Frequently Asked Questions

“Our goal is to resolve an individual’s pain or to help patients manage their pain using advanced techniques and technology. Through modern pain managment, we work to restore our patients to a life of comfort and ease of motion.”

Dr. Jonathan Daitch, Specialist in Pain Management

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.

After medical school, the physician completes an internship, which is followed by 3 – 4 years of additional specialty training (a residency) in one of the following specialties: anesthesiology, neurology, or physical medicine and rehabilitation (PMR). Following this residency, the physician then completes a fellowship in comprehensive pain management training. All total, your pain management physician receives nearly 14 years of training after high school to provide comprehensive care in this specialty.

For optimal treatment and results, yes. There are several organizations that provide pain management certifications, including the American Board of Interventional Pain Physicians (the most rigorous). Another certification includes Fellowship status in the World Institute of Pain Medicine.

As a major proponent of legislation to combat the “pill mill epidemic,” Dr. Daitch has been an involved voice in protecting Florida patients from this type of environment. Florida laws now mandate that new or existing pain management practices not owned by physicians or staffed by board certified interventional pain management physicians must be regularly inspected and monitored. The exemplary credentials and protocols of Dr. Daitch exempt APMSS.

Dr. Daitch has also been instrumental in the formation of the Florida Prescription Drug Monitoring Program, or E-FORCSE® (Electronic-Florida Online Reporting of Controlled Substance Evaluation Program), which Florida legislature now uses to help reduce drug abuse and in safer prescribing of controlled substances.

Acute pain is temporary, usually lasting 3 – 6 months. It is generally the result of soft tissue damage. Chronic pain is any pain that persists longer than 12 weeks.

At APMSS, each patient is carefully evaluated and treatment recommendations are made based on specific needs. Dr. Daitch and his team offer a wide variety of procedures to help eliminate or manage pain, most of which are minimally invasive (also referred to as “Band-Aid surgeries”). He has created an environment with advanced technology and fully-equipped surgical suites to attend to patients comfortably, conveniently, and effectively.

Medical marijuana is available in pill form by prescription. The drug Marinolis is only appropriate for patients with specific conditions and is not prescribed by request.

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 may be recommended. This often provides pain relief for up to two years. Other procedures available are epidurals and transforaminal epidurals. The treatment most appropriate for your needs will be thoroughly explained.

Neck pain can be a result of many factors. Facet joint injections are provided for arthritis in the neck for pain relief. Radiofrequency, epidurals and transforaminal epidurals are also options to alleviate pain. The procedure(s) best for your specific needs will be explained by our Doctors.

Pain shooting down the leg is usually caused by a herniated disc, pinched nerve, or spinal stenosis. Other causes may be from hip arthritis, piriformis syndrome, or sacroiliac joint pain. The APMSS team is skilled in diagnosing the source of this pain and providing the most appropriate treatment. At all times, your safety and comfort are priorities with our Doctors and team.

Dr. Daitch has dedicated his career to providing a comprehensive, state-of-the-art environment for resolving most types of pain. Most procedures are performed in a fully-equipped ambulatory surgery center (ASC), which is located in the same building as our pain management office. Our ASC provides patients the option to be given general anesthesia. This also eliminates the additional time, inconvenience, and expenses involved when these procedures are performed at a hospital.

For every patient and procedure, comfort is a priority at APMSS. However, with certain procedures, some discomfort may be experienced. And, this can vary from person to person. What may be uncomfortable for one patient may not be so for another. Our Doctors will discuss what to expect for the procedure recommended for you.

The option of having procedures while sedated under general anesthesia will be addressed prior to the scheduled procedure. General anesthesia is administered in the ambulatory surgery center (ASC), which is conveniently located in the same facility as APMSS.

Shingles attacks the dorsal root ganglion and can cause horrific pain. Ideally, patients with shingles should be seen within two weeks of the initial outbreak. The faster that the patient is seen and treated, the better the results in reducing the duration and pain.

We treat shingles with a procedure called selective nerve root (SNR) injection. An injection of local anesthetic and a long-acting steroid is strategically placed using fluoroscopy guidance to accurately reach the affected nerve root. Pain and duration are dramatically reduced and pain is often eliminated completely.

Arm pain may be the result of bursitis, a rotator cuff tear, or an irritated nerve radiating from the neck. Minimally invasive injection procedures combined with physical therapy can help greatly. For many, these can also make surgery unnecessary.

“Pain emergencies” are from shingles, cancer, vertebral fractures, broken ribs, and spinal headaches. Patients who suffer from any of these conditions are urged to seek immediate medical attention. However, any persistent pain may need the specialized care provided by a pain management physician.

For people who truly motivated to stop taking high dose opioids, APMSS physicians are experts at easing patients off narcotics through the medication buprenorphine.

This is a prescription that is taken daily to alleviate pain while decreasing the cravings caused by narcotics. It is a safer alternative to high dose narcotics and has an excellent success rate for motivated patients who want to improve their quality of life.

Common Questions About

  • Auto Accidents
  • Workman's Compensation
  • Insurance Coverage
  • Appointments

Auto Accident - Common Questions

Yes. In order to be covered by Florida’s Personal Injury Protection (PIP), anyone injured in an auto accident must be examined by a physician, nurse practitioner, or seen in an Emergency Room for an examination within 14 days.

Not always. APMSS only accepts Letters of Protection (LOP) from specific attorneys who have established a history of working with APMSS.

To verify that an LOP would be accepted by APMSS, please call the Auto Coordinator at 239-337-6806 or email to: personal.injury@apmss.net.

Soft tissue injury, such as whiplash, may not be symptomatic immediately.Florida law requires that an auto accident victim must be seen within 14 days following the date of the accident to be eligible for the full $10,000 coverage of PIP insurance.Therefore, it is in your best interest to be seen as soon as possible by a physician, nurse practitioner, or at an emergency room.

It is imperative to be seen immediately by our Doctors who are pain management specialists. Ideally, patients who are treated immediately after an auto accident will not suffer long-term effects from the injuries.Our Doctors specialize in identifying and treating acute pain, pain that occurs from a specific injury, and chronic pain.

Many car accident victims can suffer soft tissue injuries, such as whiplash. The problem is that pain caused by some soft tissue or other injuries may not start immediately after the accident.

For some, pain may not be obvious for a few days or even weeks. Our doctors will evaluate you and begin appropriate treatment immediately. This may include physical therapy or exercise.

To schedule an appointment, contact our Auto Accident Coordinator by calling 239-337-6806 or email to: personal.injury@apmss.net

Workman's Compensation - Common Questions

Yes, APMSS physicians are providers for almost every workman’s compensation insurance carrier in Florida.

Additionally, APMSS actively pursues contracting with new carriers to be accessible to the majority of workman’s comp patients. However, please verify that we are a provider for you by contacting the APMSS Workman’s Comp Rep – call: 239-337-6806 or email:workcomp@apmss.net

Yes. APMSS doctors are credentialed to do FMEs. For more information, click here to visit our Workers’ Comp page.

Begin with our APMSS Workman’s Comp Rep by calling 239-337-6806 or via email at workcomp@apmss.net

The forms for Workman’s Comp can be printed out online (click here) or provided to new patients in our office.

If you plan to complete these forms in our office, plan to arrive 45-minutesprior to your appointed time.

Insurannce Coverage - Common Questions

APMSS accepts Medicare and most Florida carriers. For a complete list,click here or contact our Insurance Coordinator at 239-437-8000.

Yes, health care changes may impact your choices of the doctors you can see and medical care options. Please discuss your coverage with our Insurance Coordinator prior to scheduling treatment.

Yes, APMSS does accept patients who are “self-pay.” Payment arrangements should be discussed with our New Patient Intake Coordinator prior to scheduling your initial visit.

Appoinments - Common Questions

If you need a referral, please ask your primary doctor to send a referral request to: XXX.

If you are not being referred, please call our New Patient Intake Coordinator at 239-437-8000 or email the New Patient Intake Department at intake@apmss.net to begin.

Completed forms in your New Patient Packet (also downloadable at: www.apmss.net)
Pertinent Radiology Disk/Films
Pertinent medical records
All prescription medicines in bottles
Valid photo ID
All insurance cards

Patients are seen by appointment only. However, it is not necessary to be referred by another physician if you wish to discuss your pain and potential treatments. Please call our office to schedule an initial appointment.

Because we cannot guarantee translation availability, any non-English speaking patient should be accompanied by an adept interpreter. Clear communication is imperative to prepare and implement an appropriate treatment plan. Without the interpreter, APMSS physicians will not be able to properly evaluate and diagnose the patient.

  • New patients should arrive one hour prior to their scheduled appointment time. This allows ample time to complete necessary forms.
  • If your complete New Patient Forms to bring to your appointment, arrive at least thirty minutes to complete the Check-in process.
  • Established patients should arrive at least fifteen minutes prior to their appointed time.

Children should not accompany adults to an appointment or procedure.Please schedule appointments when you don’t have to bring a child or children with you.

During an exam or treatment, a patient cannot adequately tend toa child or children. By law, our staff is unable to watch or monitor any child.

Also, please do not bring a sick child who has been kept out of school to your appointment. This places our staff and other patients at risk for illness. We ask that youreschedule your appointment as soon as you realize other child care is not available.

Existing patients can make appointments and ask questions online using the Patient Portal, a secure web site (accessible at the top of the APMSS Home page).

The Patient Portal allows you to communicate with us online through a program called NextMD. Online submissions are addressed within 2business days.

To sign up, begin by obtaining a token (temp password) from our Front Office staff. Then, sign on to establish your account, and get connected.

Through this portal, you will be able to:

  • Email questions about billing
  • Ask clinical and non-emergencyquestions about treatments
  • Schedule appointments

To receive a token (your temppassword), call our Front Office staff at 239-437-8000. For advanced computer users, there is also a link on the Patient Portal site to obtain a token.

You can rest assured that the Patient Portal is secure so patient information is kept confidential.

8255 College Parkway, Suite 200, Fort Myers, FL 33919

Located in South Fort Myers on College Parkway between Winkler Road and Whiskey Creek Parkway