Office Information

Do you accept insurance?

Yes, we accept most major insurances.

Do you offer financing for medical procedures that are not covered by my insurance plan?

Yes.  We use Care Credit for our financing — APPLY ONLINE

What is the difference between trigger point dry needling and acupuncture?

Trigger point dry needling is a medical procedure based on western neuroanatomic principles where the objective is to deactivate painful trigger points in the muscles and correct abnormal spinal reflexes that contribute to neuropathic and/or myofascial pain syndromes. Acupuncture is a technique used in traditional chinese medicine targeting meridian lines or energy fields that were mapped out by ancient scholars with the goal of restoring homeostasis or balance in the mind and body.

I am scheduled for an EMG. Can you tell me what I should expect?

The first portion of the test involves small shocks of electricity using a small metal probe delivered to different nerves in a way that allows us to measure how well those nerves are functioning.  Often times this will feel like a light tap on the skin with a small twitch in the muscles. The second portion of the test involves inserting a very thin teflon coated needle into select muscles to measure the electrical properties of the muscles which gives information regarding the health of the muscle being tested and its connection to a nerve.  This portion of the test gives information very similar to what an EKG tells you about your heart.  The needle portion feels like a tiny pinch and gentle probing which most people tolerate without any problems.  There is no sedation involved as very few people have any difficulty with this test.  From start to finish the study may take anywhere between 30-60min to complete.

What is the difference between non-surgical spinal decompression and traction?

Non-surgical spinal decompression (NSSD) uses special computerized program and biofeedback sensors to measure how much pull is being generated on the spine and compensate for muscles spasms which can interfere with the process.  Mechanical traction, motorized traction or hanging upside down lacks the technology to measure and compensate for your body’s natural tendency to want to guard if something is pulling on it.  For this reason, there is a much higher tendency for a patient undergoing traction to experience painful muscle spasms that can interfere with physiologic decompression.  The SpineMED decompression system is FDA approved for treating disc related neck and back pain.  Patients undergoing SpineMed decompression often find the treatments so gentle and subtle that they often fall asleep on the table.  In fact, patients who have tried mechanical traction in the past without success have reported dramatic relief with SpineMED NSSD.

Why do you advise to discontinue anti-inflammatory medicines before a PRP injection?

Anti-inflammatory medicines such as ibuprofen, naproxen, diclofenac, celebrex, etc. interfere with the normal process of healing.  With autologous platelet matrix grafts we are harnessing your body’s natural ability to heal itself.  Platelet’s are loaded with growth factors which play a direct role in stimulating metabolic pathways responsible for wound healing.  Anti-inflammatory medications get in the way with this process and can potentially render the procedure less effective.  We advise you to remain off of anti-inflammatory medicines from 7 days prior to your scheduled procedure and up to 4 weeks afterwards.

What is Progressive Rehabilitation Medicine?

Progressive Rehabilitation Medicine (PRM) is a non-surgical medical practice in Cedar Rapids, Iowa specializing in regenerative medicine, musculoskeletal care, and rehabilitation-based pain management.

Our goal is to help patients:

  • Reduce chronic joint pain
  • Improve mobility
  • Restore function
  • Avoid or delay surgery when appropriate
  • Improve quality of life

We combine regenerative therapies, image-guided procedures, rehabilitation science, and advanced non-invasive technologies to create individualized treatment plans.

What makes PRM different from other stem cell clinics?

Patients searching for “best regenerative medicine doctor in Cedar Rapids,” “safe stem cell clinic near me,” or “legitimate stem cell therapy in Iowa” should look for transparency, medical credentials, and regulatory integrity — not marketing hype.

At Progressive Rehabilitation Medicine (PRM), our approach is physician-led, evidence-informed, and grounded in rehabilitation medicine principles.

Key differences include:

  • Licensed physicians performing and overseeing all procedures
  • Image-guided precision injections using ultrasound or fluoroscopy
  • Clear communication about FDA regulations and current approval status
  • No exaggerated cure claims or guaranteed outcomes
  • Comprehensive informed consent and risk disclosure
  • Individualized treatment planning based on medical evaluation
  • Integration of regenerative medicine with rehabilitation science
  • Collaborative care with orthopedic, neurological, and oncology specialists when appropriate

Unlike some clinics that market stem cells as a universal solution, PRM focuses on restoring function, reducing pain, and improving quality of life through medically responsible innovation.

We work primarily in musculoskeletal and functional medicine, while also supporting patients with neurological conditions or those undergoing traditional cancer therapies in a coordinated, integrative manner.

We do not promise miracle cures. We prioritize safety, transparency, and patient-centered care within established regulatory guidelines.

What is regenerative medicine?

Regenerative medicine focuses on supporting the body’s natural repair mechanisms using biologic therapies rather than surgery or long-term medication use.

At PRM, regenerative options may include:

  • Platelet-Rich Plasma (PRP)
  • Autologous cellular therapies
  • Image-guided biologic injections
  • Shockwave therapy
  • Hyperbaric oxygen therapy (HBOT)
  • Non-surgical spinal decompression

These treatments aim to reduce inflammation, improve circulation, and stimulate tissue repair.

Unlike steroid injections that temporarily suppress inflammation, regenerative therapies aim to support longer-term healing responses.

Is stem cell therapy FDA approved?

This is one of the most searched questions in the United States.

Currently, there is no FDA-approved stem cell product specifically for outpatient orthopedic conditions like knee arthritis.

The FDA regulates human cells and tissue products (HCT/Ps). Same-day, minimally manipulated autologous tissue procedures may be performed under physician oversight when consistent with FDA guidance.

At PRM:

  • We do not claim FDA approval for orthopedic stem cell therapy.
  • We follow current FDA regulatory frameworks.
  • We provide full informed consent explaining regulatory status.

Patients should be cautious of clinics claiming universal FDA approval for stem cell therapy.

Are stem cell clinics legal in Iowa?

Yes — when operating within federal and state regulations.

Clinics may legally perform:

  • Same-day autologous biologic procedures
  • Minimally manipulated tissue transfers
  • Image-guided regenerative injections

Clinics may not legally:

  • Market unapproved biologic drugs
  • Claim to cure systemic diseases

PRM operates within established medical standards and regulatory guidance.

What conditions can regenerative medicine treat?

Regenerative medicine at Progressive Rehabilitation Medicine (PRM) is primarily focused on musculoskeletal and functional rehabilitation conditions, but may also be integrated into supportive care plans for certain neurological and complex medical conditions.

Common musculoskeletal conditions treated include:

  • Knee osteoarthritis
  • Hip arthritis
  • Shoulder pain and rotator cuff injuries
  • Tennis elbow
  • Plantar fasciitis
  • Chronic low back pain
  • Disc-related pain
  • Tendon and ligament injuries
  • Sports injuries

Neurological and brain-related conditions we may support include:

  • Traumatic brain injury (TBI)
  • Concussion and post-concussion symptoms
  • Chronic headaches related to injury
  • Peripheral neuropathy
  • Neurodegenerative conditions such as Parkinson’s disease or Alzheimer’s disease (supportive care only)

In neurological cases, our focus is not on cure claims, but on:

  • Supporting functional recovery
  • Addressing inflammation and tissue health
  • Improving mobility and musculoskeletal complications
  • Enhancing overall quality of life
  • Coordinating with neurologists and primary specialists

Oncology Support

We may also work with patients undergoing traditional cancer therapies in a supportive capacity. Our role is focused on:

  • Addressing musculoskeletal pain
  • Supporting rehabilitation
  • Improving strength and mobility
  • Enhancing quality of life during or after conventional treatment

We do not advertise regenerative medicine as a cure for cancer or neurodegenerative disease.

Every patient undergoes a comprehensive evaluation to determine candidacy, medical appropriateness, and regulatory considerations before treatment recommendations are made.

Does PRP really work for arthritis?

Platelet-Rich Plasma (PRP) has been studied extensively for knee osteoarthritis and tendon injuries.

Research suggests PRP may:

  • Reduce joint pain
  • Improve function
  • Provide longer-lasting relief than corticosteroids in some patients
  • Delay progression in mild-to-moderate arthritis

Results vary based on severity, age, metabolic health, and rehabilitation compliance.

PRP does not regrow an entire joint, but it may improve symptoms and mobility.

What is the difference between PRP and stem cell therapy?

PRP is derived from your blood and contains concentrated platelets rich in growth factors.

Autologous cellular therapies derived from adipose (fat) or bone marrow contain signaling cells and regenerative components.

PRP:

  • Blood-derived
  • Growth factor-based

Cellular therapies:

  • Tissue-derived
  • Contain regenerative cell populations

Treatment selection depends on diagnosis and tissue damage.

Can regenerative medicine replace surgery?

Not always — but it may delay or reduce the need for surgery in appropriate cases.

Regenerative therapies may be beneficial for:

  • Early to moderate arthritis
  • Partial tendon tears
  • Chronic inflammatory pain

Advanced structural damage may still require surgical consultation.

How long does it take for regenerative injections to work?

Unlike cortisone injections, regenerative treatments stimulate biological repair processes.

Typical timeline:

  • Week 1–2: Mild inflammatory response
  • Week 4–6: Gradual improvement
  • 3–6 months: Continued tissue remodeling

Results vary between individuals.

Is regenerative medicine safe?

When using autologous biologics and image guidance, procedures are generally low risk compared to surgery.

Temporary side effects may include:

  • Injection site soreness
  • Mild swelling
  • Short-term inflammation

Serious complications are uncommon when performed by trained medical professionals.

All patients receive informed consent outlining risks and alternatives.

Can stem cell therapy treat Alzheimer’s, Parkinson’s, or cancer?

At this time, there are no FDA-approved stem cell therapies for Alzheimer’s disease, Parkinson’s disease, or solid tumor cancers outside of specific hematologic uses such as bone marrow transplantation.

Progressive Rehabilitation Medicine does not advertise stem cell therapy as a cure for neurodegenerative disease or cancer.

However, we may work with patients who have neurological conditions or who are undergoing traditional cancer treatments in a supportive and integrative capacity. In these cases, our focus is on:

  • Supporting overall function and quality of life
  • Addressing musculoskeletal pain or mobility limitations
  • Supporting rehabilitation during or after conventional therapy
  • Coordinating with a patient’s treating specialists

All patients receive detailed consultation and informed consent discussing current regulatory status, scientific evidence, and the investigational nature of certain biologic therapies.

Patients should be cautious of clinics claiming guaranteed cures or unapproved disease-specific stem cell treatments.

Does PRM offer treatments beyond stem cell therapy?

Yes. Progressive Rehabilitation Medicine (PRM) is much more than a “stem cell clinic.” We are a comprehensive, physician-led regenerative and rehabilitation medicine practice offering a wide spectrum of advanced non-surgical and integrative therapies.

Many patients searching for:

  • “Regenerative medicine near me”
  • “Hyperbaric oxygen therapy in Cedar Rapids”
  • “Red light therapy Iowa”
  • “PEMF therapy near me”
  • “IV vitamin therapy Cedar Rapids”

are often surprised to learn that PRM provides multiple evidence-informed modalities under one roof.

Our approach is integrative and personalized — therapies may be used individually or strategically combined to optimize recovery, function, and overall wellness.

Regenerative & Biologic Therapies

  • Platelet-Rich Plasma (PRP)
  • Autologous cellular therapies
  • Image-guided precision injections
  • Ultrasound-guided musculoskeletal procedures

Neurological & Recovery Support

  • Hyperbaric Oxygen Therapy (HBOT)
  • Supportive care for traumatic brain injury (TBI) and post-concussion recovery
  • Functional rehabilitation programs
  • Recovery optimization strategies

Orthopedic & Musculoskeletal Therapies

  • Shockwave therapy
  • Non-surgical spinal decompression
  • Deep tissue laser therapy
  • Trigger point dry needling
  • Diagnostic musculoskeletal ultrasound

Cellular Energy & Tissue Recovery Modalities

  • PEMF (Pulsed Electromagnetic Field Therapy) to support cellular signaling and tissue recovery
  • Red Light Therapy (Photobiomodulation) to support circulation, mitochondrial activity, and tissue health

These modalities may be used to complement regenerative procedures and rehabilitation plans.

IV Nutritional & Metabolic Support

  • IV vitamin and mineral infusions
  • NAD+ support protocols
  • Hydration therapy
  • Targeted micronutrient formulations

IV nutritional therapies may be used to support metabolic health, immune resilience, recovery, and overall wellness when medically appropriate.

All IV therapies are physician-directed and individualized based on medical evaluation.

Performance, Recovery & Functional Optimization

  • Rehabilitation medicine programs
  • Functional movement assessment
  • Strength and mobility restoration
  • Integrative recovery planning

Rather than offering a single therapy model, PRM provides a comprehensive, medically supervised spectrum of regenerative, rehabilitative, and integrative services designed to support tissue health, neurological recovery, mobility, and quality of life.

We focus on individualized care plans — not one-size-fits-all protocols.

Is hyperbaric oxygen therapy FDA approved?

HBOT is FDA approved for specific conditions such as:

  • Carbon monoxide poisoning
  • Decompression sickness
  • Certain non-healing wounds
  • Radiation injury

Use for other conditions may be considered off-label and is evaluated carefully.

Does insurance cover regenerative medicine?

Coverage depends on the service.

Certain diagnostic and rehabilitation services may be covered by insurance.

Many regenerative biologic procedures are considered elective and may be self-pay.

Our office provides transparent pricing and financing options.

How much does stem cell therapy cost in Iowa?

Costs vary based on:

  • Number of joints treated
  • Type of biologic therapy
  • Imaging guidance
  • Combination therapies

Patients receive individualized cost discussions prior to treatment.

How do I schedule an appointment at PRM?

Appointments can be scheduled by:

  • Calling our Cedar Rapids office
  • Submitting a request through our website
  • Speaking with our care coordination team

Patients are encouraged to bring imaging, medication lists, and medical history information.

Why Patients in Cedar Rapids Choose PRM

Patients throughout Cedar Rapids, Marion, Iowa City, and Eastern Iowa seek PRM for:

  • Non-surgical joint pain solutions
  • Image-guided precision injections
  • Regulatory transparency
  • Evidence-informed regenerative protocols
  • Integrated rehabilitation approach

Our mission is to restore function while maintaining medical integrity.

Do I need to leave the country to get stem cell therapy? Are stem cells better in other countries?

Many patients ask whether they should travel outside the United States for stem cell therapy, particularly to countries such as Mexico, Panama, or the Caribbean.

The answer depends on what type of treatment is being offered and your individual medical goals.

Why do some patients travel abroad?

Certain clinics outside the U.S. offer:

  • Donor-derived (allogeneic) expanded cell products
  • Treatments not permitted under current U.S. FDA regulations

In the United States, stem cell products that are more than minimally manipulated or used for non-homologous purposes typically require FDA approval.

Some international clinics operate under different regulatory frameworks, which may allow therapies not currently permitted in the U.S.

Are stem cells “better” in other countries?

Not necessarily.

Key considerations include:

  • Source and processing of the cells
  • Sterility standards
  • Physician oversight
  • Regulatory safeguards
  • Transparency of protocols
  • Post-treatment follow-up care

While some international centers may offer advanced cellular expansion technologies, patients should carefully evaluate safety standards, medical supervision, and long-term monitoring.

Are there risks to traveling abroad for stem cell therapy?

Potential considerations include:

  • Limited regulatory oversight
  • Variable manufacturing standards
  • Reduced continuity of care after returning home
  • Difficulty obtaining medical records or follow-up support

Patients should also understand that manipulated cell products may carry different biological and regulatory risks.

What does PRM recommend?

At Progressive Rehabilitation Medicine, we:

  • Operate within established U.S. medical and regulatory standards
  • Focus on physician-performed, autologous procedures when appropriate
  • Provide comprehensive consultation and informed consent
  • Coordinate follow-up care locally

We believe patients deserve transparent information to make informed decisions — whether care is pursued locally or internationally.

Stem cell therapy is not inherently “better” in another country. The most important factors are medical integrity, safety standards, regulatory transparency, and appropriate patient selection.

Back Pain Relief Without Surgery – What Are My Options?

Many patients search for “back pain relief without surgery” because they want alternatives before committing to a procedure.

Non-surgical options may include:

  • Image-guided regenerative injections
  • Platelet-Rich Plasma (PRP)
  • Non-surgical spinal decompression
  • Shockwave therapy
  • Physical and functional rehabilitation
  • Core stabilization programs
  • Targeted IV nutritional support when appropriate

The right option depends on the cause of your back pain — whether it is disc-related, muscular, inflammatory, or degenerative.

At PRM, we evaluate imaging, perform a detailed physical exam, and determine whether conservative or regenerative treatment may be appropriate before considering surgical referral.

Do I Have to Have Surgery on My Knee?

Not always.

Many patients with knee arthritis, meniscus injuries, or chronic knee pain may benefit from non-surgical therapies before considering joint replacement or arthroscopy.

Options may include:

  • PRP injections
  • Autologous cellular therapies
  • Shockwave therapy
  • Rehabilitation-based strengthening
  • Bracing or biomechanical correction

Surgery may be appropriate in advanced structural damage, but many patients seek regenerative options to delay or potentially avoid joint replacement.

Shoulder Surgery – What Are My Options?

Shoulder pain may be caused by:

  • Rotator cuff injury
  • Labral tears
  • Impingement syndrome
  • Arthritis
  • Tendon degeneration

Depending on severity, non-surgical options may include:

  • Image-guided PRP
  • Cellular therapies
  • Shockwave therapy
  • Rehabilitation and stabilization programs

A proper diagnosis is critical before deciding on surgery.

How Do I Know If I Need Surgery?

Surgery may be recommended when:

  • There is severe structural damage
  • There is progressive neurological deficit
  • Conservative care has failed
  • Pain significantly limits daily function

However, many musculoskeletal conditions improve with structured non-surgical care.

At PRM, we help patients understand whether regenerative and rehabilitative therapies are reasonable options before proceeding with surgery.

We also work collaboratively with orthopedic surgeons when surgical intervention is necessary.

What Is HBOT (Hyperbaric Oxygen Therapy)?

Hyperbaric Oxygen Therapy (HBOT) involves breathing concentrated oxygen in a pressurized chamber.

It is FDA-approved for specific conditions such as:

  • Carbon monoxide poisoning
  • Decompression sickness
  • Certain chronic wounds
  • Radiation injury

HBOT may also be used in supportive and recovery-focused contexts, depending on medical evaluation.

Patients searching “hyperbaric oxygen therapy near me in Cedar Rapids” can contact our office to determine candidacy.

How Do You Fix Sciatica?

Sciatica refers to pain radiating down the leg due to irritation or compression of the sciatic nerve.

Treatment depends on the underlying cause, which may include:

  • Disc herniation
  • Spinal stenosis
  • Inflammation
  • Piriformis syndrome

Non-surgical options may include:

  • Spinal decompression
  • Targeted injections
  • Rehabilitation therapy
  • Shockwave therapy
  • Core stabilization

A proper evaluation determines whether surgery is necessary or if conservative care may be effective.

How Can I Get Rid of Migraines?

Migraines can have multiple contributing factors including:

  • Cervical spine dysfunction
  • Neurological triggers
  • Hormonal changes
  • Inflammatory factors

Treatment may involve:

  • Neuromuscular rehabilitation
  • Trigger point therapy
  • Red light therapy
  • IV nutritional support
  • Collaborative neurological evaluation

Because migraine is a complex neurological condition, individualized assessment is essential.

Who Is the Best Doctor for Back, Knee, Hip, or Shoulder Pain in Cedar Rapids?

The “best” doctor depends on:

  • Your diagnosis
  • Whether surgery is necessary
  • Your treatment goals
  • Your preference for non-surgical vs. surgical care

There are many highly skilled orthopedic surgeons in Cedar Rapids.

However, not every condition requires surgery.

Patients seeking non-surgical regenerative and rehabilitation options often consult PRM first to determine whether conservative or biologic therapies may be appropriate.

What If Surgery Failed and I Still Have Pain?

Persistent pain after surgery — sometimes referred to as “failed back surgery syndrome” or chronic post-surgical pain — can occur for several reasons:

  • Scar tissue formation
  • Ongoing inflammation
  • Nerve irritation
  • Adjacent joint degeneration

Non-surgical options may include:

  • Image-guided injections
  • Regenerative therapies
  • Shockwave therapy
  • Rehabilitation reconditioning programs

A second evaluation may help identify underlying contributors to ongoing pain.

Who Is the Best Knee Surgeon in Cedar Rapids?

Cedar Rapids has many qualified orthopedic surgeons who specialize in knee procedures.

However, surgery is not always the first step.

Patients often seek consultation to determine:

  • Whether knee replacement is necessary
  • Whether regenerative therapy may delay surgery
  • Whether rehabilitation could improve symptoms

At PRM, we help patients explore non-surgical options and coordinate care with local surgeons when surgical intervention becomes appropriate.