Before Your Visit
At RestorePDX, we believe that preparation is the best strategy for success and your visit is no different. Your experience is a top priority for our team.
If you are a new patient, please print and complete the New Patient Packet. We have simplified the form as much as possible, but it will take some time to complete accurately.
We will provide a reminder notification regarding your upcoming visit. Please expect either a text, email and/or a voicemail from RestorePDX. Please See Arrival information below.
Patients are expected to make the required payment (either co-payment, co-insurance or the entire procedure) at the time of check-in. Some procedures are a considerable amount and on these occasions will be discussed with the patient prior to arrival. Please bring a government issued form of identification.
Please be aware that transportation from the clinic post procedure will be required if you have chosen to be sedated. Please arrange transportation with a family member, friend or taxi (patient responsible for taxi fees) to drive you home safely.
Finally, please keep in mind that you can assist and enhance your outcomes by implementing a few strategies prior to your procedure. Strategies include:
Sleep (8-9 hours)
Exercise (if possible)
Stress reduction and emotional health
Each of these areas play an important role in your overall and everyday health. We can provide educational information if requested. Our RestorePDX team will work diligently for you and we expect each of you to play an active role in your own health.
We are aware that checking in early for your appointment is not always ideal and we appreciate your patience. There are many steps in the registration process and we are as thorough as possible. Some cases require an early arrival time to process biologics prior to your procedure.
The cost depends on many factors and ranges from $600 for the most basic PRP injection in a single site to $5-7,000 for complex multi-location spinal injections. The price varies depending on the material we inject (such as cellular treatments or PRP), whether you need IV sedation and monitoring, the number of locations injected, and the target tissue that’s injected.
We are dedicated to providing financial transparency. Before any therapies are prescribed or treatment initiated, we clearly lay out the costs for you. Bundling treatments can be more efficient. For example, doing both knees the same day costs less than doing one at a time.
We offer a one-year treatment and recovery program, including injections, exercise, and supplement IVs, for a bundled price. Patients will be expected to complete the whole program, including physical therapy and exercise regimens.
During Your Visit
Our team members are dedicated to communication and caring throughout your experience with the clinic. During each interaction, RestorePDX team members strive to set clear expectations and make sure patients are informed about what we will be doing and actions they may need to take. Compassion and competency are the foundation of our team member’s professional standard.
The number of treatments may vary. For example, for a torn ligament or tendon, or a rotator cuff injury, you may need one to five treatments; for plantar fasciitis, it is usually one to three. If your improvement plateaus, we will consider a second treatment series. If your issue starts to come back, then we may retreat you to re-start or continue the healing process. Some soft-tissue and acute injuries and some chronic degenerative processes may require lifelong therapy, with injections every so often. On the other hand, many patients will see continuous improvement. There may be a ceiling for improvement. Sometimes patients get to zero pain, and sometimes they don’t.
Yes. It is important to allow your body to heal after each treatment. Treating too many areas at one time may overload the body’s ability to heal.
After Your Visit
We want to make sure of your safety and the safety of others on the road. Your ability to drive might be affected by a nerve block, for example, which we might use for a sciatic or cortisone injection. If an injection is painful, that may be distracting. We don’t take safe driving lightly.
We find it works best to sync our treatment with how your body responds. Most often, we do an injection and then wait 6-8 weeks to see how it works. On your follow-up visit, a 25-30% improvement tells us we’re on the right track.
Your time off depends on where the treatment is directed, whether it’s cellular or PRP, and of course the nature of your work.
That will depend on your procedure and the state of your overall health. Please consult with your provider at the time of your injection and again at your follow up visit.
Please be sure to speak to your provider after your procedure. You will leave with specific instructions that must be followed. For example, over the counter pain relievers may impair your healing. It may seem counterintuitive, but inflammation HELPS the healing process.
Please contact the pharmacy that filled the prescription and they contact us for verification.
MRI’s require RestorePDX to contact your insurance provider. Some insurance plans require a pre-authorization number to proceed. A RestorePDX team member will contact you with imaging center information. At that time, it is your responsibility to schedule the MRI. Once the MRI is scheduled please contact RestorePDX to schedule a follow-up appointment to review the MRI results.
The follow-up visit should be scheduled at the time of the procedure or when the procedure is schedule. If the procedure is ordered by an outside provider, you will follow up with your ordering provider.
No. The law permits providers who are involved in specific care to exchange your medical records.
RestorePDX: This question has two parts: 1) RestorePDX providers perform diagnostic procedures when ordered by medical specialists: Neurosurgery, Orthopedic, Sports Medicine, etc. 2) A RestorePDX provider will order a procedure based on an in-depth review of history, physical exam/provocative testing, advanced diagnostic imaging (MRI, Ultrasound, CT) and interpretation of the imaging. The correlation of history, physical exam, advanced diagnostic testing and interpretation will guide our providers to the most effective procedures and outcomes.
The goal of RestorePDX is identifying and resolving the root causes of your pain. Currently, we do not treat pain with opioid or narcotic management. This requires a complex process, which should always involve a mental health specialist and proper controls. We offer alternatives forms of pain management.
No, we send records to only the doctors you have requested and/or approved.
This is for the safety of the patient. For sedation patients, we do not recommend they drive for the rest of the day. For any patient who receives an epidural, we also require a driver, because occasional numbness down the leg could occur. For any patient who has a cervical procedure, we also require that they have a driver, thus avoiding sharp head movements that occur while driving.
Please call 503-616-7012 to speak with our billing department
For office visits, the patient responsibility is usually your Co-Pay and depends on your specific insurance Co-Pay amount. However, some insurance plans are applying office visits to patients deductibles. It is always best to check and verify your responsibility with your insurance plan. Procedures are generally co-insurance and applied to your deductible.
A deductible is the amount that each patient must pay out of pocket each calendar year prior to the insurance provider paying for treatment.
Co-Insurance is based on each patients individual insurance plan. This is the amount that is the patient responsibility based on an allowed amount, after your deductible has been met for the calendar year. For instance; a common co-insurance plan is 80/20. The insurance will pay 80% of the allowable and the Patient is responsible for 20%.
A co-pay is the designated amount that a each patient pays for an office visit. This can vary between Primary Care and Specialists.
An allowable is the contracted amount that the practice has agreed to accept from insurance and the patient, with the understanding that the difference between the amount and the amount charged will be written off.
In some circumstances RestorePDX will allow a patient to make payments. However, if a payment is missed, the plan is cancelled and full payment will be expected.
We will help to determine your benefits but it is the patient’s responsibility to understand and verify insurance coverage. Patients are responsible for any balance on the account. Insurance may or may not cover all procedures.
Within 30 days from receipt of the bill.
Patients are submitted to collections after 30 days of non-payment.
Your success is incredibly important to us. We’re happiest when you’re happy. Unfortunately, we cannot offer any guarantees. We do everything we can, using the best-available treatments, to produce the best-possible outcomes. We educate and equip you with whatever it takes to ensure that you heal. The source of your payment does not does not influence our commitment to helping you.
RestorePDX works with you to get your health back where you want it. We start with a thorough, accurate diagnosis. We integrate a range of healthcare disciplines – allopathic, osteopathic and naturopathic – into a comprehensive approach to your treatment.
Since a healthy body heals faster, we collaborate with you to determine healthy lifestyle choices that fit your needs and goals. We expect that you will fully participate in your body’s healing and strengthening process.
We use state-of-the-art diagnostic tools to determine both the exact nature of your symptoms and the root cause. Our multidisciplinary team will work out your most effective treatment path.
Our practitioners bring deep experience and their wide range of perspectives, curiosity and knowledge to improve your whole body’s health.
Our regenerative medicine will set you up to heal. We do everything we can to maximize your body’s healing power. We will do our part; however, YOU are the critical factor.
We help you to understand your role in helping your body heal. We guide you through the activity, diet, sleep and ‘life balance’ adjustments that may be needed. We expect you to commit to implementing recommended changes as part of your recovery. Change is not always easy, so we have staff members and/or partnering providers, coaches, and nutritionists who are ready to support you.
PRP is platelet-rich plasma. Platelets are a form of white blood cells; they are containers of growth factors. Growth factors facilitate cellular growth, proliferation, healing, and differentiation. A growth factor is typically a protein or steroid hormone. Growth factors are important for regulating a variety of cellular processes. In this case, the growth factors are natural ingredients that promote healing. They work as biologic glue, and they help build new blood vessels into the injured area.
To create regenerative PRP, your own blood is spun in a centrifuge to concentrate your platelets 5 to 10 times the ratio that would be found in your bloodstream. Injecting platelets directly into injured tissue (rather than waiting for cells to move in on their own) accelerates healing: cartilage, tendons and ligaments don’t have a good blood supply of their own, so they do not mount their own healing response as effectively.
Certain cells in your body, known as stem cells, perform as a sort-of “transformer” cell: they carry the ability to transform themselves into the specific cell type needed for regenerating damaged tissue. Multipotent stem cells are the primary cells used in musculoskeletal tissue regeneration. These cells can differentiate into cartilage, ligament or disc material. We isolate them from your own bone marrow or fat cells.
There is a difference: PRP aids healing, and stem cells cause healing. If the harvesting effort was the same and the cost was no different, we would always use stem cells. We often start with PRP because it is much less invasive, complex and expensive than harvesting and preparing stem cells. Where patients have more severe disease, meniscal tears, tissue or labrum or disc injuries, stem cells work as seeds, and often produce better results. Because of this more challenging process, cellular treatments cost more than PRP.
Unlike most pain-treatment clinics, we are deeply committed to building a precise diagnosis before we decide on a treatment path. RestorePDX is the only clinic with a full staff of multidisciplinary providers who embrace the philosophy of whole-body health: the healthier you are, the faster you will heal.
RestorePDX was founded by a radiologist who has learned how to identify pain in medical imaging. Without that specific radiology expertise, other clinics may miss the complexity of what’s causing your pain; it’s often not where you feel it. With our expertise in radiology, we can identify contributing factors – and be sure we are treating the cause(s). We want to solve your whole problem.
RestorePDX practitioners are trained and equipped to harvest stem cells aspirated from the patient’s own bone marrow and fat tissue. Few other clinics can do that.
RestorePDX approaches spine diagnostics with advanced imaging, deep experience in radiology, and a solid history of providing successful treatment. The spine is far more complex than a knee or hip. Detailed MRI, ultrasound and x-ray diagnostics allow us to identify hidden causes and guide our treatment, improving the prospects for resolving your pain. To build our range of treatment options, we are continuously learning from universities and clinical sources around the world. We do careful follow-up evaluations with MRI, ultrasound and functional evaluations after your pain has subsided to learn more about how our treatments are working for you.
And, unlike other clinics, RestorePDX has an experienced sedation nurse on staff to address any discomfort associated with the treatment.
Our staff sedation nurse takes the necessary steps to mitigate pain with local anesthetic and anything else that’s needed. We provide personalized instructions (and prescriptions, if needed) for you to mitigate your own pain for the first 1-2 days to several weeks, depending on the procedure. This is rarely needed longer than 2 weeks.
Regenerative injections trigger your healing response, which starts with inflammation. After injections, many people feel an increase in their pain that typically lasts from 2 days to 2 weeks. Some people have prolonged inflammatory phases, up to 6 weeks. As this first phase inflammation subsides, so does the pain. In the second healing phase, the tissue proliferates: the body assembles “scaffolding”, which takes from days to months. The third phase of healing is maturation: with the scaffolding in place, the tissue fills in, which may take from weeks to years.
The definition of “success” varies. For some patients, a significant pain reduction is a success, and sometimes a completely regenerated joint is the success. With this in mind, our patients consider over 70 percent of our treatments to be successful.
The patient’s overall health is one of the main factors. If you are generally healthy, if your blood sugar is under control, and you have a normal BMI, your chances are at their best. Of course, the severity of your injury is a factor too. Age is less of an issue; patients of all ages can benefit. Our biggest concerns – the red flags – come up when a patient is diabetic, a smoker, overweight, or if they have problems with multiple joints and back pain. How long you’ve had restricted range of motion is also a factor.
Healthy patients may see pain reduction or full restoration of the joint.
Functional Medicine FAQs
Functional medicine is a science-based approach to healthcare that evaluates each patient’s unique bio-chemistry and tailors integrative treatments to restore physiological, psychological, and structural balance, cure and prevent illness, and promote wellness.
Generally, after only two or three infusions, patients experience symptom improvement.
Functional medicine practitioners will spend time with patients, listen to their histories, and examine the interactions among genetic, environmental, and lifestyle factors that may influence long-term health. Advanced diagnostics further aid our clinicians to get to the root cause of illness so the best treatments can be utilized. These may include diet, exercise, herbal/nutritional, hormonal, mind/body and pharmaceutical therapies.
Generally, office visits are covered by insurance. Most lab/diagnostic tests are covered, with some companies requiring a co-pay. Iron infusions are generally covered; other IV therapies usually are not. Certain prescriptions (compounded medications) may have limited coverage, but are generally not cost-prohibitive.
Some prescriptions are listed as “controlled substances,” which require you to physically visit your provider every six months. We’re not able to approve renewals over the phone. You must schedule an appointment to make sure your diagnosis hasn’t changed and that this prescription is still appropriate to improving your health.
We work with a number of specialized pharmacies that provide the best quality control, products and service for your prescriptions. Their process requires entering your prescription into their system, preparing the formula, packing and shipping. This can take up to five working days.
Please contact the compounding pharmacy before you’re down to a week’s supply to be sure you receive your refill before you run out. (RestorePDX does not have its own pharmacy, and we have no way to speed this process at our partner pharmacies.)
When your pharmacy indicates you are out of refills, please first ask them for additional refills. If you are on a controlled substance and you have been seen in the clinic within six months, refills will be authorized.