If it hurts to move, start here.
Orthopedic, spine, nerve and soft-tissue care for injury clients and self-pay patients across Lake Mary — from evaluation and injections through pain management and surgery when it is needed. What you need is decided at your evaluation, not from a list on a website.
Two ways in. Injury clients referred by an attorney are seen on a letter of protection. Everyone else is self-pay with a flat price quoted before anything is done — we do not bill health insurance either way. Same-day appointments when available.
If a joint, tendon or nerve is involved, we most likely treat it.
We cover a broad range of joint, soft-tissue and injury care, and the list below is a summary rather than a limit. Rather than guessing from a website, bring us the problem — the evaluation is what tells us whether we can help and what the right treatment is.
Joint injections
Corticosteroid and viscosupplementation injections placed in the joint space to bring down inflammation and restore range of motion — across large joints and small ones alike.
Soft-tissue & nerve
Carpal tunnel, tennis elbow, golfer's elbow, bursitis, trigger finger, tendinitis and the many other structures around a joint that mimic joint pain.
Acute injury
Sprains, gym strains, overuse from lifting or repetitive work, work injuries, and post-injury inflammation that has not settled on its own.
Do not rule yourself out. Most joint, tendon and injury complaints are worth a call. If the evaluation shows it is outside what we can help with, we will tell you and point you to the right place.
Two ways to be seen. Neither goes through health insurance.
If an attorney referred you after an injury, you are almost certainly on a letter of protection — no money out of pocket while your case is open. If you are coming in on your own, you are self-pay, with one flat price quoted before anything is done. We do not bill health insurance in either track.
Attorney referral — letter of protection
Injury clients referred by a law firm are treated on an LOP, meaning no payment at the time of service while the case is pending. We coordinate directly with your attorney's office on scheduling, records and reports.
Self-pay — flat price, quoted first
No attorney, no case, just a joint that hurts? One flat fee per visit and per injection, given to you on the phone before you book. No deductible math, no prior authorization, no bill arriving six weeks later.
No prior authorization
Nobody at an insurance company decides whether you get treated this week. If the evaluation says treatment is right and you agree, it happens.
Your appointment isn't rationed
Without claim volume driving the schedule, visits run on clinical need rather than billing codes — which is how same-day appointments stay possible.
Transportation coordination
For injury clients who cannot get here, we help coordinate transportation so a missed ride does not become a gap in treatment.
What we accept
[Cash, card, HSA/FSA — confirm which. Note any payment-plan option.]
Submitting to your own insurance
[Confirm whether you provide an itemized receipt or superbill patients can submit themselves for out-of-network reimbursement — and state plainly that reimbursement is between the patient and their insurer.]
We are out of network with all health plans, including Medicare and Medicaid, and do not file claims on your behalf. Letters of protection apply to attorney-referred personal injury matters only and are accepted at our discretion. Confirm the arrangement that applies to you when you call.
Dr. James Young, DO
Eighteen years of emergency medicine teaches you to sort the urgent from the merely painful in minutes. Dr. Young brings that same triage instinct to joint and injury care — rule out what is serious first, then treat what is actually causing the pain, without stretching it across five appointments.
Personal injury medical support for legal teams
Priority appointments, clear documentation, specialty injury evaluations. Specialty injury care for legal teams that need prompt appointments, clear communication, and organized medical documentation — helping cases move forward with coordinated care.
Why firms refer to us
- Priority scheduling for injury clients
- Same-day appointments when available
- Transportation coordination to reduce barriers to care
- Organized documentation for referral partners
- Dedicated personal injury case coordination
- Spanish and Vietnamese assistance available
Attorney-focused coordination
- Responsive scheduling for injury clients
- Coordinated treatment communication
- Orthopedic, spine, nerve and soft-tissue evaluations
- Clear records and reports for referral partners
All care is coordinated in one place — from evaluation and treatment planning to pain management options and surgical procedures when needed — so clients receive streamlined support under one roof.
Send us a client
Ortho & Spine Physicians Group — premium personal injury medical services. Injury clients are seen on a letter of protection.
Injured, or just still hurting?
Attorneys: call intake and we will schedule your client. Everyone else: describe what hurts and we will tell you the fee before you book.
Broad care, decided at the evaluation
[Opening paragraph — why the practice opened in Lake Mary, and the range of joint, tendon and injury care handled here.]
Emergency-trained judgment
Eighteen years of emergency medicine teaches you to sort the urgent from the merely painful quickly. That instinct shapes how every complaint here gets evaluated, whatever the joint.
One appointment, not five
Exam, diagnosis and, when appropriate, the injection itself in a single visit. We schedule so your time isn't spent in a waiting room.
Conservative before invasive
If a joint will settle with bracing, rest, and a home program, that's what we recommend. The needle is a tool, not a default.
What a first visit is actually like
You describe the pain in your own words. We examine the joint, put it through its range, and test the structures around it. If imaging is needed, we say so. If an injection is the right next step and you're comfortable proceeding, it's done that day.
Bring a list of current medications and any prior imaging of the joint. No insurance card needed — we don't bill insurance.
Frequently asked
- Does it hurt
- A numbing agent is used first. Most patients describe pressure more than pain.
- How fast
- Corticosteroid relief typically begins within a few days.
- How long
- Varies by joint and diagnosis — weeks to several months.
- Insurance
- We don't bill health insurance. Attorney-referred injury clients are seen on a letter of protection; everyone else is self-pay.
- What it costs
- A flat fee per visit and per injection, quoted before you book. [Add the actual figures.]
- Referral
- None needed. Self-pay means you can book directly.
The people who'll be treating you
A small team, which is the point — you see the same faces each visit.
Dr. James Young, DO
Medical Director
Dr. James Young is board certified in Family Medicine by the American Board of Osteopathic Family Physicians and has practiced emergency medicine for more than eighteen years. He has served on the emergency medicine staff at Oviedo Medical Center, AdventHealth Ocala, Citrus Memorial Hospital, Florida Hospital Memorial in Daytona Beach and Florida Hospital Flagler in Palm Coast, and was Director of Emergency Medicine at Bluegrass Community Hospital in Kentucky.
At Florida Hospital Memorial he served as Stroke Director and later as Sepsis Director, building the protocols that decide how fast a hospital recognizes and acts on a time-critical diagnosis. Since 2011 he has also been Medical Director of Goldfinger’s Aesthetics, which grew from a single location to more than twenty during his tenure.
He has lived in Lake Mary since 2008 and raised his children here.
Residency, Family Medicine — [confirm program]
BS Clinical Laboratory Science, University of Louisville
Titles, credentials, and bios for the team below are placeholders awaiting your copy — nothing on this page should go live until each person has confirmed their own listing.
The areas we treat
Select a joint on the figure or in the list to see what we treat there and how. This covers the areas we see most — it is not the full extent of what we handle, and smaller joints, hands, feet and soft-tissue problems are treated here too.
Most areas, most complaints
The figure above shows the major joints. In practice the range is wider — small joints, soft tissue, nerve compression and post-injury problems across the body. If what hurts is not on this list, it is still worth asking.
Not an exhaustive list. Coverage for your specific problem is confirmed at your evaluation.
Beyond injections, when the injury needs it
Evaluation and treatment planning coordinated in one place — so a client is not sent across town to start over with each specialty.
Orthopedic Surgery
- Fracture and joint injury evaluation
- Image-guided injection options
Neurosurgery
- Spine trauma and nerve injury evaluation
- Surgical and non-surgical pathways
Plastic Surgery
- Scar revision and wound care consultation
- Reconstructive procedure options
Pain Management
- Targeted pain evaluation and treatment planning
- Injection-based options for spine and joint pain
A real surgical suite, on site
Procedures are performed in our own operating room — anesthesia, electrosurgical and monitoring equipment in place — rather than referred out to a facility that has to schedule your client separately.
What we can bring to a stubborn injury
PRP — platelet-rich plasma therapy
PRP uses a small sample of the patient’s own blood, concentrated with platelets, to support the body’s natural healing response in injured joints, tendons, ligaments and soft tissue.
Targeted pain management injections
Treatment aimed directly at the source of pain, using guided injection options to help reduce inflammation, improve comfort and support recovery after an injury.
Focused care for spine, joint and nerve concerns
Evaluation designed to identify the source of pain or weakness, then guide treatment options intended to improve function, reduce discomfort and support recovery.
Individualized treatment planning
Each care plan is tailored to the patient’s injury, symptoms, imaging findings and recovery goals.
Availability of a given procedure depends on your evaluation and, where surgery is involved, on the treating specialist. Nothing here is a promise of a specific outcome.
Three tools, used in order
Corticosteroid injection
The workhorse for acute inflammation. Placed directly at the source to quiet swelling and give the joint room to move again — often within a few days.
Viscosupplementation
Gel-like hyaluronic acid injections used mainly in arthritic knees, to cushion a joint that has lost its own lubrication. A course of injections rather than a single shot.
Conservative first
Bracing, activity modification and a home program. If a joint will settle without a needle, that's the plan we start with.
Treatment choice depends on the joint, the diagnosis, and your medical history. Nothing here is a promise of a specific outcome — your options are decided at your visit.
Conditions, by how they usually start
Most of what walks through our door falls into one of four stories. These are examples, not a checklist — if yours is not named here, it is still worth the call.
It started at the gym
Strains from lifting, pressing, or adding weight too fast. Shoulders and elbows lead the list, knees close behind.
It's from the same motion, every day
Repetitive-use injuries from work, keyboards, tools, or a racquet. These build slowly and rarely resolve on their own.
It's been aching for years
Wear-and-tear pain that's gotten loud enough to change how you walk, sleep, or climb stairs.
Something happened
A fall, a twist, a collision. The acute event is over, but the inflammation and stiffness haven't left with it.
Assume yes, and let the evaluation decide
We handle a wide range of joint, tendon, nerve and injury problems, and we would rather see you than have you talk yourself out of calling. The evaluation is what determines whether we can help and what the treatment should be — not a list of conditions on a web page. If it turns out to be something better handled elsewhere, including by the wider Ortho & Spine Physicians Group, we will tell you at that visit and route you there directly.
If you're experiencing a medical emergency, chest pain, or a suspected fracture or dislocation, call 911 or go to the nearest emergency department.
A few of the conditions, in detail
Symptoms, what is actually going on in the joint, and how we treat it. These are some of the most common reasons people come in — a sample of our work, not the boundary of it.
Describe the joint. We'll tell you if it's ours.
A two-minute phone call saves a wasted appointment.
Carpal Tunnel Injections in Lake Mary, FL
If your hand goes numb at night and you shake it out to get feeling back, that is the classic pattern. A carpal tunnel injection reduces the swelling pressing on the median nerve, and it usually tells us within days whether the nerve is the real culprit.
You probably have this if
- Numbness or tingling in the thumb, index, middle, and half of the ring finger
- Waking at night needing to shake or dangle the hand
- Dropping small objects, or losing grip on a coffee cup
- Pain or buzzing that travels up the forearm
- Symptoms worse when driving, typing, or holding a phone
Recognize three or more? Call and describe it — we will tell you on the phone whether this is something we treat.
What's actually happening
The median nerve passes through a narrow tunnel at the base of your palm, sharing that space with nine tendons. When the tissue in that tunnel swells — from repetitive use, fluid retention, or the shape of your own anatomy — the nerve is the softest thing in there, so it gets squeezed first. Numbness comes before weakness. That order matters, because it means the window to treat this without surgery is early.
How we treat it here
We reproduce the symptoms in the office and check grip strength and sensation to confirm the median nerve is the structure involved.
A neutral wrist splint worn overnight stops the wrist from folding while you sleep, which is when most people compress the nerve hardest. For mild cases this alone can be enough.
A small volume placed into the carpal tunnel to bring down the swelling around the nerve. It is diagnostic as well as therapeutic — a strong response confirms the diagnosis.
Constant numbness, or visible wasting of the muscle at the base of the thumb, means nerve damage is progressing. That needs a hand surgeon, and we will say so rather than injecting you again.
Which of these applies to you is decided at your exam. Nothing here is a promise of a specific outcome, and no page can substitute for an evaluation.
What patients ask
Does a carpal tunnel injection hurt?
How long until it works?
How long does it last?
Will I still need surgery?
Other conditions we treat
Describe it on the phone first.
Two minutes tells you whether this is ours, and what it costs, before you book anything.
Knee Injections for Arthritis in Lake Mary, FL
The knee is the joint we inject most. Whether it's a flare that has your knee swollen and stiff or years of wear that now dictates which stairs you take, an injection is the step between over-the-counter pills and a conversation about replacement.
You probably have this if
- Pain going down stairs, or getting up out of a chair
- Stiffness for the first twenty or thirty minutes of the morning
- Swelling that shows up the day after activity
- Grinding, clicking, or a catching sensation
- A knee that aches at night after a long day on your feet
Recognize three or more? Call and describe it — we will tell you on the phone whether this is something we treat.
What's actually happening
Cartilage is the smooth surface that lets the ends of your bones glide. Osteoarthritis is that surface thinning and roughening over time, which changes the mechanics of the joint and irritates the lining. The lining responds by producing inflammatory fluid — which is the swelling you feel, and the reason the joint hurts more than the cartilage loss alone would explain. Treatment targets the inflammation and the lubrication, not the cartilage itself.
How we treat it here
We assess range of motion, alignment, swelling, and stability, and review any imaging you bring. This tells us which injection makes sense — or whether you're past the point where one will help.
The fastest way to break a flare. Reduces inflammation in the joint lining, usually within days, and buys back range of motion so you can move again.
Hyaluronic acid injected into the joint to supplement lubrication a worn knee no longer produces well. Given as a course rather than a single shot; the effect builds gradually rather than arriving overnight.
Injections work better in a knee that is being used correctly. We give you a specific quadriceps and hip program rather than telling you to rest.
Which of these applies to you is decided at your exam. Nothing here is a promise of a specific outcome, and no page can substitute for an evaluation.
What patients ask
Cortisone or gel — which one do I need?
How many cortisone injections can I have?
Can I walk out on my own?
Does this mean I'm avoiding a knee replacement?
Other conditions we treat
Describe it on the phone first.
Two minutes tells you whether this is ours, and what it costs, before you book anything.
Tennis Elbow Treatment in Lake Mary, FL
Most people we treat for tennis elbow have never held a racquet. It comes from gripping — tools, weights, a keyboard, a steering wheel. The pain sits on the bony bump on the outside of the elbow and shows up the moment you try to lift something with your palm down.
You probably have this if
- Pain on the outside of the elbow, sharply tender to press
- Weakness or pain when gripping, shaking hands, or turning a doorknob
- Pain lifting a coffee cup or a gallon of milk palm-down
- Ache that radiates down into the forearm
- Symptoms that got worse after a project, a new lift, or a repetitive week at work
Recognize three or more? Call and describe it — we will tell you on the phone whether this is something we treat.
What's actually happening
Despite the name, this is not an inflammation problem in the classic sense. The tendon that anchors your wrist extensors to the outside of the elbow develops small areas of degeneration from repeated load. The tissue becomes disorganized rather than swollen, which is why rest alone often fails and why the fix involves reloading the tendon correctly, not just quieting it down.
How we treat it here
Outer elbow pain can also come from the joint or a nerve. We test resisted wrist extension and palpate the exact origin to be sure we are treating the right structure.
A strap worn below the elbow offloads the tendon origin. Combined with identifying the specific movement causing it, this is the foundation of treatment.
Used to break a pain cycle severe enough to stop you from doing the rehabilitation. It is a tool for getting you moving, not a standalone cure — the loading program is what changes the tendon.
Specific slow-lowering wrist exercises that remodel the tendon. This is the part that produces durable results, and it takes weeks of consistency.
Which of these applies to you is decided at your exam. Nothing here is a promise of a specific outcome, and no page can substitute for an evaluation.
What patients ask
Why does an injection alone not fix it?
How long does tennis elbow take to resolve?
Can I keep lifting or working?
Is this the same as golfer's elbow?
Other conditions we treat
Describe it on the phone first.
Two minutes tells you whether this is ours, and what it costs, before you book anything.
Golfer's Elbow Treatment in Lake Mary, FL
Golfer's elbow is tennis elbow's mirror image — pain on the inside of the elbow instead of the outside. It comes from gripping and pulling: deadlifts, rows, swinging a club, hauling tools, or anything that repeatedly flexes the wrist under load.
You probably have this if
- Pain on the inner bump of the elbow, tender to the touch
- Pain when gripping, pulling, or curling the wrist down
- Ache running down the inside of the forearm toward the wrist
- Weak grip, especially first thing in the morning
- Pain that flares after lifting, swinging, or a day of manual work
Recognize three or more? Call and describe it — we will tell you on the phone whether this is something we treat.
What's actually happening
The wrist flexor and pronator tendons all anchor to a single small point on the inside of the elbow. Repeated gripping and pulling loads that anchor point far more than its size suggests. Over time the tendon at the attachment degenerates in the same way a tennis elbow does. The ulnar nerve also runs directly behind that bump, so part of the exam is separating a tendon problem from a nerve problem — they are treated very differently.
How we treat it here
Inner elbow pain with any tingling into the ring and little finger points at the nerve rather than the tendon. That distinction changes everything about the plan, so we check it first.
A counterforce strap and specific changes to grip width, wrist position, and pulling volume. For lifters this usually means adjusting technique rather than stopping.
Placed carefully away from the ulnar nerve, used when pain is limiting your ability to do the rehabilitation work.
Slow, controlled wrist flexion work that remodels the tendon attachment. Weeks, not days — but this is the part that lasts.
Which of these applies to you is decided at your exam. Nothing here is a promise of a specific outcome, and no page can substitute for an evaluation.
What patients ask
How is this different from tennis elbow?
I have tingling in my ring and little finger too.
Do I have to stop lifting?
Will one injection be enough?
Other conditions we treat
Describe it on the phone first.
Two minutes tells you whether this is ours, and what it costs, before you book anything.
Rotator Cuff & Shoulder Pain Injections in Lake Mary, FL
The tell for a rotator cuff problem is night pain. If you cannot lie on that shoulder, and reaching overhead or behind your back sends a sharp catch through it, a subacromial injection is usually the fastest way to get the shoulder moving again.
You probably have this if
- Pain lying on that shoulder at night
- A painful arc when raising the arm out to the side, roughly shoulder height
- Trouble reaching overhead, behind your back, or into a back seat
- Aching over the outer upper arm rather than the joint itself
- Weakness lifting even light objects away from the body
Recognize three or more? Call and describe it — we will tell you on the phone whether this is something we treat.
What's actually happening
Four small muscles hold the ball of the shoulder centered in a very shallow socket. Their tendons pass through a tight space beneath the bony roof of the shoulder, cushioned by a bursa. When those tendons are irritated or the bursa is inflamed, the space narrows further and every overhead movement pinches it — which is why the pain has a specific arc rather than being constant. Posterior shoulder pain often traces back to the same mechanics from the other direction.
How we treat it here
We test each cuff tendon separately and check the joint itself. Shoulder pain refers from the neck surprisingly often, so that gets ruled out too.
Placed into the space beneath the bony roof, where the bursa and cuff tendons sit. This is the standard first injection for impingement and bursitis, and relief is often quick.
When the arthritis is in the joint itself rather than the bursa above it, the injection goes into the joint space instead. The exam determines which.
Restoring how the shoulder blade moves is what keeps the space open. Without it, the pinch returns once the injection wears off.
Which of these applies to you is decided at your exam. Nothing here is a promise of a specific outcome, and no page can substitute for an evaluation.
What patients ask
Is my rotator cuff torn?
How fast does a subacromial injection work?
Can I go back to the gym?
What about pain in the back of the shoulder?
Other conditions we treat
Describe it on the phone first.
Two minutes tells you whether this is ours, and what it costs, before you book anything.
Hip Bursitis Injections in Lake Mary, FL
Sharp pain on the outside of the hip that makes it impossible to sleep on that side is one of the most treatable things we see. It is rarely the hip joint itself — it is the tissue over the bony point on the side of the hip.
You probably have this if
- Pain on the outer side of the hip, tender to press
- Cannot lie on that side at night
- Pain climbing stairs or getting out of a car
- Ache spreading down the outside of the thigh
- Worse after a long walk or a day standing
Recognize three or more? Call and describe it — we will tell you on the phone whether this is something we treat.
What's actually happening
The greater trochanter is the bony point you feel on the side of your hip. Gluteal tendons attach there, cushioned by a bursa, with a thick band of tissue sliding over the top. When the gluteal tendons are weak or overloaded, that structure gets compressed and irritated — which is why the pain is on the side, tender to touch, and worst when you lie on it. True hip joint arthritis feels different: it sits in the groin and limits rotation.
How we treat it here
Groin pain and lost rotation point to the joint. Point tenderness on the outer hip points to the bursa and gluteal tendons. These need different injections in different places.
Corticosteroid placed at the bursa over the bony point. For lateral hip pain this is often dramatically effective, and it is the injection that most reliably returns people's sleep.
When the exam and imaging point to arthritis inside the joint instead, the injection goes into the joint space.
The tendons got irritated because they were being asked for more than they could give. Strengthening them is what stops the cycle repeating.
Which of these applies to you is decided at your exam. Nothing here is a promise of a specific outcome, and no page can substitute for an evaluation.
What patients ask
Is this arthritis of the hip?
How soon can I sleep on that side again?
Do I need an MRI first?
Will it come back?
Other conditions we treat
Describe it on the phone first.
Two minutes tells you whether this is ours, and what it costs, before you book anything.
115 International Parkway, Lake Mary
One location, just off I‑4 at the Lake Mary Boulevard exit, serving Lake Mary, Heathrow, Longwood, Sanford and Winter Springs.
Clinic details
- Address
- 115 International Parkway
Suite [###]
Lake Mary, FL [ZIP] - Phone
- [Phone]
- Fax
- [Fax] — for attorney records requests
- [Email]
- Hours
- [Mon–Fri, 0:00 – 0:00]
[Saturday hours, if any] - Parking
- [Free surface lot / garage — confirm]
- Payment
- Self-pay only — we do not bill insurance.
Flat pricing quoted before your visit.
[Accepted: cash, card, HSA/FSA]
Calling is the fastest way in.
Tell us which joint and how long it's been hurting. We'll book you or point you to the right place.