Clean clinic, even early for my last appointment. I always get in within 10. Minutes. No, he will not provide pain meds right off. If thats what you want, you may get it and you may not. We start with PT. I do my stretches at home now. He and his PAs encourage pressure point injections and cortisone treatments, as well as meds for me. He mixes it up until he finds just the right treatment plan for you. And he really LISTENS.