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Pain Management in Jacksonville, FL for Injury Pain

Integrated Pain Care at a Jacksonville Injury Clinic

Pain after a car accident or work injury rarely has one simple fix. At East Coast Injury Clinic, pain management combines chiropractic care, physical therapy and medical management, with interventional procedures available through our visiting interventional pain management physician when conservative care is not enough. Everyone works from one record, so your plan can change as you do.

Our focus is injury-related pain: neck and back pain, disc injuries, sciatica, pinched nerves, headaches and joint pain after crashes, falls and work injuries. Individual results vary, and no treatment works for everyone.

You can be seen at our Southside clinic on Deerwood Park Blvd or our North Jacksonville clinic on N Main St. Call (904) 513-3954 to schedule an evaluation.

Chiropractic and Physical Therapy in Jacksonville, FL

East Coast Injury Clinic is a chiropractic and injury clinic in Jacksonville, FL, providing chiropractic care and injury treatment. From auto accident injuries and spinal misalignments to chronic pain and neurological rehabilitation, our team delivers compassionate, personalized care. Our Jacksonville team is here to guide you every step of the way as you work toward relief and better mobility.

Clinician using a handheld therapy device on a patient's shoulder

How Our Pain Care Is Organized

  1. Medical evaluation. Our physicians and advanced practice nurses take your history, examine you, screen for red flags and order imaging or EMG and nerve conduction testing when your exam calls for it. The goal is to identify the likely pain source before choosing treatment.
  2. Active conservative care. Most plans start with chiropractic care, physical therapy, therapeutic exercise and soft-tissue work, aimed at restoring motion and strength.
  3. Medical management. Our medical providers follow your progress, coordinate with your other doctors, document work status when needed and adjust the plan.
  4. Interventional procedures when appropriate. If pain continues despite conservative care, our visiting interventional pain management physician may evaluate you for injections or other procedures.

Common Causes of Injury Pain We Treat

Interventional Pain Procedures

Interventional procedures are offered through our visiting interventional pain management physician. Each procedure is explained in more detail on our interventional pain management page. Whether a procedure is appropriate depends on your exam, imaging, other health conditions and how you have responded to conservative care. Procedures that may be considered include:

  • Epidural steroid injections (ESI): a corticosteroid is placed in the epidural space near an irritated spinal nerve root. It may help reduce radiating arm or leg pain for some patients.
  • Nerve blocks: an anesthetic, sometimes with a steroid, is placed near a specific nerve to help reduce pain or to help confirm which nerve is involved.
  • Facet joint injections and medial branch blocks: injections that target the small joints of the spine or the nerves that serve them. A medial branch block is often used as a diagnostic step before radiofrequency ablation.
  • Radiofrequency ablation (RFA): heat is used to interrupt the nerves that carry pain signals from a spinal joint. Relief, when it happens, may last months, and the nerves can recover over time.
  • Spinal cord stimulation (SCS): for selected patients with long-lasting pain. A temporary spinal cord stimulator trial comes first, to see whether stimulation helps before a permanent device is considered.

Your physician will explain the goals, risks, alternatives and where and how a procedure is done before you decide. Relief from injections varies from person to person, and some people get little or none.

When Injections May Not Be Appropriate

An injection is not the right first step for everyone. A procedure may be postponed or not recommended if you have:

  • An active infection, or a skin infection near the injection site
  • A bleeding problem, or blood thinners that cannot be safely paused
  • Diabetes that is not well controlled, since steroids can raise blood sugar
  • Pregnancy or a possible pregnancy
  • Signs of a problem that needs urgent surgical evaluation, such as new bladder or bowel changes, numbness in the groin or rapidly worsening leg weakness
  • Pain that has not yet had a fair trial of active, conservative care

Go to the ER or call 911 for new loss of bladder or bowel control, numbness in the groin or inner thighs, or sudden severe weakness.

Key pain management facts

  • A medial branch block is a diagnostic or therapeutic injection that targets the nerves serving a spinal facet joint.
  • Radiofrequency ablation uses heat to interrupt the nerves that carry pain signals from a targeted joint.
  • In Florida workers’ compensation, procedures costing more than $1,000 need express carrier authorization, except in an emergency (F.S. 440.13(3)).
  • Under Florida PIP, benefits above $2,500 require an Emergency Medical Condition determination by an MD, DO, physician assistant, APRN or dentist.
East Coast Injury Clinic building and entrance

Your First Pain Management Visit and Our Locations

Call (904) 513-3954. Our front desk will ask about your injury and how your care will be paid for, verify coverage and schedule your evaluation. If a procedure is recommended later, we request any authorization your carrier requires first.

What to bring:

  • A photo ID and your insurance or claim information
  • Imaging reports and discs, and notes from prior pain treatment or injections
  • A complete list of your medications, including blood thinners and any pain medicines
  • Your attorney’s contact information, if you have one

Our locations: Both clinics are in Duval County and are open Monday through Friday, 9 AM to 6 PM.

  • Southside (Deerwood): 10550 Deerwood Park Blvd, Suite 609, Jacksonville, FL 32256. In the Deerwood Park office area near J. Turner Butler Blvd (JTB), I-295 and Southside Blvd, a short drive from the St. Johns Town Center area.
  • North Jacksonville: 13453 N Main St, Suite 302, Jacksonville, FL 32218. On N Main St north of I-295, convenient for the Northside and the JAX airport area.

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Conservative Care and Interventional Procedures Compared

Approach

Who provides it here

When it may be considered

Chiropractic care

Our chiropractors, including chiropractic neurologists

Neck and back pain and joint restriction after serious injury is ruled out

Physical therapy

Our licensed physical therapists

Most injury pain, to restore motion, strength and function

Medical management

Our physicians and advanced practice nurses

Throughout care, to evaluate, coordinate and adjust the plan

Epidural steroid injection or nerve block

Our visiting interventional pain management physician

Radiating nerve pain that continues despite conservative care

Facet injection, medial branch block or RFA

Our visiting interventional pain management physician

Spinal joint pain that continues despite conservative care

Spinal cord stimulator trial

Our visiting interventional pain management physician

Selected cases of long-lasting pain after other options

Our Satisfied Customers

Roke S.
Roke S.★★★★★
Heather and Ariyana are always welcoming! The staff is unbelievable sweet and thoughtful. Very considerate of everyone and their time. Never ever feels like a gimmick. I truly wish this company could be my family doctor as well! Nothing like healing in the right place, the right time with the right people.
Preeti S.
Preeti S.★★★★★
The sessions are excellent, with a highly skilled and friendly staff. The physical exercise staff, massage, and chiropractic sessions are all great. When I first arrived, I had limited mobility, but thanks to their effective treatments, I already feel a significant improvement in my healing process. I am extremely grateful to each and every one of you.
Elsa L.
Elsa L.★★★★★
This place is amazing! The staff is super friendly. The physical therapists are kind and understanding and helped me heal. The doctors listened to all my concerns! I would highly recommend to anyone who wants to feel better! Bianca is hands down the BEST manual therapist and Bradley was often my PT and is very knowledgeable.
Levi V.
Levi V.★★★★★
The whole staff is AWESOME. Every visit is a 1:1 physical therapy session. The whole staff is professional, knowledgeable and pleasant. They truly listen and care for their patients. I feel like my treatment is in great hands. The organizational culture in this office is superb. Everyone is always happy and get along with each other. Most importantly, they show sincere appreciation and care for every single patient. The office manager is the BEST as well.
Jared G.
Jared G.★★★★★
Absolutely love love love this place. I’ve done treatment here twice now after two car accidents within a year. Dr.V and her team are so sweet, super caring and will absolutely help you with whatever. Bianca is the most sweetest person I’ve ever met in my life, I enjoy all the conversations I get to have with her doing our Manual sessions.
Medical E.
Medical E.★★★★★
I cannot express how helpful this amazing business is! Tried out their Shockwave therapy and I will forever sing its praises. It was immediate relief! The staff is so very kind and knowledgeable the second you walk in the door! Ms Connie was the best person with such a gentle touch for the Shockwave. She explains as she goes and continues to ask if it is feeling okay. Cannot recommend enough! Reach out to them, you will not regret it! ~ Linda G.

Pain Management FAQs

What does a pain management doctor do?

A pain management physician evaluates the source of pain and treats it with options that may include medication management, injections and other procedures, usually alongside physical therapy and exercise. At East Coast Injury Clinic, pain care combines our chiropractors, physical therapists and medical providers with procedures through our visiting interventional pain management physician.

Do you offer injections for back and neck pain?

Yes, through our visiting interventional pain management physician. Depending on your exam and imaging, options may include epidural steroid injections, nerve blocks, facet joint injections and medial branch blocks. Whether an injection is appropriate is decided after an evaluation.

Who performs pain procedures at East Coast Injury Clinic?

Interventional procedures are performed by our visiting interventional pain management physician, who works with our in-house team. Your physician will explain where and how a procedure is done before you decide.

Do I have to try physical therapy before an injection?

Often, yes. Many plans start with active conservative care such as physical therapy and chiropractic care, and many insurers and workers’ comp carriers expect a trial of conservative care before approving a procedure. Your physician may recommend an earlier procedure in some situations.

How long does an epidural steroid injection last?

It varies. Some people notice relief for weeks or months, some notice short-term relief, and some notice little or none. An injection is usually one part of a plan that also includes exercise and rehabilitation.

What is radiofrequency ablation?

Radiofrequency ablation (RFA) uses heat to interrupt the nerves that carry pain signals from a spinal joint. It is usually considered after a medial branch block shows that those nerves are a likely pain source. Relief, when it happens, may last months, and the nerves can recover over time.

What is a spinal cord stimulator trial?

A spinal cord stimulator trial uses temporary leads to test whether electrical stimulation helps your pain before a permanent device is considered. It is reserved for selected patients with long-lasting pain after other options, and it is not right for everyone.

Do pain management doctors prescribe pain medication?

Some do. Our pain care centers on rehabilitation, chiropractic care, physical therapy and, when appropriate, interventional procedures. Any medication decision is made by a physician based on your exam, history and safety, and we coordinate with your other doctors.

Can I see a pain management doctor without a referral?

You can call us directly to schedule an evaluation. Some coverage types have their own rules: Florida workers’ comp requires carrier authorization before treatment, and procedures often need prior authorization. Our front desk will tell you what your coverage requires.

What should I tell a pain management doctor?

Be complete and honest. Share every medication and supplement you take, including blood thinners, any past injections or surgeries, other health conditions, and how the pain affects your sleep, work and daily life. Accurate information helps your physician choose a safe option.

Are injections covered after a car accident or work injury?

They can be. Under Florida PIP, access to benefits above $2,500 requires an Emergency Medical Condition determination by an MD, DO, physician assistant, APRN or dentist. Under Florida workers’ comp, procedures costing more than $1,000 need express carrier authorization. We verify coverage and request authorization before a procedure.

What is chronic pain, and when should I get it checked?

Pain is usually called chronic when it lasts longer than about three months, or longer than an injury would normally take to heal. It can feel like a constant ache or stiffness, or like burning, tingling or electric nerve pain, and it may affect sleep, mood and work. Get it checked if pain after a car accident or work injury is not improving, keeps you from normal activities or comes with numbness or weakness.

Can chronic or nerve pain be treated without opioids?

Often, yes. Depending on your exam, a plan for long-lasting or nerve-related pain may include physical therapy and therapeutic exercise, chiropractic care, soft-tissue work, activity and posture guidance and, when appropriate, injections or nerve blocks through our visiting interventional pain management physician. Any medication decision is made by a physician. Individual results vary.

How is my care paid for at East Coast Injury Clinic?

Most injury care at East Coast Injury Clinic is covered through one of four paths: auto insurance PIP after a car accident, a personal injury attorney’s Letter of Protection, state workers’ compensation for a work injury, or federal workers’ compensation (OWCP or Longshore) if you are a federal or maritime employee. We also see patients under Medicare, Tricare, VA Community Care, and a limited number of private plans. Our front desk verifies coverage before your first visit and explains exactly what is and is not covered for your specific case, so there are no surprises. Call 904-513-3954 or visit eastcoastinjury.com to start.

The information provided on this page is for general educational purposes only and is not intended as medical advice. It does not constitute a diagnosis, treatment recommendation, or substitute for consultation with a qualified healthcare provider. Individual results vary. East Coast Injury Clinic’s services may not be appropriate for every condition or patient. Please consult a licensed healthcare professional to determine whether these services are right for your specific situation. Information provided about insurance, PIP, workers’ compensation, OWCP, or Longshore coverage is general and is not legal advice. For legal questions related to a claim, consult a licensed attorney.

East Coast Injury Clinic | 10550 Deerwood Park Blvd, Suite 609, Jacksonville, FL 32256 | 13453 N Main St, Suite 302, Jacksonville, FL 32218 | 904-513-3954 | eastcoastinjury.com

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