Comprehensive Pain Care 

Metabolic Supplements

Formally defined, telemedicine is the use of medical information exchanged from one site to another via electronic communications including facetime and skype to improve a patient’s health.

Using telemedicine technologies reduces travel time and related stresses for the patient. Over the past 15 years, study after study has documented patient satisfaction and support for telemedical services. Penciling in a lunch-hour visit with your physician can prove challenging, especially when you can't-miss an afternoon off from work. Telemedicine eases this problem. Now you can speak with a Physician, ask questions, follow-up on a prescription or diagnosis without having to set foot into a doctor’s office.   Less time in the waiting room, means less lost work hours, which equals no loss of salary.

How does it work?

Simple…in order to be eligible as a telemedicine patient, you MUST be seen for a “well” visit at least once a year at the Physician’s office.  This is essentially your annual wellness exam or check-up.  Routine labs (if needed) along with other diagnostic studies such as x-rays, EKG, etc will be ordered and administered right in the office.  The results will be discussed with you by a board certified Physician.  Any medical recommendations will be made and if necessary an in office follow up appointment will be made for you in the future.  Prior to your next in office appointment, if you become ill or require routine follow up medical care, you will be able to take advantage of our physician interactive digital service (PIDS).  Medical concerns, questions, refills, clarifications, acute (new) conditions can be discussed in real time with a Physician without the need to leave work, inconvenience your-self or wait in an office with other sick patients.  

More than treating pain, illness and disease we emphasize the importance of preventive healthcare, what we like to call Wellness Care.  Much like a vehicle requires preventive maintenance to obtain maximum output, so too does the human body.  Nutrition, proper and adequate sleep, physical exercise and stress maintenance are essential for our vital organs to function correctly and give us the ability to go about our daily lives.  For many of us though, one or more of these is lacking or is totally absent.  Therefore, greater stress and strain is placed on our organs and body systems (skeletal, muscular, etc) and increases our risk for failure with results in pain, illness and disease to name a few.  

We use our multi-disciplinary approach to healthcare to head potential problems off before they become real healthcare concerns.  Our total approach to healthcare allows our specialists to consult collectively to provide you with the best approach to your healthcare.  Because our practice is integrated, you do not have to wait to receive referrals from you primary care doctor, and then undergo testing and laboratory work and then be seen as a follow up patient to then receive a referral to a specialist.  All of this happens in one office and under one roof.  

​​​Phonophoresis

I-lipo is a new revolutionary system that uses low level lasers for smoothing cellulite, fat reduction, and body shaping treatments. The i-lipo uses photo-biomodulation to stimulate the body’s natural process for releasing stored content in the adipose cells. Every day, the human body is storing excess calories from your diet in the adipose  tissue. The brain is in control of when the contents are released, and then metabolized into energy. You can compare the adipose cells to a re-chargeable battery, sometimes used and sometimes stored up depending on diet and exercise. i-lipo is used to trigger the release of the contents, without exercise, and is able to target the precise stubborn areas. i-lipo is non-invasive with no pain, no needles, and no downtime. Patients can expect results of losing 1-2 dress sizes during their course of treatments. i-lipo is best paired with a change in lifestyle to maintain your results, typically just simple diet and exercise.

  • Physical Therapy

  • Pain Management

  • Weight management

  • Acupuncture

  • Internal Medicine

  • Massage Therapy

  • Podiatry 

When Pills and Injections Fail 

Other Services We Offer 

We Care and We Can Help

Methylcobalamin is equivalent physiologically to vitamin B12, and can be used to prevent or treat pathology arising from a lack of vitamin B12 (vitamin B12 deficiency), such as pernicious anemia. Methylcobalamin is also used in the treatment of peripheral neuropathy, diabetic neuropathy, and as a preliminary treatment for amyotrophic lateral sclerosis.

Vitamin B6 intake is frequently low & this nutrient is commonly deficient in pregnant women, children, the elderly & the ill. It is also depleted by birth control pills, alcohol, tobacco, some antibiotics, blood pressure medication, and numerous other prescription drugs. Without adequate vitamin B6, the amino acids in dietary protein are not of much use to you. Vitamin B6 literally controls the amino acid absorption, metabolism & transformations in your body. It also directly participates in carbohydrate & fat metabolism, as well as the formation of red blood cells & antibodies. It is necessary for the absorption & utilization of certain minerals & is required for the proper functioning of over sixty enzyme systems in our bodies.

Resveratrol has gained a lot of attention for its reported antiaging and disease-combating benefits. Early research, suggests that resveratrol might help protect the body against a number of diseases, including: Heart disease. Resveratrol helps reduce inflammation, prevents the oxidation of LDL "bad" cholesterol, and makes it more difficult for platelets to stick together and form the clots that can lead to a heart attack. Resveratrol helps prevent insulin resistance, a condition in which the body becomes less sensitive to the effects of the blood sugar-lowering hormone, insulin. Insulin resistance is a precursor to diabetes.

Folic acid is used for preventing and treating low blood levels of folate (folate deficiency), as well as its complications, including “tired blood” (anemia) and the inability of the bowel to absorb nutrients properly. Folic acid is also used for other conditions commonly associated with folate deficiency, including ulcerative colitis, liver disease, alcoholism, and kidneydialysis.

NADH stands for "nicotinamide adenine dinucleotide (NAD) + hydrogen (H)." This chemical occurs naturally in the body and plays a role in the chemical process that generates energy. People use NADH supplements as medicine. NADH is used for improving mental clarity, alertness, concentration, and memory; as well as for treating Alzheimer’s disease. Because of its role in energy production, NADH is also used for improving athletic endurance and treating chronic fatigue syndrome (CFS).

Coenzyme Q10 (CoQ10) is an antioxidant that is made in the human body. CoQ10 is needed for basic cell function. CoQ10 levels decrease with age and may be low in people with cancer, certain genetic disorders, diabetes, heart conditions, muscular dystrophies, and Parkinson's disease. Some prescription drugs may also lower CoQ10 levels. Promising uses of CoQ10 include eye disease, chest pain caused by exercise, asthma, chronic fatigue, and high cholesterol, as well as the treatment of chemotherapy side effects in children.

Alpha Lipoic Acid There is some evidence that Alpha Lipoic Acid (ALA) may have at least two positive benefits for individuals with type 2 diabetes. A few studies have suggested that alpha-lipoic acid supplements may enhance the body's ability to use its own insulin to lower blood sugar in people with type 2 diabetes. ALA may help reduce the symptoms of peripheral neuropathy -- nerve damage that can be caused by diabetes.

Phonophoresis is a form of treatment that is used during physical therapy. It involves the use of ultrasound combined with a medication gel. The medication is applied to the skin, and then ultrasound waves are used to help pass the medicine through the skin and into your injured body part.

Phonophoresis is used most often in the treatment of inflammation in a muscle, tendon, ligament or other soft tissue in the body. Therefore, phonophoresis is considered an anti-inflammatory treatment.


Telemedicine

Chronic pain is defined as pain that lasts longer than 3 months. That’s the main symptom of fibromyalgia: widespread muscle pain and tenderness that lasts longer than 3 months. Widespread pain is defined as pain both above and below the waist and on both the right and left sides of the body.

Some fibromyalgia sufferers describe their pain as “all over” or “everywhere.” For some people, the pain and stiffness are worst when they wake up. Then it improves during the day. Symptoms may increase again at night. But other people have all-day, non-stop pain. This could include combinations of neck pain, arm pain, shoulder pain, back pain, hip pain, knee pain, feet pain, and pain in just about every other body part.

The pain may get worse with physical activity, stress, or anxiety. Fibromyalgia patients may also be more sensitive to things around them. This may include heat/cold, bright lights, loud sounds, and more. Even a gentle hug could be painful. Read more about how fibromyalgia is different from other kinds of pain.

Pain is the core symptom of fibromyalgia, but different people feel the pain in different ways. Fibromyalgia pain may be felt as:

  • Chronic pain
  • Deep pain
  • All-over pain
  • Aching pain
  • Radiating pain
  • Shooting pain
  • Tender pain


Overlapping conditions such as irritable bowel syndrome, restless leg syndrome, migraines, and others 

I-Lipo

The tools that medical weight loss providers use to help you manage your weight are very different from what you find with commercial programs.

-Medical weight loss providers use your metabolism and body composition (mainly fat percentage) as true indicators of weight loss

-We can prescribe safe, low-calorie diets that are specifically designed to help you lose weight while breaking the cycle of food addiction.

-As Medical Doctor’s we can also prescribe an appetite suppressant for you.  

-Medical weight loss providers have the ability to view your weight loss and maintenance within the context of your total health profile. If you have a condition that requires medication that may be interfering with your weight loss efforts, your medical weight loss provider can consult with your primary care physician to prescribe a safe, effective alternative to lift those barriers.

We welcome you to contact our office to schedule a consultation with one of our Board Certified Physician’s today.

Don’t put off till tomorrow what you can start to accomplish today...

Live Healthy

MEDICAL WEIGHT LOSS

Fibromyalgia

When pills and injections fail to treat pain, a compound pain cream can be the solution.  As industry leaders in the field of pain management, we strive to bring new cutting edge treatments to patients for various conditions to help reduce pain and inflammation. We work with the patient to solve problems by customizing treatments and procedures that meet the specific needs of each individual patient. Topical pain creams are applied directly to the site of pain.  This type of treatment works locally, thus avoiding many common side effects typically seen with oral medications.  For patients, this means less waiting time for the medication to be absorbed with faster relief. 

Benefits of Topical Application

  • Localized to targeted areas of pain with faster results 
  • Increases patient’s quality of life 
  • Less side effects and gastrointestinal problems 
  • Decreased potential for drug-drug interactions
  • No addictive qualities or withdraw potential 
  • Ease of use for improved patient compliance and outcomes


Topical analgesic (pain reducing) creams have a proven effectiveness in
  facilitating the absorption of topical creams including:

  • Muscle Relaxants:  Cyclobenzaprine, Baclofen, Guaifenesin 

  • Local Anesthetics:  Lidocaine, Bupivacaine 

  • NSAIDS: Flurbiprofen, Indomethacin, Diclofenac 

  • Nerve Agents: Gabapentin, Amitriptyline, Clonidine

  • Corticosteroids: Mometasone, Fluticasone Propionate 

  • Pain Relievers: Tramadol, Ketamine, Capsaicin


As Physicians, we strive to exceed the needs of our patients by providing you the highest level of personalized care.  In addition to the treatment of pain conditions, we provide board certified medical expertise for the treatment of wound care, scar treatment, weight loss, migraines, sinusitis as well as women’s health and metabolic conditions.