biologic Healing" or "Stem Cell Therapy") 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 Therapy method would be best to heal your condition.
We currently offer Platelet-Rich Plasma and Prolotherapy.
Common pain conditions patients can benefit from Stem Cell Injections:
- Golfer’s and Tennis Elbow
- Plantar Fasciitis
- Rotator Cuff Conditions
- Osteoarthritis - Shoulder, Hand, Knee, Ankle, Foot
- Bursitis - Shoulder, Hand, Hip, Knee, foot
Post-Regenerative Treatment Instructions
DO'S
- DO REST. Plan to rest the treated area for the next 1-3 days.
- DO use Tylenol to control the pain. There is now more inflammation as the healing cascade is starting and an increase in pain is expected as with any medical procedure. A typical regimen is to take 500mg OTC Tylenol 3 x daily
- DO MONITOR the injection site for increasing redness or discharge. Increased tenderness, mild swelling, and even warmth is to be expected after these treatments. However given the rather simple and more natural approach with regenerative treatments, reactions and infection risk is rather low.
- DO stay hydrated, well nourished, active, and get plenty of sleep. The healing is just beginning with this treatment and using the affected area with normal movements such as walking will help increase the blood flow and healing.
DON'TS
- DON’T ICE the affected area for 72 hours; this is to allow the repair process to maximize potential.
- DON’T take any NSAID medications, vitamins, or supplements unless approved by your clinician. This includes nutritional supplements, herbs, NSAIDs, and even marijuana and CBD for the week following your treatment.
- DON’T apply creams, lotions, oils, or makeups to the injection sites for at least 8 hours.
- DON’T EXERCISE or perform strenuous activity with the affected area. The procedure is trying to stimulate healing and the injured area or site needs to go through this repair process fully. You may perform ROM stretches as tolerated though.
- Don't bathe, shower or swim for eight hours after treatment. Doing so may increase the risk of infection or a reaction.
- DON’T SMOKE or drink Alcohol for 72 hours post injection. These items increase BAD inflammation and free radicals in our body and can delay or interfere with the healing process. Ideally minimize the use of these substances for a few weeks after your procedure.
Frequently Asked Question About Regenerative Therapy
Can I take Medications after having Stem Cell Therapy Injections?
It is not recommended that Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) be used one week prior to, and up to two weeks after your injection, as it can interfere with the healing process.
How many treatments are needed?
Responses to Stem Cell Therapy Injections vary, but most patients will require 3-6 sets of injections. The treatments are usually spaced between four and six weeks apart. There are no limits to the number of treatments you can have
Who should not have Stem Cell Therapy Injections?
Patients with bleeding disorders or blood diseases do not qualify for this procedure. Check with your provider to determine if Stem Cell Therapy Injections are right for you.
When Can I return to regular activity?
Stem Cell Therapy Injections are stimulating the growth and repair of ligaments and tendons, which requires time, so there is no immediate fix. Your provider will determine what level of activity is best for you throughout the course of this treatment.
Are there any risks or side effects?
As with any technique that is invasive to the body, there is a slight risk of infection, but this is rare. The technique is safe, because the patient’s own blood is being used for the source of the growth factors and there is no risk of transmission of blood-borne diseases, side effects or allergic reactions from steroids or other injectable medications.
Am I a candidate for Stem Cell Therapy Injections?
Now is the time to schedule a Stem Cell Therapy Injection consultation with one of our providers to find out.
Call 757-227-3820 or visit E-mail us to schedule an appointment
Does Insurance Cover Regenerative Treatments?
At the moment, most insurances do not cover Stem Cell Therapy Injections. We will assist you in determining if your insurance will cover the costs for these procedures. The costs can sometimes be paid with an HSA or FSA, so you will need to check with your Plan Administrator.
What is the cost?
At Coastal Virginia Spine and Pain Center, we believe that the cost to achieve pain relief should be affordable. We will make every attempt to minimize the out of pocket cost to all of our patients.
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OUR SERVICES
INTERVENTIONAL PAIN MANAGEMENT
- Fluoroscopically-Guided Spinal Injections
- Musculoskeletal Ultrasound (MSKUS)
- MSKUS-Guided Joint Injections
- Trigger Point Injections
- Scar Tissue Injections
- Spinal Cord Stimulator Trials
REGENERATIVE MEDICINE
- Platelet-Rich Plasma Therapy (PRP)
- Prolotherapy
DIAGNOSTIC STUDIES
- Electromyography
- Nerve Conduction Studies
- Spinal Medial Branch Blocks
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PHYSICAL THERAPY
- One-On-One Care
- Same Therapist for Each Visit
- Individualized Care Plans
- Spinal Stabilization and Strengthening
- Postural Retraining
- Restoration of Breathing Mechanics
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MEDICAL WEIGHT MANAGEMENT PROGRAM
This program is for patients who....
- Want or need to lose weight
- Cannot have spinal or joint 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
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 Therapy, 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.
WORKERS COMPENSATION 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
Dr. Robert Spear
Dr. Bonnie Nock
Claire Denny, PA-C
Abby Barney, PA-C
Kristi Nixon-Cartwright, NP-C
Kathryn Bragg, PT
Scott Burch, PT
Robin Levine, PT
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 Prescription has 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• 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 hellp 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.