FAQ
Ask us anything
What are Nobility Pain Management’s hours of operation?
Monday – Thursday 9 AM – 5 PM
How can I get an appointment to be seen?
We accept referrals from primary care providers and specialists. You may also refer yourself, but we require that every patient have a primary care provider.
In most circumstances, we will review your medical records, imaging, and diagnostic testing before determining if you are a candidate to be evaluated at Nobility Pain Management.
I’m having an issue following my procedure/treatment.
I’m numb and weak. This is likely a result of the use of sedation or local anesthetic and will slowly wear off over the next 24 hours. If you have increasing numbness or weakness following a procedure, call our office.
I’m experiencing increased pain. A pain flare up can occur following any procedure due to irritation of the treated tissues. Conservative treatment with rest, ice, NSAIDs, and prescribed pain medication will usually resolve the episode in 24-72 hours. If these treatments are not effective, contact our office.
Does Nobility Pain Management accept insurance?
Our practice accepts many insurance plans. You can find the full list here.
Feel free to contact us for more detailed information about the plans that we accept.
Am I a Candidate if I've had a failed procedure in the past?
Yes – Patients who have previously undergone spine surgery are viable candidates for the Discseel Procedure, providing an alternative avenue for those seeking relief from persistent spinal disc-related issues
FAQ
The Discseel® Procedure
What is the Discseel® Procedure composed of?
Are there any risks or negative side effects associated with the Discseel® Procedure?
After thousands of procedures, we have had no long-term or serious negative side effects from the Discseel® Procedure.
How do I know if I’m a candidate for the Discseel® Procedure?
If you are a patient dealing with chronic lower back pain, you’re a candidate for the Discseel® Procedure. You are a potential candidate whether you’ve previously had spine surgery or want to avoid surgery altogether. Learn more.
What is the average cost of the Discseel® Procedure?
While a specific amount can’t be given until the doctor evaluates your case, Discseel® Procedure generally costs less than 25% of what a spinal fusion would cost.
Is the Discseel® Procedure covered by Insurance?
What if I've had failed procedures in the past?
That’s okay and is a situation that many of our patients are in. They’ve had prior surgery, they’ve had fusions, and they’ve had metal inserted into their backs. That’s what we work with, and our goal is to help you get relief from your pain regardless of any previous procedures.
What is one of the most common causes of lower back pain?
The cushions in the lower back are called discs, and the disc is the most common cause of lower back pain. We know that the discs can be injured, degenerated, bulged, and herniated. These conditions need to be corrected, and the best way to correct them is to correct them naturally – not to add hardware, plates, rods, or screws. In the long term, these do not help the patient.
What is the success rate?
Based on preliminary data we have collected thus far, we know roughly 70% of patients treated with the Fibrin Discseel® Procedure who previously had a failed spinal procedure reported a better outcome in their condition and a positive reduction in pain and function. Recall these are patients who have failed either all or most other treatment options. “Better” is defined as getting better in both function and pain/symptoms.
Will I have to come back for repeat procedures?
The goal is that you only have the procedure once. About 10% of patients return because they either tear the disc again, or they saw some improvement and feel trying it again may give them even better outcomes. On occasion, if a patient does not get better, we offer to help them by considering other options such as diagnostic tests, and if related to disc pain, perhaps trying another biologic such as lumbar PRP or stem cells (harvested from the patient’s Bone Marrow).
What type of exercise can I do after the procedure?
We recommend that patients begin walking within a few days of the procedure and continue a daily regimen of walking as a lifestyle.
We’d like you to begin walking with assistance the day after your procedure and increase your activity as tolerated. Increase your activities in 10% increments until you are at 100% of your desired activity.
Following your procedure, we recommend that you avoid activities involving bending over and twisting your spine, because these movements can cause damage to the spinal discs.
When can I return to exercising?
You can be up and moving in as little as 24 hours after your procedure.
Have there been any adverse reactions in patients after using Fibrin?
In more than 10 years of using the specific brand of FDA-approved Fibrin we are currently using, we have never had any adverse reactions or serious events in any patient.
How long will I have to be off work?
Most patients return to work after about 3-5 days. However, if you need more time off, speak to your physician to see if they are able to write a letter on your behalf to allow you additional time off from work. We strongly advise patients to avoid any heavy lifting for 4-6 weeks.
How long after the procedure will I have to wait before going home?
Patients are free to leave if accompanied by someone after they leave the post-op area. We strongly advise that the patient does NOT drive himself or herself home. Most patients are in post-op for about 30 to 60 min.
Will my discs plump back up to their original youthful size?
While some patients’ discs immediately plump back up, our goal is not to plump up the discs, but rather, to promote the regeneration of spine tissue where tears reside, thus stopping leaking in the disc that has inflamed the spinal nerves and nociceptors (nerves that lives within the outer portion of the disc).
How long does it take to begin feeling relief?
Based on our research the majority of our patients “turn the corner” in 3-6 months. However, many patients feel better several weeks following the procedure, and a minority of patients can take as long as 8-12 months.
Get to the root of your pain.
Experience comprehensive pain care designed to treat the root cause of your pain, not just your symptoms.