What is Physiatry?

A Physiatrist specializes in Physical Medicine and Rehabilitation.  This medical specialty focuses on non-operative neuromusculosketal treatments drawing from PM&R, Neurology, Orthopedic, and Neurosurgical precepts.        

Do I need a consult first?

Yes.  Some of the procedures performed carry significant risk and we need to sure you are a good candidate (even if another physician has recommended a procedure).  Would you want a surgeon you haven’t met to operate on you?    

Am I having an injection today?

Probably not.  Only trigger-point injections are performed in the clinic.  Spinal injection complications can be serious and should not be performed in an office setting.  Your procedure will be scheduled and performed in an ambulatory surgery center or hospital for maximum safety.        

What is an EMG?

EMG stands for electromyography and is a test of nerve function.  It involves some shocks and needle-sticks in the extremities.  Most tolerate the minor discomfort easily.        

How long do injections last?

This can vary significantly depending on the condition you have.  Single injections have cured many patients, while others provide many months, weeks, days, or sometimes no relief at all.        

What is Fluoroscopy?

Digital x-ray technology is used for most spinal procedures to target specific spinal structures.  The radiation dose is FAR LESS than a standard chest x-ray.        

What should I expect during an injection?

Dr. Arends is highly skilled in performing quick and usually painless spinal injections.  Local anesthetic will be administered and options for sedation exist for those who are “deathly afraid of needles”.    

When should I feel relief?

Relief typically follows 72 hours after the injection.  The medicine can be active in your system for about a week.

When can I resume activity?

Rest is recommended the day of the injection.  Normal activity may resume on the day following your procedure    

Why do I need a driver?

You may feel faint or have transient leg numbness after certain procedures.  It is the strict policies of the facilities that Dr. Arends operates at that you not drive yourself home for liability reasons.

When should I follow-up after my procedure?

We regularly like to see you back in clinic two weeks after your procedure to see how you responded.

How many injections can I have?

A general rule is roughly three per year in the same location.

What insurance plans do you accept?
  • Aetna US Healthcare
  • Aetna Medicare Advantage
  • Beech Street
  • Casualty Management Network (CMN)
  • CHP+
  • CHOICE CARE- Medicare Advantage HMO/PPO Network
  • CIGNA All-Product contract
  • Cofinity
  • Coventry/ First Health Workers Comp
  • EverCare
  • Health Management Network PPO
  • Health Payors Organization, LTD PPO
  • Kaiser Permanente PPO (out of network)
  • MULTIPlan / PHCS    
  • National Provider Network(National Preferred Provider Network) and Plan Care America (PCA)
  • Secure Horizons(UHC)
  • Rocky Mountain Health Plans (Commercial)
  • Rocky Mountain HMO Medicare
  • Three Rivers Provider Network
  • United HealthCare of Colorado
  • USA Managed Care Org.
  • Others (Call us to check)