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Regenerative Medicine on Long Island

PRP injections for tendon and joint problems, and regenerative disc injections for selected disc pain, at our Plainview, New Hyde Park and Ronkonkoma offices. Empire does not offer stem-cell therapy.

“Regenerative medicine” means different things at different clinics. At Empire Minimally Invasive Spine and Pain, it means two specific treatments made from your own blood: platelet-rich plasma (PRP) injections for slow-healing tendon and joint problems, and regenerative disc injections for selected cases of disc-related back pain. Our Long Island patients are seen in Plainview, New Hyde Park and Ronkonkoma.

We do not offer stem-cell therapy. If you are looking for stem-cell injections, we are not the right practice for that. The U.S. Food and Drug Administration warns that many stem-cell and other “regenerative” products are being sold without FDA approval, including for orthopedic conditions, and that some have caused serious harm.

The two regenerative treatments we offer

PRP for tendons and joints

We draw a small amount of your blood, spin it to concentrate the platelets, and inject that plasma into the problem area, often with ultrasound guidance. Platelets carry growth factors your body uses to repair tissue.

It is most often considered for chronic tendon pain such as tennis elbow, and for mild to moderate knee arthritis. Read more about PRP therapy.

Regenerative disc injections

For some people, long-lasting low back pain comes from a worn spinal disc itself. A regenerative disc injection places PRP into or around that disc using live X-ray guidance.

It is only considered after months of other care have not helped, and only after testing points to the disc as the pain source. Read more about regenerative disc injections.

What the evidence says, in plain terms

We want you to make this decision with real information, not hype.

  • Tendons: The American Academy of Orthopaedic Surgeons says PRP is effective for chronic tendon injuries, especially tennis elbow. For other tendon problems, such as Achilles or patellar tendon pain, results are promising but not clearly better than standard care.
  • Knee arthritis: The same AAOS page notes growing research support for PRP in low- to moderate-grade knee arthritis. It is not a fix for advanced, bone-on-bone arthritis.
  • Disc pain: A small randomized trial found intradiscal PRP was safe and possibly effective for disc-related back pain. A later systematic review found the overall evidence is still limited. This is an emerging option, not an established one.
Honest expectations: Regenerative treatments do not work for everyone, they do not regrow a joint or disc, and any benefit builds slowly over weeks to months. They work best as one part of a plan that usually includes physical therapy and activity changes.

Cost and insurance

PRP is often an out-of-pocket treatment. The AAOS notes that few insurance plans, including workers’ compensation plans, pay for even part of it. Our team will check your benefits and tell you the cost before you decide. For a closer look at price, coverage and value, read Is PRP Therapy Worth It?

Who may be a good candidate

A regenerative treatment may be worth discussing if:

  • You have a tendon, ligament or mild to moderate joint problem that has not healed with rest, therapy or medication
  • You have long-lasting low back pain, and testing suggests a worn disc is the main cause
  • You want to try a non-surgical option first, and you are comfortable that results vary

It is usually not the right choice for a fully torn tendon or ligament, advanced arthritis, or nerve pain that shoots down the leg. For sciatica, an epidural steroid injection is often a better first step.

What to expect at your visit

First, a physician reviews your symptoms, exam and imaging to confirm where the pain is coming from. If PRP or a disc injection makes sense, the procedure is done in the office. The blood draw, processing and injection usually take about 30 minutes to an hour, and you go home the same day.

Soreness at the injection site for a few days is common. Most people return to normal daily activity within a few days. Some conditions need a short series of injections spaced a few weeks apart.

Our Long Island offices

Plainview

520 Old Country Rd, Plainview, NY 11803

Pain management: 516-229-1443
Orthopedics: 516-400-3333

New Hyde Park

1991 Marcus Ave, Suite M217, North New Hyde Park, NY 11042

516-229-1443

Ronkonkoma

4155 Veterans Memorial Hwy, Suite 5, Ronkonkoma, NY 11779

516-229-1443

Same-week appointments are often available for new patients.

Frequently asked questions

Do you offer stem-cell therapy?

No. Empire does not offer stem-cell therapy. Our regenerative options are PRP injections and PRP-based regenerative disc injections, both made from your own blood.

Is PRP covered by insurance?

Often it is not. Many plans treat PRP as elective, so it is usually self-pay. Our team will verify your benefits and give you the cost before your treatment.

How long does it take for PRP to work?

PRP works through your body’s own healing response, so changes build gradually. Many people notice a difference over several weeks, and improvement can continue after that.

Can a regenerative disc injection help my sciatica?

It is not usually the first choice for leg pain from a pinched nerve. Regenerative disc injections are aimed at back pain that comes from the disc itself. Your physician will help you decide which treatment fits your pain.

Wondering if a regenerative treatment fits your pain?

Our Long Island physicians will review your history and imaging and give you a straight answer, including when another option makes more sense.

Call: 516-229-1443  |  Book online

What Our Patients Say

Most Major Plans,
No-Fault & Personal Injury.

We accept most major insurance plans across our New York and New Jersey offices. Select your state to see accepted plans.

Accepted at our New York Locations
Workers' Compensation No-Fault (NY & NJ) Lien Cases Medicare Empire BCBS BCBS / Anthem Cigna Aetna Empire NYSHIP Oxford (PPO) United Health Care GHI / Emblem Health Humana (PPO) Magnacare (PPO) Northwell Direct 1199 SEIU Self Pay
Accepted at our New Jersey Locations
No-Fault (NJ) Lien Cases Horizon BCBS Empire NYSHIP BCBS / Anthem (PPO) Cigna Aetna (PPO) GHI / Emblem (PPO) Port Authority UHC Verizon Plan Carpenter & Trade Unions Self Pay
Medicare, Medicaid and Workers' Compensation are not accepted at our New Jersey locations. Not sure about your plan? Call us and we'll verify before your visit.
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Meet Our Pain Management & Orthopedic Specialists

Board-certified physicians dedicated to accurate diagnosis and minimally invasive care.

Dr. John Akhnoukh, M.D.
Pain Management

John Akhnoukh, M.D.

Board Certified Anesthesiologist & Interventional Pain Management Physician

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Dr. Salvatore Corso, M.D.
Orthopedics

Salvatore Corso, M.D.

Board Certified Orthopedic & Sports Medicine Surgeon

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Dr. Jeffrey Guttman, M.D.
Orthopedics

Jeffrey Guttman, M.D.

Board Certified Orthopedic & Sports Medicine Surgeon

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Dr. Monika Misak
Pain Management

Monika Misak, M.D.

Interventional Pain Specialist

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Dr. James Yu, D.O.
Pain Management

James Yu, D.O.

Board Certified Anesthesiologist & Interventional Pain Management Physician

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Dr. Andrew Joshua Appel, M.D.
Spine Surgery

Andrew J. Appel, M.D.

Minimally Invasive & Endoscopic Spine Surgeon

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Dr. Benjamin Souferi, D.O.
Pain Management

Benjamin Souferi, D.O.

Fellowship-Trained Interventional Pain Medicine Physician (Cleveland Clinic)

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Pain Conditions Affecting Daily Life


Back Pain

Back pain can also be caused by injury or illness. Depending on the cause, there are different treatments available.

Neck Pain

We offer the latest in neck pain relief treatments to help you get your life back. Learn more about our neck pain treatment options.

Spinal Nerve Pain

There are many potential causes of spinal nerve pain, including spinal stenosis, herniated discs, spinal fractures, and certain medical conditions.

Muscular Pain

Muscular pain is a common health condition that causes discomfort and soreness of muscles.

Cancer pain

It is important to manage cancer pain as early as possible to help improve the quality of life.

Abdominal Pain

The symptoms of abdominal pain can vary depending on the cause of the pain.

Hand Pain

It is important to follow your doctor’s recommendations for treatment to help relieve your pain and improve your hand function.

Foot Pain

It is important to speak with a healthcare provider if you are experiencing persistent or severe foot pain.

Chest Pain

If you are experiencing chest pain, it is important to seek medical attention as soon as possible, call us today to for an appointment


Improve your quality of life with our comprehensive approach to pain management

We are dedicated to finding individualized treatment options tailored to fit your needs. Our team is dedicated to helping you lead a productive and active life, free from pain and disruption.

Our Locations

Pain management and orthopedic care across New York and New Jersey.

New York

Plainview, NY

520 Old Country Rd
Plainview, NY 11803
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New York

New York, NY

800 2nd Ave
New York, NY 10017
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New York

New Hyde Park, NY

1991 Marcus Ave, Suite M217
North New Hyde Park, NY 11042
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New York

Ronkonkoma, NY

4155 Veterans Memorial Hwy, Suite 5
Ronkonkoma, NY 11779
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New York

Yonkers, NY

970 N Broadway, Ste 204
Yonkers, NY 10701
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New Jersey

Clifton, NJ

1005 Clifton Avenue, Suite 205
Clifton, NJ 07013
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