Emed Multispecialty Group

News & Updates


November 21, 2022 Local Events

Location: Jacksonville, Florida
Date: December 15th, 2022

Address: 2624 Atlantic Bouelvard Phone: 904-586-0041


September 30, 2022 General

More Than a Job.

Emed Multispecialty Group values its team members and the culture. Our new series of monthly spotlight videos feature hard-working, talented employees and medical assistants that have made a lasting impact on the clinic. We invited them to tell us exactly why they chose Emed and what a “Emed Family” means to them. Watch to hear what they have to say!

Dr. Alexander Ralys is a family medicine trained physician, founder of North Florida Credentialing, and Director of Pain Management at Emed Multispecialty Group in Jacksonville, FL. He’s lived in Florida since 1996 and has learned to love everything it has to offer. He completed his undergraduate degree at the University of Colorado in Studio Art, a master’s degree at USF in Tampa, FL, and completed medical school in 2017 at Lake Erie College of Osteopathic Medicine in Bradenton, FL.

A Credentialing & Pain Management Expert

Since medical school, Alex has trained and worked as a primary care physician as well as worked in healthcare management and business development, consulting, and healthcare compliance. He’s committed to improving the healthcare experience for everyone involved.

Q. Would you share with us your personal mission as a manager for Emed?
My personal mission is to create a welcoming, accepting, and inclusive environment that reduces barriers to care for all of our community. That includes maximizing efficiencies and improving workflows within the clinic, creating a comfortable environment for patients, and maximizing relationships with insurance payors.

Q. Tell us about your current role at Emed Multispecialty Group?
Currently, I am the clinical manager at Emed and director of our pain management programs. This means that most of my time is spent taking a big picture approach to healthcare rather than focusing on each individual patient. It’s my job to make sure that all the complex clinical systems required to operate a busy healthcare practice are operating smoothly.

Q. So, what’s next?
Fantastic question. My personal goals are aligned with the greater goals of Emed which is to advocate for and work to create accessible and inclusive healthcare for the entire community of Jacksonville and Northeast Florida.

Q. How did you get involved with Emed?
I got involved with Emed because of Dr. Rene Pulido. I have been involved in healthcare in some capacity since I was around 16 years old. Several years ago I was looking for something different from the typical inpatient, big medicine, corporate environment. Instead, I was craving an environment that truly embraced the local community and put patients and their needs first. Emed does that and has allowed me to really grow into myself in the process.

Q. You’ve been a part of Emed for a number of years. Tell me what you’ve learned?
I have learned how to deliver effective healthcare while navigating the incredible complexities of our modern healthcare environment. Healthcare in the United States is complicated by endless hurdles for patients and providers to navigate, particularly when dealing with insurance companies. I believe Insurance companies have made healthcare as complicated as possible as a way to avoid paying for services. At Emed we have the resources to address those barriers to care efficiently.

Q. Who is a good candidate for a visit to your clinic?
I believe Emed Multispecialty Group serves everyone. We are a completely bilingual clinic offering a full spectrum of primary care services including on-site labs, on-site imaging, a vegan café that is open to the community, a primarily Spanish speaking clinic, pain management services, and medical marijuana. We have the diversity of resources to be able to be a medical home for everyone in the Jacksonville community from the uninsured all the way to the well insured.

Q. Do you find your work very rewarding? If so, what is the best part about pain management?
Absolutely. Every day when I come to work at Emed I feel I am able to help save lives and see the differences our clinic has been able to make in the community directly. Many of our patients come to the clinic with diverse and complicated situations, some of them tragic. Emed has positioned itself with enough staff and resources to help patients regardless of their situation. Every day we see patients walking out of our front doors with smiles on their faces and feeling like they received answers to their questions.

Q. What are the goals of the pain management department?
The goals of our pain management department are to provide patients a multi-model, comprehensive, approach to pain relief that consists of medical management, procedural interventions, alternative therapies, and most importantly education for effective lifestyle modification. We believe that we can effectively improve patients pain levels and quality of life while avoiding costly and often ineffective invasive procedures and surgeries.

Q. If you had a patient in front of you right now, what would you say to that person?
To any of our patients I would say that help is available. You know, we all go through difficult situations in life, you are not alone, and Emed is here to help you navigate those issues. We deal with everything from very straight forward primary care visits all the way to complicated healthcare issues involving disability, workers compensation, auto-accidents, pain management, chronic illnesses, and we have the resources and relationships to get you the help that you need.

Q. We talked about a lot of things. What do you hope people will remember?
What I want people to remember is that Emed is a community driven, inclusive and caring environment that is always ready to help.


August 4, 2022 Health Conditions
Nerve Pain & You

The nervous system is involved in everything you do, from managing your breathing to controlling muscles and sensing temperature changes.

There are 3 different types of nerves in your body:

  1. Autonomic nerves – These nerves control the automatic activities of your body, including heart rate, blood pressure, digestion, and temperature regulation.
  2. Motor nerves – control your movements and actions by passing information from your brain and spinal cord to your muscles.
  3. Sensory nerves – They relay incoming information from your body (skin and muscles) back to your spine and brain. The information is then processed to let you feel pain and other sensations.

As you can see, nerves are essential to all you do. This is why nerve pain and nerve damage can have a huge impact on your quality of life.

What Are the Symptoms?

Nerve damage can surface with a wide array of symptoms. It can vary wildly depending on the location and type of nerves that are affected.

Autonomic nerve damage can have some of the following symptoms:

  • Difficulty sensing chest pain
  • Too much sweating or too little sweating
  • Feeling of lightheadedness
  • Dry eyes
  • Dry mouth
  • Constipation
  • Bladder dysfunction
  • Sexual dysfunction

Damage to motor nerves may produce the following symptoms:

  • Weakness in related extremities
  • Muscle atrophy
  • Twitching, also known as fasciculation
  • Possible partial or complete paralysis

Sensory nerve damage may produce the following symptoms:

  • Pain
  • Sensitivity
  • Numbness
  • Tingling or prickling
  • Burning
  • Problems with positional awareness

Many people with nerve damage have multiple symptoms at the same time. For example, you might experience weakness and tingling of your legs at the same time.

What Causes It?

This can be very complicated to answer as there are more than 100 different types of nerve damage. Each type has different symptoms and will require different treatments.

Nerve damage becomes increasingly common as you get older. It is estimated that 70% of people with diabetes have some amount of nerve damage.


August 4, 2022 Health Conditions

What is neck pain?

Your neck is made up of vertebrae that extend from the skull to the upper torso. Cervical discs absorb shock between the bones. The bones, ligaments, and muscles of your neck support your head and allow for motion. Any abnormalities, inflammation, or injury can cause neck pain or stiffness.

Many people experience neck pain or stiffness occasionally. In many cases, it’s due to poor posture or overuse. Sometimes, neck pain is caused by injury from a fall, contact sports, or whiplash.

Most of the time, neck pain isn’t a critital condition and may be relieved within a few days. In some cases, neck pain can indicate serious injury or illness and require a doctor’s care. If you have neck pain that continues for more than a week, is severe, or is accompanied by other symptoms, seek medical attention immediately.

Causes of neck pain

Neck pain or stiffness can happen for a variety of reasons.

Muscle tension and strain

This is usually due to activities and behaviors such as:

  • poor posture
  • working at a desk for too long without changing position
  • sleeping with your neck in a bad position
  • jerking the neck during exercise


The neck is particularly vulnerable to injury, especially in falls, car accidents, and sports, where the muscles and ligaments of the neck are forced to move outside of their normal range. If the neck bones, or cervical vertebrae, are fractured, the spinal cord may also be damaged. Neck injury due to sudden jerking of the head is commonly called whiplash.

Heart attack

Neck pain can also be a symptom of a heart attack, but it often presents with other symptoms of a heart attack, such as:

  • shortness of breath
  • sweating
  • nausea
  • vomiting
  • arm or jaw pain

If your neck hurts and you have other symptoms of heart attack, call an ambulance or go to the emergency room immediately.


Meningitis is an inflammation of the thin tissue that surrounds the brain and spinal cord. In people who have meningitis, a fever and a headache often occur with a stiff neck. Meningitis can be fatal and is a medical emergency. If you have the symptoms of meningitis, seek help immediately.

Other causes

Other causes include the following:

  • Rheumatoid arthritis causes pain, swelling of the joints, and bone spurs. When these occur in the neck area, neck pain can result.
  • Osteoporosis weakens bones and can lead to small fractures. This condition often happens in hands or knees, but it can also occur in the neck.
  • Fibromyalgia is a condition that causes muscle pain throughout the body, especially in the neck and shoulder region.
  • As you age, the cervical discs can degenerate. This is known as spondylosis or osteoarthritis of the neck. This can narrow the space between the vertebrae and adds stress to your joints.
  • When a disk protrudes, as from a trauma or injury, it may add pressure to the spinal cord or nerve roots. This is called a herniated cervical disk, also known as a ruptured or slipped disk.
  • Spinal stenosis occurs when the spinal column narrows and causes pressure on the spinal cord or the nerve roots as it exits the vertebrae. This can be due to long-term inflammation caused by arthritis or other conditions.

In rare instances, neck stiffness or pain occurs due to:

  • congenital abnormalities
  • infections
  • abscesses
  • tumors
  • cancer of the spine

When to see your doctor

If symptoms persist for more than a week, check with your doctor as soon as possible. You should also see a doctor if you have:

  • severe neck pain without apparent cause
  • a lump in your neck
  • a fever
  • a headache
  • swollen glands
  • nausea
  • vomiting
  • trouble swallowing or breathing
  • weakness
  • tingling
  • pain that radiates down your arms or legs
  • unable to move your arms or hands
  • unable to touch your chin to your chest
  • bladder or bowel dysfunction


August 4, 2022 Treatments

Muscle Pain is a disorder that affects a person’s ability to control his/her muscles. This condition is common in patients with Cerebral Palsy, traumatic brain injury (TBI), multiple sclerosis, or spinal cord injury. It is also found to be common in patients who have suffered strokes.

Symptoms of this condition include constant tightness of muscles, heightened muscle tone, excitable reflexes, involuntary movements (spasms and clonus)bone and joint abnormalities and irregular posture .

Diagnosis include a physical exam and medical history that assess how active a patient’s muscles are, the patient’s ability to move their arms and legs and range of motion. During the exam, there could be questions about the patient’s capability to perform activities of daily living such as getting in or out of the shower, getting dressed, brushing hair, etc.

Treatment include physical and occupational therapy, braces, and sometimes surgery . Some medications used to help this condition include botulism toxin injections to release tight muscle, Dantrium, Klonopin, Lioresal, Valium and Zanflex.

What types of medical conditions can cause muscle pain?

  • fibromyalgia
  • infections, such as the flu, polio, or bacterial infections
  • autoimmune disorders such as lupus, dermatomyositis, and polymyositis
  • use of certain medications or drugs, such as statins, ACE inhibitors, or cocaine
  • thyroid problems, such as hypothyroidism or hyperthyroidism
  • hypokalemia (low potassium)

When to see a doctor about muscle aches

Therefore you should see your doctor for.

  • pain that does not go away after a few days of home treatment
  • severe muscle pain that arises without a clear cause
  • muscle pain that occurs along with a rash
  • muscle pain that occurs after a tick bite
  • myalgia accompanied by redness or swelling
  • pain that occurs soon after a change in the medications you take
  • pain that occurs with an elevated temperature

As such the following can be a sign of a medical emergency. Consequently get to the hospital as soon as possible if you experience any of the following along with aching muscles:

  • a sudden onset of water retention or a reduction in urine volume
  • difficulty swallowing
  • vomiting or running a fever
  • trouble catching your breath
  • stiffness in your neck area
  • muscles that are weak
  • inability to move the affected area of the body


We have decades of combined experience
in primary care! Whether you have a cold
or just need a checkup, we’re here for you!

(904) 513-3240

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