Shoulder · In-home evaluation · Central Florida

Shoulder pain that has narrowed what you can reach for.

Rotator cuff pain, impingement and shoulder arthritis have a way of quietly shrinking your range — until reaching a seatbelt or a top shelf becomes a decision. A regenerative evaluation tells you whether there is a reasonable option left between physical therapy and the operating room.

Book your free 15-minute call Call (407) 349-7155

Does this sound familiar

Who tends to call us

You might recognise yourself here

Reaching overhead or behind you sets it off.
Sleeping on that side stopped being possible a while ago.
Physical therapy helped to a point and then plateaued.
You have been offered surgery and would like to understand the alternatives first.

What we are not

We are not an urgent-care service, we do not manage
emergencies, and we do not accept insurance. If what you need is a surgeon, a wound centre or an
emergency room, the most useful thing we can do is tell you that on the first call.

How the evaluation works

An evaluation first — not a program

For shoulders we review your imaging and examine how the joint actually moves — what hurts, where it catches, and how much range you have lost compared with the other side.

An in-home physician evaluation. History, exam, a review of your imaging and your goals — in your own living room, not a waiting room.
Comprehensive blood work. Ordered before any plan is finalized, because inflammation and metabolic health shape what is reasonable to attempt.
Image-guided delivery. When a procedure is part of the plan, it is placed under ultrasound or fluoroscopic guidance as standard — never as an upcharge.
In-home therapeutic devices. Equipment you keep and use between visits, chosen for your plan rather than sold as an add-on.
A personalised anti-inflammatory nutrition plan and supplement guidance. The parts of recovery that happen without us in the room.
Scheduled follow-up visits. Built into the plan at set intervals, not billed as separate appointments.

Candidacy

Who is and isn’t a candidate

Candidacy is decided individually by a physician after examining you — never from a form or a
phone call. Two lists are worth knowing before you spend an hour with us.

Reasons we would not proceed

An active infection in or near the area being considered.
An active malignancy near the treatment site.
Pregnancy or breastfeeding.
A clear surgical indication — if you need a surgeon, we will tell you so.

Timing issues we work around

A corticosteroid injection into the same area within the past 4 weeks — we wait it out.
Anti-inflammatories (NSAIDs) taken within 5 days of a procedure — these are paused beforehand.
Blood thinners — held or adjusted only in coordination with your prescribing physician.

What to expect

The realistic timeline

These are the intervals we plan around and the schedule we hold ourselves to. They are not a
promise about your result.

Anti-inflammatories are paused for 5 days beforehand.
You are observed for 30–60 minutes after any procedure.
Range-of-motion work resumes at about 7–10 days.
When change occurs it is gradual, most often noticed around weeks 3–6.
Functional reassessment at 3 months, with check-ins at 1 week, 1 month, 3 months and 6 months.
A second series, if it is warranted at all, is considered 4–6 months out.

Honest by design

What the evidence does and does not show

Here is what an honest conversation sounds like. The biologic therapies we use are investigational and may be provided on an off-label basis. They have not been approved by the U.S. Food and Drug Administration to treat, cure, mitigate or prevent any disease or condition, and nobody — including us — can tell you in advance that they will work for you.

The published research in this field is early. Much of it is laboratory and animal work, the human studies are mostly small, and some well-run trials have found no advantage over placebo. We are not going to quote you numbers from a study and imply they are your results.

What we will do is look at your imaging, your history and your goals, tell you plainly whether you look like a reasonable candidate, and tell you when you are not. Some people leave our evaluation with a recommendation to see a surgeon instead. That is a good outcome.

What it costs, before you ask

Single-joint sessions start at $5,000. A complete care plan is quoted only after a physician evaluation, because what belongs in it depends on your imaging, your history and how many areas are involved — not on a menu. Patient financing is available for those who qualify.

Your first 15-minute phone call is free. The in-home physician consultation is $99, and that $99 is credited toward your care plan if you decide to move forward.

Common questions

Shoulder — questions we get asked

Can this help a full rotator cuff tear?

A complete tear is often a surgical problem, and we are not going to pretend otherwise. Your physician will review your imaging and tell you which category you are in before anything is recommended.

How long does the visit take?

Plan on about an hour for the evaluation. We do not run a schedule that requires rushing you, which is most of the point of practising this way.

Will I be able to use my arm afterward?

Expect soreness for a few days. Most plans do not require a sling or immobilisation, and your physician gives you written activity guidance for the first two weeks rather than leaving you to guess.

More questions — cost, safety, what these preparations actually are, what happens if you react — are answered on our FAQ page.

Start with a free 15-minute call.

No pressure and no obligation. We listen to your history, tell you honestly whether an
evaluation is worth your time, and if it is not, we say so.