What does a consultation with Dr. Silva include?
Your first visit with Dr. Silva will include a comprehensive new patient evaluation with up to 60 minutes of his time focused solely on you.
Your consultation will include:
Physical Exam with Ultrasound Examination of peripheral joints (if appropriate)
Review of imaging (MRI/X-Ray, CT) (*Dr. Silva will review the actual images with you as well as the report to educate you regarding your pathology*)
Review of pertinent medical records such as Op reports, EMG, etc. (if appropriate)
Discussion of the root causes of your condition, Dr. Silva’s findings, assessment and diagnosis
Discussion regarding medical condition(s) and treatment options
Education about regenerative medicine and your potential candidacy for treatment
Education and tools to optimize your overall health through: Lifestyle, Nutrition, Exercise, Supplements and/or Medications
Diagnostic Injections performed under Ultrasound or Fluoroscopic Image Guidance may be offered to obtain precise findings for your pain generator(s) after the New Patient Consultation. Typically, Diagnostic Injections must be scheduled for a future visit after the initial visit. *Treatment(s) of any kind, including diagnostic injections are not included in the New Patient Consultation fee.*
What can I expect at my initial consultation?
Following the consultation, our procedure coordinator will review your case with the doctor and promptly send you a packet that summarizes what your recommended treatment includes, a transparent outline of expected fees associated, as well all pre-procedure instructions and post-procedure rehabilitation protocols for the proposed procedure.
What is PRP?
How much does PRP cost?
Dr. Silva will tailor your PRP treatment plan for you, and there are numerous variables that he will take into account as he does this. For example, the degree of pathology, the specific regions he will be treating, and the number of regions that will be addressed in a single intervention are all variables that will be different for you than another patient.
We always want you to know the fees prior to your procedure and will provide you with a breakdown following your consultation.
How much does Cellular Therapy cost?
Do you accept insurance?
I live out of state or out of the country – how do I get a consultation and treatment with Dr. Silva?
Do I need an MRI before my consultation?
What is the difference between autologous cellular therapy and the amnion/cord blood products that others are offering?
What are the fees for the initial consultation?
What is Cellular Therapy?
What is prolotherapy?
There are multiple types of prolotherapy, from mild to very strong, and this should be customized to the patient’s pathology.
What is regenerative medicine?
A regenerative procedure works with the body’s natural process of healing, starting by stimulating inflammation, followed by the proliferation of new tissue, and then maturation of that new tissue over time. When utilizing Prolotherapy, PRP and/or Cellular Therapy, these stages of healing occur over several weeks to months. In order for this process to occur, and for the patient to achieve their optimal outcome, these must be precisely placed under image guidance into the degenerative tissue. You cannot get this result of healing by just blindly injecting the substance into the joint (be it PRP or Cellular Therapy), although this is how many of the less skilled practitioners administer PRP and fake “stem cells” from a bottle. Always check your “regenerative medicine” doctor’s credentials, as many practitioners inflate or misrepresent their experience, credentials, and expertise with regard to the substances they inject, ultrasound and fluoroscopic image guidance, and musculoskeletal injection techniques. Dr. Silva is a board-certified Physical Medicine & Rehabilitation doctor with specialty fellowship training in Interventional Orthopedics. Click here to learn more about his credentials.
What is the recommended follow-up protocol after regenerative procedures?
Many times, this includes lifestyle modifications, rehabilitation exercise, changing /reducing/discontinuing medications, optimizing disease, and utilizing a brace. Dr. Silva recommends a PREhab protocol to prepare for the procedure and then a rehab protocol for a minimum of 6 weeks after injections. Your PREhab and rehab will and should be customized to you, and Dr. Silva will talk about this at length during your evaluation in order to maximize your long-term results.