(843) 797-3636

Personal Injury Referral Form

Cash Pay

  • Achilles Tendonitis
  • Ankle Arthritis
  • Ankle Bursitis
  • Apophysitis (Osgood Schlatter)
  • Bone Marrow Edema Syndrome
  • Bone Stress Fracture
  • Bunion
  • Carpal Tunnel Syndrome
  • Cervical Arthritis
  • Elbow Pain (Medial/Lateral Epicondylitis)
  • Fibromyalgia (Myofascial Syndrome excluded)
  • Frozen Shoulder (Capsulitis)
  • Greater Trochanteric Pain Syndrome
  • Hamstring Tendinopathy
  • Hand Arthritis (Rheumatoid/Osteo/Psoriatic)​
  • Hand Pain
  • Headaches
  • Hip Arthritis
  • Hip Pain
  • Knee Arthritis
  • Knee Pain
  • Lumbar Arthritis
  • Lumbar Disc Problem
  • Neuroma
  • Neuropathy of Foot
  • Osteochondritis Dissecans (OD)
  • Patellar Tip Syndrome
  • Patella Tendon
  • Pes Anserinus Syndrome
  • Piriformis Syndrome
  • Plantar Fasciitis
  • Regional Pain Syndrome
  • Sciatic Pain
  • Sesamoiditis
  • Shoulder Arthritis
  • Shoulder Pain
  • Spasticity
  • Stress Fractures
  • Tarsal Tunnel Syndrome
  • Temporomandibular Joint Disorder (TMJ)
  • Thoracic Arthritis
  • Peyronie‘s Disease (PD) / IPP (Induratio Penis Plastica)
  • Erectile Dysfunction
  • Chronic Pelvic Pain Syndrome (CPPS)
  • Chronic Prostatitis
  • Incontinence
  • Interstitial Cystis / Bladder Pain Syndrome
  • Premature Ejaculation (PE)
  • Vulvoldynia

Covered Conditions

  • Non-healing, acute and chronic skin lesions
  • Post-traumatic lesions
  • Post-operative healing disorders
  • Venous & arterial ulcers
  • Decubitus ulcers
  • Diabetic foot syndrome
  • Burns