An Interventional Pain and Sports Medicine Practice
“I had terrible neck and arm pain. An epidural steroid injection was performed. I could tell the injection was in the right spot. The pain was gone immediately. I am finally back playing softball.”
– Patient
To make an appointment, you may call 757-578-2260 between 9:00 a.m. and 5:00 p.m. Monday – Thursday or until 1 p.m. on Friday, or you may stop by our office to schedule an appointment with a pain management specialist or physical therapist. Physicians referring patients to the Barr Center may have their staff call to schedule the appointment for patients or fill out the online Patient Referral Form and fax it to our office at 757-578-2261.
Patients are generally scheduled within two weeks for a new evaluation.
You will receive a welcome packet in the mail, prior to your visit, or you can download the New Patient Packet from this website. It is recommended that you arrive about 15 minutes prior to your initial evaluation if you have completed your paper work, and 30 minutes if you have not completed the paperwork. After your initial evaluation, your doctor will discuss with you the most effective treatment program for your problem.
To assist in making your first visit to the Barr Center more time efficient, please bring any relevant medical records as well as:
We will request any other medical records, MRI’s, CT Scans, X-rays or laboratory results or MRI’s be faxed to our office from your referring physician’s office. To expedite this process you can download the Medical Records Request Form before your first visit.
Generally, your initial evaluation takes about 60 minutes. Your physician will have to take a thorough history and review your medical records to determine what treatment is best for you.
You should wear comfortable clothing. Please bring shorts or sweat pants for any lower extremity problems, and women are asked to bring or wear a sports bra for shoulder problems.
As a courtesy to our patients and staff, wearing of strong perfumes or colognes and/or lotions should be avoided.
The Barr Center recognizes that diagnoses and medical procedures can be difficult to understand. Every effort is made to simply and completely answer all questions related to treatment. The Barr Center believes that patient education is critical in the process of pain management.
Follow up visits are scheduled at the end of your initial evaluation. If a procedure is recommended, it may be scheduled at that time. You will be given any necessary paper work for follow up. Please note that certain insurances require pre-authorization for physical therapy and pain management procedures. It may take as long as seven to ten days for us to obtain authorization before certain services can be scheduled. We will do our best to get your procedure authorized in a timely fashion. If you are uncertain about the status of your authorization, please contact our office.
Reflexes may be temporarily impaired from certain procedures or you may experience numbness, so arranging for a driver is an important safety precaution. You will be advised as to whether or not you will need to make the necessary arrangements prior to your procedure.
Yes, in most cases. However, there are a few procedures that may require patients to miss work. You will be given more information about your procedure and what you should prepare for as well as expect.
The quality and length of pain relief vary from patient to patient based on the type of symptoms, how long they have been present, their origin in the body, and the procedure that is performed. Your physician will advise you on what to expect from the procedure that is to be performed.
Whether the procedure relieves your symptoms or not, your physician will gather important information about the source and nature of your pain. If there is no relief, then you physician will discuss with you what needs to be further done to determine the source of your pain.
You can call our office at 757-578-2260 for prescription refills, Monday through Thursday between 9:00 a.m. and 4:00 p.m and on Friday between 9:00 am to noon. Please allow three (3) business days to process your request. If someone is picking up the prescription for you, an Authorization for Release of Prescription has to be completed in order for the prescription to be released. We cannot refill controlled substances over the phone. Medication refills must be made at the time of your scheduled appointment. This ensures that we remain in compliance with the Virginia Board of Medicine safe prescribing guidelines.
We will be happy to provide you with a copy of your medical records. You will need to fill out a copy of the Medical Records Release Form, and return it to the office closest to you. There is a $10 retrieval fee, and a .50 per page charge. You will need to allow at least five days for us to process your request. We will fax any records to other physicians, but you will have to come to the office to sign a release for the records.
You should check with your insurance to determine if a referral is necessary prior to receiving treatment. If your insurance requires a pre-authorization to see a specialist, then you must get a referral from a Primary Care Physician or OB/Gyn to see a pain specialist for an initial appointment. After the initial consultation, our office will obtain any future pre-authorizations, sometimes with the assistance of your referring doctor.
Dr. Lisa Barr is a leading pain management physician in Virginia Beach with over 35 years of experience diagnosing and treating spine, joint, nerve, and musculoskeletal pain. As a Board Certified PM&R specialist, she focuses on whole-body, non-surgical solutions that uncover the true root cause of pain. She is also the international bestselling author of Outsmart Your Pain and one of the region’s most experienced experts in regenerative medicine, PRP, and advanced biologic therapies.
The Barr Center for Innovative Pain and Regenerative Therapies, led by Dr. Lisa Barr, is dedicated to helping people in pain. With over forty years of experience, Dr. Barr and her staff offer a range of evaluation and treatment options, including osteopathic assessment, trigger point injections, prolotherapy, and regenerative therapies. They prioritize a caring atmosphere and involve patients in their own care, ensuring they understand the recommended treatments. If necessary, they collaborate with other professionals to provide a comprehensive approach. Dr. Barr’s expertise has been recognized with the Top Doc award for thirty years.
Our approach to patient care at Barr Center is always focused on establishing a positive doctor-patient relationship that leads to enhanced function and quality of life. We strive to use non-medication-based therapies as our goal is to get you moving again and medication-free.
Dr. Lisa Barr discusses what to expect during an initial visit to the Barr Center. Patients are encouraged to fill out new patient paperwork beforehand to help identify potential causes of pain. Upon arrival, patients will be processed and taken to an exam room for a history and physical examination. The goal is to identify root causes and triggering events that may be contributing to the pain. A comprehensive treatment plan will be developed based on the findings.
The cold laser has been called “The Therapy” of the 21st century. In over 1,700 publications, there have been no recorded negative side-effects. This versatile tool is totally safe, non-toxic, and easy to use.
Over the past thirty years of using cold laser therapy, it has become one of the most versatile conjunctive tools we have ever used. It has potent synergistic effects with regenerative and nutritional therapies. It is both doctor and patient friendly. This promising tool is called the cold laser, the soft laser, the low-power laser, or the low-level laser. The term laser is an acronym for Light Amplification by Stimulated Emissions of Radiation.
All lasers emit coherent, focused light that travels in a narrow beam in one direction. High Power, “hot” lasers have shorter wavelengths, which have catabolic effects that can deliberately destroy tissue in cauterizing and surgical applications. Low Power, “soft”, “cool”, or “cold” lasers have longer wavelengths that have anabolic effects that promote rapid reduction of pain, accelerate healing time, and accelerate growth and repair.
Cold lasers or low-level laser therapy (LLLT) have stimulative effects rather than destructive ones. Clinical applications of the cold laser have included acute and chronic pain reduction from many etiologies, inflammation reduction, enhanced tissue healing, and cell regeneration. The results have shown very rapid pain reduction and accelerated recovery times, far exceeding conventional methods.
The Barr Center lasers made history by becoming the first to receive FDA market clearance for the treatment of chronic pain and increasing range of motion, proven through two double blind IRB studies.
Our Erchonia Lasers are the most advanced lasers on the market, with their sleek revolutionary design, patented line generated beam, and the ability to program independent frequencies in all of their family of lasers. It has been found to be extremely beneficial for enhancing and accelerating wound healing and reducing acute inflammation.
Unlike high power lasers that use heat and destroy tissue, low energy lasers affect the cellular energy of the underlying tissue. Hot lasers have a thermal effect and have an output of 1MW or above. Cold (or) Low Level Lasers do not have a thermal effect on tissue: lasers that stimulate biological function have an output below 10mw- milliwatts (ten- one thousandths of a watt).
With over 200 clinical studies – many of which are double-blind, placebo-controlled – and in excess of 2,000 published articles on LLLT (low-level laser therapy), this innovative technology has a well-documented research and application history. Having grown far beyond its distant Institutional Review Board (IRB) and experimental treatment status, LLLT is now being considered a therapy of choice for difficult pain management challenges such as fibromyalgia and myofascial pain.
Low Level Laser Therapy for pain is FDA-cleared to successfully treat many conditions such as acute and chronic pain reduction, repetitive use disorders like carpal tunnel syndrome, soft tissue strains and sprains, inflammation reduction, enhanced tissue wound healing, and cell regeneration.
Barr Center cold laser therapy for pain is low risk and has a high therapeutic benefit. Find out how cold laser therapy for pain may be helpful to you!
Contact us via email at info@BarrCenter.com or call 757-578-2260.
Dr. Lisa Barr provides an instructional video on how to use handheld lasers, explaining the process of turning on the laser, logging in, and accessing settings. Dr. Barr demonstrates how to navigate the screen and select the desired mode as well as reviewing the preprogrammed settings for different conditions and the laser’s ability to boost healing after regenerative medicine treatments.
Scar tissue can create an abnormal electrical signal in the autonomic nervous system. This signal is then transmitted through the autonomic nervous system throughout your body.
This is why a scar in one part of your body can cause pain in another area that is not even in close proximity to the scar.
Interference fields have lower electrical potentials than surrounding tissue. Electrical currents will flow from areas of higher voltage to areas of lower. Because of the disruption in electrical activity due to the presence of scar tissue, mixed signals are sent through the body’s nervous system. As a result, the body will react in ways that can lead to chronic pain and/or illness.
Cells in interference fields have an abnormal electrical charge on the cell surface. This results in abnormal signals being sent from the nerves to the brain (abnormal afferent signals). These signals then trigger abnormal autonomic nervous system responses. Local anesthetics affects the cells by stabilizing the membrane and normalizing the electrical charge. Even if the effects last for a short time, it allows for improved cellular metabolism, creating a healthier cellular environment and helping to stabilize the system. The improved cellular metabolism allows toxins to leave the cells and nutrients to enter, thereby reducing pain.
The injections are done using a very fine needle directed just below the skin (subcutaneously) into scars, nerves, acupuncture points, glands and trigger points. Sometimes deep injections are performed into the ganglia (a cluster of nervous tissue) or into a plexus (a network of nerves). The injections are done to eliminate the interference and restore the body’s natural energy flow.
After injecting the scar, sometimes a small amount of local anesthetic is injected into a vein, which helps stabilize the nervous system. Also, at times we inject small “blebs” of local anesthetic in a segmental fashion over other areas of the body where interference patterns or areas of abnormal electrical activity are found.
Dr. Lisa Barr of the Barr Center for Innovative Pain and Regenerative Therapies explains that spinal injections are performed in the fluoroscopy suite to address various pain issues. Barr Center uses X-ray equipment to accurately identify and target painful structures, injecting a combination of local anesthetic and steroids. The suite is used for diagnostic injections to pinpoint the source of pain and prescribe appropriate treatment. Epidural injections and radiofrequency ablation procedures are also performed in the fluoroscopy suite to alleviate chronic pain caused by arthritis. The goal of Barr Center is to help patients become pain-free.
Rejuvenation means boosting the body’s natural ability to heal itself. Regenerative medicine holds the promise of definitive, affordable health care solutions that heal the body from within. At the Barr Center we believe that under the right set of conditions the body has the capacity to heal itself. Regenerative therapies are a set of tools that we can use to reduce inflammation and facilitate healing in injured and degenerated joints, tendons and ligaments.
Dr. Barr and her staff have been at the forefront of regenerative medicine. She was the first physician to implement PRP, bone marrow-derived stem cells and fat grafting into practice in Hampton Roads over 20 years ago. She has successfully treated many patients, including professional golfers, with a variety of regenerative therapies for spinal, joint and tendon issues. Dr. Barr monitors the latest advances in regenerative medicine by regularly attending international conferences on
Regenerative Medicine, and she enjoys bringing back to our area the newest proven technologies. To complement her experience in regenerative medicine, she has advanced training in musculoskeletal ultrasound and interventional spinal injections. This is a key component to our success since these are mostly non-surgical treatments and the key to maximizing treatment outcomes for any regenerative therapy is optimal needle placement. Regenerative Medicine is ever-expanding. New concepts of managing inflammation and promoting tissue healing are being developed. Once we determine the best treatment option for you, be it PRP (Platelet Rich Plasma), Prolotherapy, Prolozone Therapy, Bone marrow concentrate, fat grafting, amniotic stem cells or a combination of modalities, we can perform the procedure in our office on the same day. The injections are performed using a small needle, cold spray and local anesthesia. To ensure optimal needle placement and maximize treatment outcomes, all regenerative therapies are performed at the Barr Center under image guidance using either ultrasound or x-ray. The entire process can take as little as 60 minutes. Within several days of undergoing most regenerative therapies, you can return to normal activities within 4-7 days.
