Professional, caring, effective

Fantastic alternative to shoulder surgery. My torn tendon is now completely healed. Thank you Floyd, Kristine and your entire team.

Dr. Sebastian and Floyd helped me resolve my arthritic hip issue. I am able to run, sprint, lift weights and exercise intensely on the stair master. At our first meeting we developed a plan and then executed the plan. Everything fell into place from the first of two capsular distension shots. The third shot, a PRP injection just enhanced mobility and made stretching easier while providing a greater range of motion.

I can't thank the IRM Team enough. If you have any type of physical injury, they are the best. They embrace helping athletes!

Thanks again!

I had my Discseel and PRP procedure with Dr. Sebastian at Integrative Rehab Medicine in Estero, Florida, and I truly couldn’t be more grateful for the care I received. From the consultation to the procedure itself, everything was explained clearly and thoroughly. He is extremely knowledgeable and takes a thoughtful, patient-centered approach. He answered all of my questions and made me feel completely comfortable and confident in my decision.

Procedure day went very smoothly. I took a very nice nap thanks to the anesthesia and woke up feeling well cared for by the nurse and supported by the entire team.

I also appreciated how clearly Dr. Sebastian explained the recovery process and set realistic expectations. The office runs efficiently, and you can truly tell they care about their patients and outcomes.

I’m so thankful I found this practice and would highly recommend Dr. Sebastian to anyone considering regenerative treatment options. 🙌🏻

Kris is great 🙂

I want to share my experience not as a patient but as an executive assistant making arrangements for my boss's consultations, procedures and follow up appointments. I dealt with Amanda on a vast array of issues and quite frankly I don't know what I would have done without her. My boss traveled from out of state to Florida so there were a lot of balls in the air to coordinate everything successfully. Amanda always advised me what we needed to do, and she consistently followed up with me to ensure a wonderful experience. She is a true professional and a great asset to the practice.

In June of 2024 I was treated by Dr. Klisiewicz for lumbar degenerative disc disease. Initially, I had a phone consult with the PA and everything went great. We scheduled a date for an epidural PRP and I flew to Florida. Once I arrived is when the problems began. Dr. Klisiewicz said the epidural PRP wouldn't be sufficient and I needed intra-discal -and- epidural PRP, which doubled the cost. Then, he suggested the "gold standard" stem cells, which would then double the price again. It all felt like an upsell. I went with intra-discal and epidural PRP. The only sedation I had was Nitrous and a low dose valium. The procedure was torture. This isn't just me saying it. The web is full of people saying the same thing, including injured combat vets. When I tell other doctors about it, they're astounded. This really should be done under IV sedation. Dr. Klisiewicz also suggested that for the best possible outcome I should do 4 days of the Giga-laser, which I agreed to, mostly to prove a point. I reviewed the PubMed literature. It's a big stretch to claim this laser any effect on low back pain. This is an 18 watt laser, and at the wavelengths used, it will only effect a few millimeters of tissue. This is far far less than necessary to effect tissues as deep as the lumbar spine. PubMed data on the Giga-laser is mixed, at best. When I asked Dr. Klisiewicz about this, he had a deer in the headlight look and deflected the conversation. That was the second big red flag. My Giga-laser appointments were every morning at 8am EDT, because I had work commitments at 8am CDT and only had one hour. On one of the days, Dr. Klisiewicz suggested I do PT with them every morning. Again, it felt like another upsell that wasn't discussed prior to me flying to Florida. When I said I couldn't, he commented "well if those are your priorities". Excuse me!! This comment was extremely insulting. There's a difference between 'commitments' and 'priorities'. I'm sure he'd rather spend his day with his family, but he has -commitments- to his patients and staff. Similarly, I had -commitments-. That comment was red flag number 3 and really what motivated me to leave a poor review.

While there are some studies that show PRP does work for some people, I had no benefit. Some studies do show that multiple treatments are more beneficial, but I refused to return. For me, this experience was a waste of time and money.

Lastly, I understand Dr. Klisiewicz is doing Discseel combined with PRP. This hasn't been studied in clinical trials. This is just inventing medicine and can be dangerous. That's not my opinion. That's the comment of several doctors familiar with the procedures. Even Discseel only works in 1/2 the patients. This data comes from the doctor who created the procedure. "At the 12-month follow-up, 50% of patients achieved minimal clinically important differences...".

The only reason I gave 2 stars is because of his nursing staff. They're great. If it weren't for them, this would be a zero star review.

I have never left a review regarding a phone call, but there is always a first. I have called this office multiple times asking every question that comes to mind for my husband with back issues. And every time I called I have spoken to Amanda Nagle. She took all of my calls so patiently and kind answering all my questions. I was never rushed most importantly she put me at ease. I have called multiple offices finding a good fit for my husband. And I’m comfortable enough just speaking to, Amanda that this is the right place for him. If the front office “the face of the office” is like this, I know that the rest is amazing.

Anybody going through chronic pain knows the frustration. What did PRP do for me? Pain went from a 9 to a 2 and sometimes 0. Activity? Before I couldn't do anything and was in pain. After, some limitations but no lasting pain. For example, I'm jump roping and running but no load bearing above 30 pounds. It's a learning pain. PRP improved my health. At Integrative Rehab Med. they are absolutely 100% caring and professional. I am thankful for Dr. Sebastian and his professional staff!

I have seen spinal surgeons, orthopedic surgeons, neurologists, and gotten trigger point injections. Nothing made my chronic low back pain better. Once I went to Dr. Sebastian and his clinic, they reviewed my MRIs and X-Rays, did a physical assessment, and quickly identified my issue in the first visit. I was hesitant to continue with the PRP procedure in my pelvis and low back, since I have been in constant pain for 11 months and had many failures with injections. I am now a little over 2 months post-PRP procedure, back to running and lifting with no pain. I am extremely grateful for Dr. Sebastian and his entire staff, who were welcoming and supportive every day I came into the clinic!