Pain Management
Find the Cause. Restore Your Life.
Our comprehensive pain management approach goes beyond masking symptoms. Through advanced diagnostics, hormonal evaluation, and targeted treatment, we identify what's actually driving your pain—and address it at the source.
Chronic Pain: A Growing Health Crisis
Over 50 million Americans live with chronic pain, making it one of the most common reasons adults seek medical care. Yet too often, treatment focuses on managing symptoms rather than identifying why the pain exists in the first place. At Stages of Life Medical Institute, we take a different approach. Dr. Klein's philosophy is simple: treat the first domino, not the last. That means uncovering the root cause—whether structural, metabolic, hormonal, or neurological—before building your treatment plan.
Precision Diagnosis: Finding the True Source of Your Pain
Pain is rarely caused by a single factor. Structural damage, nerve irritation, hormonal imbalance, inflammation, and metabolic dysfunction often overlap—and each requires a different treatment approach. That's why we don't guess. Dr. Klein uses diagnostic peripheral nerve blocks to pinpoint exactly which nerve is generating your pain. When a block provides relief, we've confirmed the target. When it doesn't, we've ruled it out and move forward with clarity.
Dr. David S. Klein and the Stages of Life team combine these diagnostic procedures with comprehensive bloodwork, hormonal evaluation, and metabolic panels—most of which are performed on-site with results in 72 hours. You leave with a clear understanding of what's causing your pain, not just a prescription. This precision allows us to build a treatment plan that addresses your specific condition, not a generic protocol.
What Our Diagnostic Evaluation Includes
Inflammatory & Metabolic Markers.
We measure CRP, ESR, vitamin D, B12, magnesium, and other biomarkers that reveal hidden contributors to chronic pain. Systemic inflammation, nutritional deficiencies, and metabolic dysfunction often fuel pain conditions that imaging alone can't explain.
Hormonal Panels.
Thyroid imbalance, low testosterone, estrogen fluctuations, cortisol dysregulation, and insulin resistance can all intensify pain, slow healing, and disrupt sleep. We evaluate the full hormonal picture—not just the basics—to identify what's working against your recovery.
Diagnostic Nerve Blocks.
Targeted injections help us confirm exactly which nerve is generating your pain. If a block provides relief, we've identified the source. If it doesn't, we rule it out and refine our approach. This precision guides treatment decisions and often helps patients avoid unnecessary procedures.
Nerve Conduction Studies (NCV).
Performed on-site, these tests evaluate how well your nerves transmit signals. They help us differentiate between neuropathy, radiculopathy, and other nerve-related conditions—critical information for building an effective treatment plan.
We Are Dedicated To Improving And Preserving A High Quality Of Life
Patients throughout Central Florida trust Stages of Life Medical Institute for pain management that goes beyond symptom control—identifying root causes and restoring function so you can get back to living.
Accurate Diagnosis First
You won't receive a generic treatment plan. We use diagnostic nerve blocks, lab testing, and clinical evaluation to identify exactly what's causing your pain before we treat it.
Individualized Care Plans
No two patients are alike. Your treatment plan is built around your specific diagnosis, health history, and goals—not a one-size-fits-all protocol.
On-Site Testing, Faster Answers
Most bloodwork and diagnostic testing is performed in our office with results in 72 hours—not weeks. Faster answers mean faster progress.
42 Years of Experience
Dr. David S. Klein has practiced pain medicine since 1983. Many of his patients have been with the practice for decades.
Treating Root Causes
Pain is often fueled by hormonal imbalance, inflammation, or metabolic dysfunction. We evaluate these hidden contributors that other practices miss.
Long-Term Partnership
Chronic pain often requires ongoing management. We stay with you—monitoring progress, adjusting treatment, and supporting your long-term health.
Why Choose Stages Of Life For Your Pain Management Care?
Dr. David Klein has been treating pain patients in private practice for over 42 years and is a pioneer in integrating hormonal and metabolic evaluation with interventional pain medicine. Many of his patients have been with the practice for decades.
He pairs his clinical experience with comprehensive diagnostic testing—bloodwork, hormonal panels, inflammatory markers, nerve conduction studies, and diagnostic nerve blocks—most of which are performed on-site. You leave with a clear understanding of what's causing your pain, not just a prescription. Dr. Klein explains what looks normal, what's contributing to your symptoms, and the treatment path he recommends.
His philosophy is simple: treat the first domino, not the last. Rather than masking symptoms, he identifies the root cause—whether structural, neurological, hormonal, or metabolic—and builds your treatment plan around that diagnosis. If hormonal imbalance, thyroid dysfunction, or chronic inflammation is fueling your pain, he addresses it directly.
He and his team are with you every step of the way in your journey, no matter where that journey takes you. We coordinate imaging, specialty referrals, and follow-ups, and we stay with you as your needs evolve. Chronic pain management is rarely a single appointment—it's a partnership focused on restoring function and quality of life.
Your Path To Pain Relief: What To Expect
Our process is thorough but straightforward. We focus on accurate diagnosis first, then build a treatment plan tailored to your specific condition.
Comprehensive Evaluation
We begin with a detailed history, physical examination, medication review, and assessment of your pain patterns. Based on this consultation, we'll determine which diagnostic tests—bloodwork, hormonal panels, imaging, or nerve studies—are needed to identify the source of your pain.
Diagnostic Testing
Most testing is performed on-site with results in 72 hours. This may include inflammatory markers, metabolic panels, hormonal evaluation, nerve conduction studies, and diagnostic peripheral nerve blocks to pinpoint exactly which structures are generating your pain.
Diagnosis & Treatment Plan
Once we've identified the root cause, Dr. Klein reviews your results and explains—in plain language—what's driving your symptoms. You'll receive a personalized treatment plan that may include:
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Targeted interventions: Nerve blocks, joint injections, or trigger point therapy
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Hormonal optimization: Addressing thyroid, testosterone, or cortisol imbalances
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Metabolic support: Nutritional supplementation, anti-inflammatory strategies
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Functional rehab: Physical therapy recommendations and mobility strategies
Ongoing Management & Support
Chronic pain often requires continued care. We monitor your progress, adjust treatment as needed, and provide follow-up evaluations—typically every 12 weeks or as your condition requires. Our goal is sustained improvement, restored function, and long-term quality of life.
FAQ
What types of chronic pain do you treat?
We treat a wide range of conditions including chronic low back pain, sciatica, neck pain, migraines, fibromyalgia, neuropathy, arthritis, post-surgical pain, and pain related to hormonal or metabolic dysfunction. If you're unsure whether we can help, call our office to discuss your situation.
How long before I see results?
The first 4–6 weeks focus on evaluation and diagnosis. Many patients experience meaningful improvement within weeks once treatment begins, though complex or chronic conditions may require 2–3 months of care before significant progress. We set realistic expectations based on your specific condition.
Why do you test hormones and bloodwork for pain?
Pain is often fueled by factors beyond the injury site—thyroid imbalance, vitamin deficiencies, inflammation, and hormonal decline can all intensify pain and slow healing. Comprehensive testing helps us identify these hidden contributors so treatment can address the full picture.
Will I need to take pain medications long-term?
Our goal is to reduce or eliminate the need for medications by treating root causes. Some patients require ongoing medication management, but many find that addressing hormonal, metabolic, or structural issues decreases their dependence on pain medications over time.
What is a diagnostic nerve block?
It's a targeted injection used to identify which nerve is generating your pain. If the block provides relief, we've confirmed the source. If it doesn't, we've ruled it out and can refine our approach. This precision helps avoid unnecessary treatments.
How often will I need follow-up appointments?
Typically every 12 weeks, though this varies based on your condition, medications, and clinical progress. Chronic pain management is a partnership—we stay with you and adjust treatment as your needs evolve.