Low back · Orlando · In-home evaluation
Non-Surgical Low Back Pain Treatment in Orlando, in Your Home
For the back that has outlasted physical therapy, injections and the advice to “stay active.” A physician-led team comes to you anywhere in Orlando and Central Florida.
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 low back has been a daily presence for months or years: stiff in the morning, worse after sitting, sometimes sending pain down a leg. Your imaging may say degenerative disc disease, facet arthritis or a bulge that nobody wants to operate on. You have done physical therapy, perhaps an epidural or two, and you are managing rather than improving.
REVĪV is not a spine surgery practice and we do not take insurance. New weakness, numbness in the saddle area, or loss of bladder or bowel control is an emergency: call 911 or go to an emergency room, not to us.
You might recognise yourself here
- Back pain for more than six months that keeps coming back.
- Imaging showing degenerative disc or facet changes.
- Muscle spasm and stiffness that physical therapy only partly settles.
- No clear surgical indication — or a surgery you would rather not have yet.
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. This is where being honest matters most. Our lower-back approach is delivered into muscle — the paraspinal and gluteal muscles that are often the practical pain generators. It is not delivered into the disc, and never epidurally or intrathecally. If your problem is structural and surgical, muscle work will not fix it, and we will tell you that.
- 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.
- Physical therapy continues throughout — it is part of the plan, not an afterthought.
- Anti-inflammatories are avoided for about 3 days afterward unless medically necessary.
- When change occurs it is gradual, typically beginning somewhere around weeks 4–6.
- A formal re-evaluation happens at 12 weeks, and whether anything is repeated depends entirely on what that shows.
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.
Research on biologics for low back pain is less consistent than for the knee: small trials of platelet-rich plasma (PRP) into discs and facet joints have reported symptom improvement in some patients, while others found no advantage over control, and the underlying diagnosis matters a great deal.
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
Lower back — questions we get asked
Is this an alternative to back surgery?
For some people it is a reasonable step before surgery; for others surgery is the right answer and we will say so after examining you. Anyone with progressive weakness or bladder or bowel changes needs a spine specialist, not us.
I have sciatica. Is that the same thing?
Sciatica is leg pain from an irritated nerve root, often with a low back cause. We evaluate it the same way and refer when the picture calls for it.
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 an epidural. Does that matter?
For timing, yes. We wait at least four weeks after a corticosteroid or epidural injection in the same region 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, if you have one from the last two years; the report alone 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, shoulder and peripheral neuropathy concerns at home across Orlando.
Other areas we evaluate: Knee · Shoulder · Hip · 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.