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Frequently Asked Questions

Real answers about laser therapy, regenerative medicine, costs, insurance, and what to expect, searchable and organized. If your question isn't here, call us: (561) 915-1934.

MLS Laser Therapy

What is MLS laser therapy?

MLS (Multiwave Locked System) laser therapy is an FDA-cleared treatment that delivers two synchronized wavelengths of laser light into injured tissue: 808 nm to resolve inflammation and swelling, and 905 nm to relieve pain. The energy stimulates your cells' own repair machinery, a process called photobiomodulation. Full details here.

Does laser therapy hurt?

No. Treatment is painless, most patients feel nothing, or a mild soothing warmth. No needles, no incisions, no numbing required, no soreness afterward.

How long does each session take?

10–15 minutes for most foot and ankle treatments. With check-in, you're usually in and out of the office within half an hour.

How many sessions will I need?

Typical plans run 6–12 sessions at 2–3 visits per week. Acute injuries often need fewer; chronic conditions like neuropathy usually need more. You'll get a specific number at your evaluation, and we adjust based on your actual progress, not a fixed script.

How fast will I notice results?

Many patients feel a difference within the first 1–3 sessions. The effects are cumulative, so improvement typically builds through the course, and continues for weeks afterward as tissue keeps remodeling.

Is MLS laser therapy FDA approved?

MLS laser therapy is FDA-cleared for treating pain and inflammation, meaning the FDA reviewed the device and found it safe and equivalent to legally marketed predicates for its intended use. ("Approved" is technically reserved for a different FDA pathway; "cleared" is the correct term for therapy lasers, and any clinic saying otherwise is being imprecise.)

Are there side effects?

Clinical use of MLS laser spanning many years has reported no significant side effects. You may occasionally feel mild, short-lived sensations as circulation increases. It's one of the safest treatments in musculoskeletal medicine.

Who is NOT a candidate for laser therapy?

We don't treat over active cancer, over a pregnant uterus, or near the thyroid or eyes. Certain photosensitizing medications call for caution. Dr. Cedeno screens your history before any treatment starts.

How is MLS different from cheap "cold lasers"?

Three ways: power (class IV delivers a therapeutic dose to deep tissue; low-level devices often can't), dual synchronized wavelengths (the patented MLS pulse), and robotic delivery (computer-controlled, reproducible dosing instead of a hand-held wand). See our technology page.

Can I combine laser with other treatments?

Yes. Laser is often the backbone of a combined plan with shockwave, PRP, orthotics, or rehab exercises. Combining correctly is exactly what our regenerative programs are designed to do.

Is there any downtime after a session?

None. Drive home, go back to work, take your evening walk. Laser therapy doesn't damage tissue. It energizes it.

Settled into an armchair with a mug on the floor alongside

Shockwave & Regenerative Medicine

What is shockwave therapy (EPAT)?

A non-invasive treatment that sends acoustic pressure waves into chronically injured tissue, breaking down scar tissue and provoking a fresh healing response. It's one of the best-evidenced non-surgical options for chronic plantar fasciitis and Achilles tendinopathy. More here.

Does shockwave hurt?

You'll feel firm, rapid tapping, mildly uncomfortable for some, very tolerable for most, and intensity is adjusted to you. Sessions take 10–15 minutes with no downtime.

Laser vs. shockwave, which do I need?

Rule of thumb: laser calms and accelerates (great for pain, inflammation, and most healing), shockwave provokes and rebuilds (great for old, scarred, stubborn tissue). Chronic cases often benefit from both in sequence. The exam determines the right recipe.

What is PRP and how does it work?

Platelet-rich plasma: we draw a small blood sample, spin it to concentrate the platelets, and inject that growth-factor-rich concentrate into your injured tissue. It re-ignites healing in degenerated fascia and tendons. More here.

Is PRP better than cortisone?

They do different jobs. Cortisone suppresses inflammation fast but temporarily, and repeat use can weaken tissue. PRP builds tissue and takes weeks, but its results tend to last. If cortisone keeps wearing off, that's usually the sign to switch strategies.

Are stem cell treatments FDA approved?

No regenerative cell therapy for orthopedic conditions is FDA-approved; these are elective treatments offered under physician judgment where evidence is promising but still developing. We're transparent about this. You'll get the honest state of the science for your diagnosis before deciding. More here.

How long until PRP or regenerative injections work?

These are healing treatments, not painkillers: expect first improvements at 4–6 weeks and continued gains for 3–6 months as tissue remodels. Laser therapy is often added to support and smooth this phase.

Can regenerative medicine help me avoid surgery?

In well-selected cases, yes. That's its best use. In poorly selected cases it wastes your money, which is why candidacy here is decided by a surgeon with no incentive to steer you away from an operation you actually need. You'll get a straight answer.

Conditions & Symptoms

Why does my heel hurt with the first steps in the morning?

That's the signature of plantar fasciitis, the fascia tightens overnight and those first steps re-stretch injured tissue. It's the most common cause of heel pain and among the most treatable conditions we see.

Do heel spurs need to be removed?

Rarely. Spurs appear on X-rays of plenty of pain-free feet; the pain almost always comes from the soft tissue (fascia), not the bone. Treat the fascia and the pain resolves, spur and all. More on heel pain causes.

Can laser therapy really help neuropathy?

For many patients, yes. Laser improves the microcirculation that feeds nerve tissue and can meaningfully reduce burning, tingling, and nighttime symptoms. It won't resurrect completely dead nerves, and we're honest about that. Earlier treatment = better odds. Full neuropathy guide.

Is it OK to exercise with plantar fasciitis or tendonitis?

Usually yes, in modified form, tissue heals with the right load, not zero load. We'll tell you exactly what to keep, what to pause, and what to substitute so you don't lose your fitness while you heal.

My ankle sprain was months ago. Why does it still bother me?

Because sprains heal "loose" without rehab, the ligament lengthens and your balance reflexes stay dulled, leading to that give-way feeling. It's fixable at any stage. See sprains & instability.

When is foot pain an emergency?

Seek prompt care for: inability to bear weight, a felt "pop" with sudden weakness, spreading redness or red streaks, fever with foot pain, a cold/blue foot, or any wound on a diabetic foot. When in doubt, call us, we'll tell you where you need to be.

I have diabetes. How often should my feet be checked?

Annually at minimum; every 3–6 months with neuropathy, circulation issues, deformity, or ulcer history. Regular podiatric care measurably reduces amputation risk. Diabetic foot care.

Cost & Insurance

How much does laser therapy cost?

It depends on your condition and plan length, and we quote exact package pricing up front, before you commit to anything. Call (561) 915-1934 for current prices. No surprise bills, ever.

Does insurance cover laser, shockwave, or PRP?

Your evaluation and standard podiatric care are typically covered. Laser, shockwave, and regenerative therapies are usually elective/out-of-pocket (most insurers classify them as emerging treatments). We verify your benefits and give you a complete cost picture before starting.

Is laser therapy worth the out-of-pocket cost?

Compare honestly: months of copays, repeat injections, medication costs and side effects, missed activities, or a defined course of treatment aimed at resolving the problem. For most chronic sufferers the math favors fixing it. We'll help you weigh it for your case, and we'll tell you if we think laser isn't the right value for you.

Do you offer payment plans or packages?

Ask our front desk about current packages and payment options when you call. We work hard to keep effective treatment within reach.

Can I use my HSA/FSA?

Laser and regenerative treatments prescribed by a physician for a medical condition are generally HSA/FSA-eligible expenses. Confirm with your plan administrator; we'll provide any documentation you need.

Appointments & Your Visit

How do I book an appointment?

Call (561) 915-1934 or use the request form. Most new patients are seen within the week, acute injuries often sooner.

Do I need a referral?

Most patients don't. You can see a podiatrist directly. A few HMO plans require referrals; call us and we'll help you check your specific plan.

What happens at the first visit?

A focused history, hands-on examination, imaging if needed, a clear explanation of what's wrong, and a written plan with options and costs. Laser treatment can often begin the same day. Full walkthrough on our new patients page.

What should I bring?

Photo ID, insurance card, medication list, any prior imaging/reports, and your most-worn shoes, the wear pattern is diagnostic gold.

Where exactly are you located?

4601 Military Trail, Suite 202, Jupiter, FL 33458, on Military Trail in central Jupiter, minutes from Abacoa and I-95. Map and directions.

What are your hours?

Our Jupiter office is open Mon–Thu 8 AM–5 PM · Fri 8 AM–2 PM, with a lunch closure 12:30–1:30 PM. Our Palm Beach Gardens office is open Mon & Wed 8 AM–4:30 PM. Both are closed weekends and holidays.

Do you treat both feet in one session?

Yes, bilateral conditions (both heels, both feet with neuropathy) are commonly treated in the same visit. Session time is a bit longer and pricing reflects it; we'll spell it out in your plan.

Can I keep seeing my regular podiatrist or doctor?

Of course. We're happy to coordinate care and send records and progress notes to any physician you choose. Many patients come to us just for the laser or regenerative portion of their care.

Recovery & Results

Can I exercise on the same day as a laser session?

Yes. Laser therapy doesn't damage tissue, it energizes it, so there's no required rest period. If your condition itself calls for modified activity, that guidance comes from your treatment plan, not from the laser.

Why do results keep improving after my last session?

Because laser and shockwave don't just relieve. They trigger biological repair processes (collagen production, new capillary growth) that continue for weeks after the stimulus ends. Shockwave studies routinely measure their best outcomes at 12 weeks post-treatment.

What if I don't feel better after a few sessions?

We track your pain and function at every visit, and plans that aren't producing get changed, different modality, different diagnosis review, sometimes imaging. What we don't do is keep selling you the same thing that isn't working.

Will my plantar fasciitis come back after treatment?

It can, if the cause that overloaded your fascia is still there. That's why plans include the unglamorous parts, footwear strategy, stretching, load management, orthotics when mechanics call for them. Fix the tissue and the reason it broke down.

How soon after treatment can I go back to work?

Immediately. Laser and shockwave sessions require zero downtime, most patients come during lunch and return to work. Regenerative injections may involve a few days of relative rest depending on the site.

Do I need maintenance sessions after finishing a plan?

Most patients don't. Some chronic conditions, neuropathy especially, benefit from periodic maintenance visits to hold gains. If maintenance makes sense for you, we'll say so up front, including cost, so there are no surprise "forever plans."

Can laser therapy help after foot surgery?

Yes. Post-surgical healing is one of laser's best uses. It helps reduce swelling and supports tissue repair during recovery, which is why Dr. Cedeno often incorporates it after procedures he performs.

Local & Practical

Where exactly is the Jupiter office?

4601 Military Trail, Suite 202, Jupiter, FL 33458, on Military Trail between Donald Ross Road and Frederick Small Road, minutes from Abacoa and I-95. Free parking on site. Maps and directions.

Do you have a second location?

Yes, our Abacoa Podiatry & Leg Vein Center sister office at 11380 Prosperity Farms Road, Suite 204, Palm Beach Gardens, FL 33410, open Mon & Wed 8 AM–4:30 PM. Call (561) 915-1934 and we'll book you at whichever office is more convenient.

Which days is the Palm Beach Gardens office open?

Monday and Wednesday, 8:00 AM–4:30 PM. It is closed Tuesday, Thursday, Friday and weekends. On those days our Jupiter office on Military Trail is open and is 10–15 minutes north — call (561) 915-1934 and we'll book you wherever works. See the Palm Beach Gardens office page for directions.

I live in Stuart / Hobe Sound / West Palm. Is the drive worth it?

Our farthest regulars say yes: robotic MLS laser, EPAT shockwave, and surgeon-supervised regenerative care are hard to find between West Palm Beach and Stuart. See your city's drive time and directions on our locations pages.

Do you offer telehealth visits?

Yes, for visits that don't need hands-on examination, follow-ups, results reviews, wound-photo checks, and "should I come in?" questions. How telehealth works here.

Is the office wheelchair accessible?

Yes, both offices are wheelchair accessible with parking close to the entrance. Tell us about any accessibility needs when you book and we'll be ready.

Where can I watch Dr. Cedeno's videos?

On our Media page, which hosts his full YouTube library, treatment explainers, condition guides, and foot-health tips.

Can my family member come into the appointment with me?

Of course. A second set of ears is genuinely useful, especially when weighing treatment options. Adult children coordinating a parent's care are welcome to join by phone too.

Do you treat children and teens?

We see adolescent athletes with sports injuries, heel pain (Sever's disease is common in active kids), and ankle sprains. Call and describe the situation. If a pediatric specialist is the better fit, we'll tell you.

What languages does the office speak?

Call us at (561) 915-1934 and we'll make communication work for you and your family, including arranging interpretation when needed.

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