Shoulder · Orlando · In-home evaluation
Non-Surgical Shoulder Pain Treatment in Orlando, in Your Home
For the shoulder that aches at night, catches on the way overhead, and has been labeled a rotator cuff problem or arthritis. A physician-led team comes to you.
Clinical care directed by Dr. David Cheesman, DOOver 20 years in regenerative medicineIn-home visits across Central Florida
Who this page is for
Who tends to call us
You are in Orlando or Central Florida and your shoulder wakes you when you roll onto it. Reaching a top shelf or fastening a seat belt has become a maneuver. You may have an MRI that says partial rotator cuff tear, tendinosis, bursitis or osteoarthritis, and a surgeon who has offered to repair or replace it when you are ready. You are not sure you are ready.
REVĪV is not a surgical practice and we do not take insurance. A full-thickness tear with weakness, a shoulder that has dislocated, or a sudden injury with loss of motion needs an orthopedic surgeon, and we will say so.
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
Dr. David Cheesman, DO directs every plan. 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.
- A written plan, if one makes sense. It may include regenerative biologics, including platelet-rich plasma (PRP) where appropriate. When a procedure is part of the plan, it is placed under ultrasound guidance when needed — 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.
For rotator cuff tendinopathy and partial tears, trials of platelet-rich plasma (PRP) have reported pain and function improvement in some patients over months and no advantage over control in others; evidence for shoulder arthritis is thinner still.
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 care starts at $2,997 for a 1 mL treatment — some patients need only 1 mL. 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 $199, and that $199 is credited toward your care plan if you decide to move forward.
Service area
Where we come to you
REVĪV sees patients across Central Florida, from Orange City and Daytona Beach to Melbourne Beach, including all of metro Orlando, Celebration and Lakeland. Other Florida cities depend on physician availability. There is no clinic or office to visit: the clinician comes to your home. See in-home care in Orlando.
Common questions
Shoulder — questions we get asked
Can a rotator cuff tear be treated without surgery?
Partial tears and tendon irritation often can be managed without an operation; complete tears with weakness usually need a surgeon. The exam decides which you have.
Is this an alternative to shoulder replacement?
For mild-to-moderate arthritis it can be a reasonable step first. For advanced arthritis, a surgeon is the right conversation and we will say so.
Do you come to my home in Orlando?
Yes. REVĪV is a mobile practice: your evaluation and your care happen in your home. There is no clinic or office to visit.
I have had a cortisone shot in the shoulder. Does that matter?
For timing, yes. We wait at least four weeks after a corticosteroid injection in the same shoulder before a biologic procedure.
What does the first visit cost?
The first step is a free 15-minute phone call. If an in-home visit makes sense, the physician-directed consultation is $199 and is credited toward your care plan if you enroll.
Will insurance cover it?
No. REVĪV programs are elective and self-pay. We provide itemized receipts, and financing is available to patients who qualify.
Should I bring my MRI?
Yes. The report is useful; the images are better.
Who will actually see me?
A member of our clinical team under the direction of Dr. David Cheesman, DO. You will know the name of the clinician coming to your door before the visit.
More questions — safety, what these preparations 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.
We also evaluate knee, hip, low back and peripheral neuropathy concerns at home across Orlando.
Other areas we evaluate: Knee · Hip · Lower back · Peripheral neuropathy · Advanced wound care
New to this? Read Regenerative Medicine 101 — what these preparations
are, what the research shows, and a plain-language glossary.
Meet the medical team · See what a care plan includes · Book your free 15-minute call
Results vary and no outcome is guaranteed; candidacy is determined by a licensed physician after an in-person evaluation. This page is for education only and is not medical advice. Clinical care is directed by David Cheesman, DO. REVĪV Regenerative Medicine is operated by MGM Orlando LLC.