Bernard E. Filner, M.D., Pain Medicine, Rockville, MD
Your First Visit

Obtaining a correct diagnosis, that is, understanding the cause of your pain, is the first step toward getting relief. We have often found that the source of many patients’ pain has been incorrectly diagnosed; so, our goal during the first visit is to discover and ascertain the correct diagnosis.

During your initial visit, Dr. Filner will spend 1.5–2 hours with you at which time he will take a detailed medical and pain history, including any previous treatment, and gather pertinent information on exercise routines, diet, work, and leisure activities. He will also conduct a targeted physical examination to determine the cause of your pain.

What You Need to Bring

Before Your Visit

Before your first visit, Dr. Filner also recommends that you consider taking two dietary supplements, if not contraindicated by other physicians. These are:

  • Vitamin B complex (labeled B-50). Please look for formulations that contain no starch, yeast, or sugar, as formulations free of these additives are less likely to cause stomach irritation. Take one tablet or capsule after lunch. This product will turn your urine yellow. The B vitamins are necessary for normal metabolic and thyroid function. These are necessary for muscles to respond appropriately to any treatments provided. In Dr. Filner’s experience, the pain threshold is raised with adequate B vitamins (see also Chapter 4, Simons, D.G., J.G. Travell, and L.S. Simons, Travell & Simons’ Myofascial Pain and Dysfunction: The Trigger Point Manual. Vol. 1. Upper Half of Body, 2nd Ed. 1999, Williams & Wilkins).
  • Vitamin C (TIMED RELEASE FORMULA). 1,000 mg tablets. Take one tablet after breakfast and one tablet after dinner (2,000 mg per day total dosage). Smokers should double the dosage. People with kidney stones should not take any. Vitamin C minimizes bleeding in the event that any trigger point injections are administered and it promotes faster healing in all tissues. Since Vitamins B and C are water soluble, any amount in excess of the body’s requirements is normally excreted in the urine.


Diagnostic Therapy

Following the diagnosis, Dr. Filner will develop a personal treatment plan with you that targets relieving your pain.

If appropriate, and it often is, at least some of your pain symptoms will be treated during the first visit. This validates the diagnosis and begins the therapy.

Insurance and Payment Information

While we do not participate with any insurance plans, as a courtesy we will file your medical claims with your insurance company. Please bring your medical insurance card or any pertinent insurance information related to this medical problem with you on your first visit so we may record the necessary information.

Please be aware, however, that you are responsible for any and all balances on your account. We will provide you with any necessary documentation requested by your insurance company to help you.

Also, we do not accept Medicare insurance, which means neither our patients nor we are permitted to submit a claim to Medicare. However, we do provide a 20% discount from our standard fees for patients covered by Medicare. If you are a Medicare patient who also has other insurance, it might be appropriate for you to contact that insurance carrier.

Please contact us with any questions or concerns, as we will gladly discuss them with you.

We require 20% of your total bill at the time of service.  Checks, cash, Visa, MasterCard, Discover, or American Express are accepted.