Our Services
Comprehensive, non-surgical care for the spine, joints, and nervous system.
Non-Surgical Care for Spine, Joints, and Whole-Body Health
Cobblestone Spine and Joint Institute offers a range of conservative and regenerative medicine services under one roof. Dr. Dean Mammales, DC and Yuleisy Coto, MSN, APRN, FNP-C work together to deliver care that addresses both the mechanical and biological aspects of musculoskeletal conditions.
Most practices offer one or two of the services listed below. We offer all of them in a coordinated way, which means a patient with a lumbar disc herniation can receive chiropractic adjustments, spinal decompression, MLS laser therapy, and a PRP injection as part of a single integrated plan. Each service page below explains the therapy in clinical depth, including what the research shows and what conditions it is most appropriate for.
If you are not sure which service is relevant to your situation, start with a new patient evaluation. Dr. Mammales will diagnose your condition and recommend the specific combination of services that applies to your case.
Non-Surgical Spine and Joint Care
Chiropractic Care
Diagnosis-first spinal adjustments by Dr. Dean Mammales, DC. Orthopedic and neurological evaluation at every new patient visit.
Auto Accident Injury
PIP insurance accepted. Florida's 14-day rule applies. Same-week appointments available after a collision.
Manual Therapy
Soft tissue mobilization, joint mobilization, myofascial release, and instrument-assisted therapy targeting the structures surrounding the joint.
MLS Laser Therapy
FDA-cleared dual-wavelength laser therapy for pain and inflammation. No medication, no downtime. Particularly effective for nerve pain, tendinopathy, and joint arthritis.
Spinal Decompression
Motorized traction therapy for herniated discs, degenerative disc disease, and spinal stenosis. Works directly on the disc, not just the surrounding structures.
Biological Repair and Hormone Optimization
All regenerative and wellness medicine procedures are administered by Yuleisy Coto, MSN, APRN, FNP-C (FL APRN License No. APRN11009024).
Regenerative Medicine
Overview of the regenerative medicine program at Cobblestone, how to choose between PRP and stem cell therapy, and how each works alongside chiropractic care.
PRP Therapy
Platelet-rich plasma injections using your own concentrated growth factors to repair damaged joints, tendons, and ligaments. Effective for knee osteoarthritis, rotator cuff, tennis elbow, and plantar fasciitis.
Stem Cell Therapy
For advanced joint degeneration and conditions where PRP alone is insufficient. Authorized under Florida CS/CS/SB 1768. Ethically sourced, non-fetal stem cells only.
Peptide Therapy
BPC-157, TB-500, Sermorelin, CJC-1295/Ipamorelin, and other prescription peptide protocols for tissue repair, recovery, and performance. Medically supervised.
Hormone Replacement Therapy
Testosterone replacement therapy for men and bioidentical HRT for women. Lab-based diagnosis, monitored protocols. Directly supports musculoskeletal recovery and tissue integrity.
Full Panel Blood Analysis
More than 100 biomarkers covering hormones, metabolic function, thyroid, inflammation, and nutrient status. Ordered and interpreted by Yuleisy Coto, MSN, APRN, FNP-C with a detailed counseling review of every finding.
Medical Weight Management
Medically supervised GLP-1 program using semaglutide or tirzepatide. Starts with a full metabolic workup. Titrated with regular monitoring. Directly improves musculoskeletal outcomes by reducing compressive joint load.