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Interventional pain management in Palm Coast — minimally invasive care that treats pain at its source, in English and in Spanish.
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The Knee Rejuvenation Program
A step-by-step path out of chronic knee pain — starting with finding out what is actually generating it.
Imagine a morning where the first thing you think about is not your knee. You get out of bed, you take the stairs without planning them, you walk the dog the long way, and you get down on the floor with your grandchildren knowing you can get back up. That is the outcome this program is built around — not a slightly better pain score, but the specific things your knee has been quietly taking away from you.
The Knee Rejuvenation Program at Seaside Spine and Pain Center is led by Dr. Manuel López, a board-certified pain management and rehabilitation physician. It brings five knee treatments together into one sequence, chosen in the order that fits your diagnosis rather than a fixed protocol. None of the five is surgery. These are the options for knee pain that has already outlasted therapy and time.
The five parts of the program
Genicular nerve block and ablation. The genicular nerves carry pain signals out of the knee. Numbing them with a diagnostic block answers a question no scan can: is this where your pain is coming from, and will turning those nerves down actually help you. The block gives short-term relief and, more importantly, tells us what to do next.
Joint injections. A targeted injection into the joint itself calms inflammation and buys back function. Our patients often report relief lasting somewhere between six weeks and six months after the procedure.
Radiofrequency ablation. If the block worked, ablation makes that same result last far longer by using heat to interrupt those pain-carrying nerves. Reported success rates for knee ablation run 70 to 80 percent among patients whose diagnostic block worked, and among patients with knee osteoarthritis treated this way, 74 percent reported more than 50 percent pain relief at the six-month mark. Nerves eventually regrow. When they do, and the pain comes back, the procedure can be repeated.
PRP therapy. Platelet-rich plasma concentrates the healing factors already in your own blood and delivers them into the joint. Studies comparing PRP injections to placebo have reported significant pain reduction at three, six, and twelve months. It does not regrow worn cartilage.
Viscosupplementation. A gel-like lubricant injected into a joint that has lost its own cushioning, to make the knee move more smoothly and hurt less doing it. Results vary more with this one than with the others, and Dr. López will say so plainly.
If you want the background first, start with our page on knee pain — what causes it, and which causes respond to which treatment.
What our knee patients say
This is a Great Place. Staff and Dr’s and PA’s are Very Polite and Courteous and they treat you with Respect. They are Very thorough! They Evaluate your specific situation and Get Results! They care about you not just your Insurance or ethnicity. If seems like there’s No Help…These individuals work Great together and will Help. Highly recommend!
There are not enough stars to give when it comes to expressing the level of care I received from Dr. Lopez, and the complete office team. I will say this, Dr. Lopez and his staff headlines among the top doctors in all around care and compassion with a job ethic of excellence. Thanks. love to you and your staff.
Very good care. After two knee replacements. I would not be able to do the things I need to do without their help. Everyone has always been helpful even with all the Covid situation.
Why this time can be different
If you have already tried things that did not work, skepticism is the reasonable response. Here is the honest difference: this program does not start by guessing. The diagnostic block comes first, and it tells you — before you commit to anything longer-lasting — whether targeting those nerves is going to help you. If the block does not relieve your pain, we do not proceed to ablation. We look somewhere else. That single step is why the success rates above are as high as they are: they describe patients whose block already worked.
The rest follows the same logic. Dr. López evaluates your knee, reviews your history and imaging, and matches the treatment to the finding rather than working down a list. If a treatment does not produce what we expected, we say so and we look at the alternatives. What we can promise is a diagnosis, a plan, and a straight conversation about what to expect from each step — not a guarantee of a result.
What waiting actually costs
Postponing a knee decision feels like a neutral choice. It usually is not one. Pain that goes untreated tends to change how you walk, and how you walk changes what your hips, your back, and your other knee have to absorb. Activity narrows. The walks get shorter, then stop. Strength follows mobility down, and a weaker leg protects the joint less well than a strong one did.
There is a cost you can feel, too — the family outing you sat out, the trip you did not book, the year you spent managing something rather than treating it. Chronic pain wears on sleep and on mood, and both of those make pain harder to tolerate. Worn joints tend not to improve on their own, and there is usually more to work with earlier than later.
What the program asks of you
Less than most people expect. These are minimally invasive, image-guided injections and procedures, designed to keep recovery short and to get you back to your normal activities quickly. There is no hospital stay and no surgical rehabilitation to schedule your life around. Aftercare instructions are short enough to read once and follow. Expect some soreness at the injection site for a few days before you notice the improvement — that order is normal.
What it does ask for is patience with the calendar. The sequence takes weeks, not one visit — the block has to prove the target before ablation is worth doing. Your part is to show up, describe honestly what relief you got and how long it lasted, and let that information steer the next step.
Start with one phone call
The first visit is a diagnostic visit. Dr. López examines the knee, goes through your history and any imaging you bring, and tells you what he thinks is generating the pain and which of the five treatments fits. You will leave knowing what the plan is and what comes first. Care is provided in English and Spanish.
Call (386) 222-7746 orrequest an appointment. You can also reviewwhat to bring to your first visitand our accepted insurance plans beforehand.
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Tell us about your pain and we'll help you take the next step — request an appointment or ask us a question.
Office Hours
Monday – Thursday: 8:00 AM – 5:00 PM
Friday: 8:00 AM – 12:00 PM
Saturday – Sunday: Closed
Our Location
4863 Palm Coast Parkway NW, Units 2 & 3
Palm Coast, FL 32137