Are the Doctors chiropractors?

No. Our doctors are graduates of medical schools.

What does a pain management physician do?

Pain management physicians, also known as interventional pain physicians, diagnose and treat people who have acute and chronic pain in the neck, back, arms, and legs.

What training does a pain management physician have?

After medical school, the physician completes an internship. The internship is followed by a three to four year period of specialty training called “residency.”

The doctor may complete a residency either in one of the following specialties: anesthesiology, neurology, or physical medicine and rehabilitation (“PMR”).

Following residency, the physician then completes a fellowship which is two additional years of comprehensive training in pain management.

What type of certification should a pain physician have?

There are several organizations that provide pain management certifications. The most rigorous board certification is from the American Board of Interventional Pain Physicians. Another certification includes becoming a Fellow of the World Institute of Pain Medicine.

What is the difference between acute and chronic pain?

Acute pain is temporary usually lasting three to six months, and is caused by soft tissue damage. Chronic pain is any pain that persists longer than twelve weeks.

Will the changes in health care impact my care at APMSS?

Health care changes will impact the choices of the doctors and medical care options for treatment.

Do I have to have surgery or are there other options to alleviate my pain?

There are numerous non-surgical treatments available to alleviate pain. After being evaluated, a treatment plan is developed. The physician will discuss surgical and non-surgical treatment options.

Does APMSS see walk-in patients?

No. Patients are seen by appointment.

Are interventional pain management practices such as APMSS regulated and inspected by the State of Florida?

Legislation was passed a few years ago in Florida to combat the “Pill Mill Epidemic” which mandated that new or existing pain management practices not owned by physicians or staffed by, board certified interventional pain management physicians must be inspected and monitored on a regular basis by the State of Florida.

Due to the exceptional credentials of Dr. Daitch, including all board certifications, APMSS was exempt.

What is E-FORCSE? I see a sign when I go to my pharmacy.

The Florida Prescription Drug Monitoring Program, known as E-FORCSE® (Electronic-Florida Online Reporting of Controlled Substance Evaluation Program), was created by the 2009 Florida Legislature in an initiative to encourage safer prescribing of controlled substances and to reduce drug abuse.

Is it true that Florida law has changed so that all auto injury patients must be examined within fourteen (14) days of the automobile accident date?

Yes. In order to be covered by Florida Personal Injury Protection (“PIP”), anyone injured in a car accident must be examined by a physician, nurse practitioner, or brought to an Emergency Room for an examination.

Is medical marijuana now available to patients?

Yes. Medical marijuana has been available in pill form by prescription since 1986. The drug is called “Marinol.” Only patients with specific conditions warrant Marinol. It is not prescribed by request!

Although Florida has passed legislation to grow and distribute pot, the complex issues concerning the distribution and monitoring have not been finalized.

Is there a genetic component to pain?

There are indications from the results of initial research that a genetic component may exist. It is too early to confirm. A genetic component would probably help in the care and treatment of patients with specific syndromes and other pain problems.

Can I bring a child such as my son or daughter or my grandchildren when I have an appointment or procedure?

It is in the best interest of the child/children as well as the staff, children should not accompany adults into an appointment.

During an exam or treatment, it is impossible for the patient to watch the child/children. Our staff is not able to watch or monitor any child by law.

Also, if you are bringing a child to your appointment that did not go to school because they were sick, considering rescheduling your appointment! Please be considerate to our staff and others in the waiting room.

It is suggested that you please schedule an appointment on a day when you don’t have to bring a child or children with you to APMSS or PCP.

What types of procedures are done for back pain?

Back pain has many causes. Facet joint injections may be used to reduce pain from “arthritis” in the back. If the pain is not reduced or eliminated, a procedure called radiofrequency, which allows relief from pain from six months to two years in most patients, can be offered. Other procedures to improve the quality of life for someone in chronic pain are epidurals and/or transforaminal epidurals for back and/or leg pain.

What types of procedures are provided for neck pain?

Neck pain can be a result of many factors. Facet joint injections are down for arthritis in the neck in order to alleviate pain. If facet joint injections do not completely eliminate the pain, radiofrequency can also be tried. Epidurals and transforaminal epidurals are also successful in alleviating pain.

I’ve heard about “vertebroplasty and kyphoplasty,” procedures used provided at APMSS. What are they?

Vertebroplasty and kyphoplasty are procedures that reduce the pain caused by spinal fractures. The procedures are done at our facility with/or without general anesthesia. Patients are not burdened with the stress of going to a hospital as well as the exorbitant costs charged by hospitals.

The success rate for greatly reducing the pain treated with either procedure is an acute or new fracture is 80-95%.

Are procedures painful?

The truth is that some procedures may be painful. However, since our patients have the option of having invasive spine procedures done under anesthesia in the ambulatory surgery center (“ASC”) located in the first floor of the same building as the medical practice.

What are the five “pain emergencies”?

Shingles, cancer, vertebral fractures, broken ribs, and spinal headaches are considered the five pain emergencies. Patients who suffer from any of these conditions are urged to seek immediate medical attention.

What can be done to help the horrible pain from shingles?

Shingles attacks the dorsal root ganglion and can cause horrific pain. We treat shingles with a procedure called selective nerve root (“SNR”) injectionAn injection of local anesthetic and a long-acting steroid is strategically placed using fluoroscopy targeting the affected nerve root. Pain and duration are remarkably reduced if not eliminated.

I fractured my ribs and in severe pain. Can you help?

Yes. The doctors can perform an interventional procedure called an intercostal block to greatly decrease the excruciating pain from rib fractures. Most patients receive immediate relief from the excruciating pain from rib fractures a few minutes after the procedure.

If my arm hurts when I play golf, how can you help?

Bursitis, a rotator cuff tear, or an irritated nerve radiating from the neck may cause arm pain. Minimally invasive injection procedures with the combination of physical therapy can help and may allow patients to avoid surgery.

I woke up today with severe pain in my back and I just couldn’t get out of bed. My doctor gave me muscle relaxers, but they did not seem to help.

Pain that suddenly occurs one day is called “acute” pain. There are many different causes. In most cases, pain is caused by inflammation. Usually, muscle relaxers do not help relieve the pain because they do not reduce the inflammation.

For more precise treatment options please schedule an appointment by calling 239.437.8000 or email us at

What does it mean if pain is going down my leg?

Pain that goes down the leg is usually caused by a herniated disc, pinched nerve, or spinal stenosis. Other causes of leg pain may result from hip arthritis, piriformis syndrome, or sacroiliac joint pain.

My son is hooked on high doses of narcotic painkillers. What can be done?

When you son really wants help, there is an option that APMSS provides

The physicians are experts at converting (get off the high doses of narcotics) patients by prescribing buprenorphine.

The goal is to get the patient off the drugs. It is a medicine that is taken daily to alleviate pain and decrease the cravings.

It is a safer alternative to high dose medicine and has an excellent success rate for motivated patients.

If I am injured in a car accident, does APMSS accept an LOP from my attorney?

With PIP, insured patients have a limit of ten thousand dollars ($10,000.00) for serious injuries as long as the victim is seen and evaluated by a physician, or at an hospital emergency room within two weeks of the car accident.

When the patient uses up their PIP, an attorney may be engaged to represent them.

If I am in a car accident, should I go to the ER or see my personal physician?

Yes. In your best interest, you must be seen as soon as possible by a physician, a nurse practitioner, or ER.. Soft tissue injury, such as whiplash, may not be symptomatic immediately.

New Florida law now requires that a car accident victim must be seen within fourteen (14) days following the date of the accident in order to access the full $10,000.00 PIP Insurance.

If I develop severe pain after an auto accident, what should I do?

It is imperative to be seen immediately in our office, as our doctors are pain management specialists. Our forté is identifying and treating acute pain, pain that occurs from a specific injury (as well as chronic pain).

Ideally, patients who are treated immediately after an auto accident will not suffer long-term effects from the injuries.

Is it possible that I felt fine after my auto accident, but a few days later I could not get out of bed because I had so much pain?

Yes. Pain may develop immediately after an auto accident, or may not occur for a few days or even weeks. The Doctors can start the appropriate treatment immediately; and they will create a specific treatment plan, including physical therapy or exercise, to help each patient.

According to Florida Law, people involved in a motor vehicle accident should be seen by a physician, nurse practitioner, or at an ER within fourteen days of an accident.

To schedule an appointment contact the Auto/Work Comp Coordinator at the direct phone number 239.337.6806, or via email at can also obtain more information by clicking on the Auto Injuries’ tab on this website.

Does APMSS accept patients who have workers’ comp?

Yes. Both physicians are providers for almost every workers’ compensation (comp) insurance carrier in Florida. Our practice is now actively contracting with more carriers to be able to see more workers’ comp patients?

Do the Doctors do Functional Medicine Evaluations (FMEs) for workers’ comp patients?

Yes. Both doctors are credentialed to do FMEs since January 2010. For more information visit our workers’ comp page.

My case manager told me that APMSS is not listed as a contracted provider. What can I do?

Please contact the Worker Comp Rep at APMSS 239.337.6806 or via email at

What type of forms do I need, and where can I get them?

The forms can be printed out online or given to new patients in the office. If you are going to fill the paper work out in the office we require that new patients arrive an hour earlier.

To fill out the paper work online please go to the patient forms page.

What insurance does Advanced Pain Management accept?

APMSS accepts Medicare and most of the Florida carriers, for a complete list click on the link below or contact our insurance office at 239.437.8000.

What should I bring to my first appointment?

  • Completed forms in the New Patient Packet.
  • Radiology Disk/Films
  • Any pertinent medical records
  • All prescription medicines in bottles.
  • Valid photo ID
  • All insurance cards

Does Advanced Pain Management accept self-pay?

APMSS does accept self-pay. Payment options should be discussed with new patient intake coordinator upon scheduling your initial visit.

Do the doctors treat non-English speaking patients?

Any non-English speaking patients seeing the doctors are asked to bring an interpreter. Clear communication is imperative to prepare and implement the appropriate treatment plan. Without the interpreter, the doctors will not be able to properly evaluate and diagnose the patient.

Do I need to arrive earlier then my scheduled appointment time?

New patients should arrive at least one hour prior to the scheduled appointment time.

If the patient has completed the New Patient Forms prior to the appointment, arrive at least thirty minutes to complete the Check-in process. For established patients, arrive at least fifteen minutes prior to the appointment.

I want to become a new patient. What are my options to make an appointment?

  • If you need a referral please ask your primary doctor to send a referral
  • If you do not need a referral please call the New Patient Intake Coordinator at 239.437.8000
    or email the New Patient Intake Department at

I am an existing patient. Is there the option to make an appointment online?

Yes. Existing patients may make appointments online using a secured web site called the Patient Portal.

What is Patient Portal?

APMSS installed a link to Patient Portal on the website. The Patient Portal is a secure website that lets you communicate with us online through a program called NextMD. Once you obtain a token, sign on to establish your account, and get connected, patients are able to:

  • Email questions about billing
  • Ask clinical questions (that are NOT EMERGENT) about treatments
  • Schedule your next appointment online

Your questions will be answered within Two working days.

Do I need a password?

Yes. The password is called a token. And in order to use the Patient Portal, the patient must get a “token” (password) from the Front Office Staff. For more advanced computer users, there is also a link on the Patient Portal sight to obtain a token.

Is the Patient Portal secure so that my patient information is kept confidential?