Effective Date: April 18, 2026
Nonsurgical Orthopedics maintains this Medical Review Policy to describe how selected website content is created, reviewed, approved, updated, corrected, restricted, archived, or removed. This policy is intended to protect the integrity of the website, reduce the risk of inaccurate or misleading health-related claims, preserve physician editorial control, and make clear the limited meaning of any statement that content has been "medically reviewed."
Purpose of This Policy
The purpose of this policy is to establish a formal internal standard for reviewing health-related website content published by or on behalf of Nonsurgical Orthopedics. This policy is intended to reduce the risk of misleading, overstated, incomplete, stale, or clinically unsafe public-facing content; to preserve physician oversight over medically significant statements; to distinguish educational content from individualized medical care; and to ensure that content touching on orthopedic, sports medicine, regenerative medicine, biologic products, off-label uses, procedures, injections, rehabilitation, and related subjects is screened before publication for medical accuracy, legal sensitivity, and marketing risk.
This policy is an internal publication-control policy. It is not a promise to any user that the website is error-free, current at all times, exhaustive, or suitable for clinical decision-making. A "medically reviewed" label does not mean the content applies to any particular person, condition, symptom pattern, medical history, imaging result, medication list, or treatment decision.
Scope of Review
This policy applies to all public-facing website content that is medical, quasi-medical, clinical, procedural, therapeutic, diagnostic, comparative, risk-related, outcome-related, or otherwise likely to influence a reasonable person's beliefs about diagnosis, treatment, prognosis, safety, appropriateness, candidacy, efficacy, alternatives, or expected results.
Covered content includes, without limitation:
Homepage copy, service pages, treatment descriptions, blog posts, FAQs, downloadable materials, procedural explanations, rehabilitation guidance, image captions, charts, comparison tables, patient-facing educational materials, promotional copy, metadata, schema text, video scripts, subtitles, social-media text published through the website, form prompts, chatbot knowledge bases if deployed, and all statements concerning PRP, stem cell therapy, BMAC, ReNu, AmnioFix, Clarix Flo, adipose allograft injections, exosome therapy, cortisone injections, viscosupplementation, nerve blocks, trigger point injections, physical rehabilitation, bracing, and support.
This policy also applies to content that is not overtly clinical but could reasonably be interpreted as implying a medical claim, including testimonials, before-and-after descriptions, claims of superiority, claims of regenerative effect, safety language, and statements implying FDA approval, medical consensus, or predictable patient outcomes.
Medical Reviewer Authority
Content designated as "Medically Reviewed," "Reviewed by a Physician," "Clinically Reviewed," or similar language may be approved only by Jason Pirozzolo, DO, or by another licensed physician expressly identified by the website as the reviewing physician. The reviewing physician retains final editorial authority over whether the content is approved, revised, qualified, delayed, archived, restricted, or removed.
The medical reviewer's role is limited to evaluating content for general medical reasonableness, internal consistency, major inaccuracies, omission of material risk qualifiers, inappropriate certainty, problematic marketing implications, and the need for disclaimers or narrowing language. The medical reviewer is not required to independently verify every external source, replicate cited studies, exhaustively update every page whenever literature changes, or convert the website into a real-time evidence surveillance platform.
Nonsurgical Orthopedics reserves the right to reject, revise, or remove any content at any time, with or without notice, even if it has previously been medically reviewed.
Meaning of "Medically Reviewed"
A statement that content has been "medically reviewed" means only that a designated physician reviewer has evaluated the content for general educational suitability as of the time of review. It does not mean:
- that the content is complete;
- that the content is continuously monitored;
- that the content reflects the latest literature at every moment;
- that the content is individualized medical advice;
- that the content establishes a physician-patient relationship;
- that the content is applicable to a reader's specific condition;
- that the described treatment is appropriate, safe, indicated, available, affordable, or successful for any particular person; or
- that any therapy discussed is FDA-approved for every referenced use.
The label "medically reviewed" is descriptive of an internal editorial process only. It is not a warranty, guarantee, certification of standard of care, or undertaking to provide personalized medical guidance.
Review Standards
During review, content may be screened for any of the following:
- medical plausibility;
- overstatement of benefits;
- understatement of risks;
- omission of reasonable alternatives;
- failure to distinguish investigational or off-label uses from established labeled uses;
- unqualified language such as "works," "heals," "regenerates," "reverses," "cures," "repairs," "safe," "proven," "best," or similar definitive phrasing;
- improper implication that testimonials predict results;
- improper implication that published studies establish individualized expectations;
- failure to state that results vary;
- failure to state that a formal evaluation is required before treatment decisions;
- failure to state that emergencies require calling 911;
- failure to separate educational material from care recommendations;
- misleading references to FDA status, clearance, registration, or approval;
- language that could be construed as establishing or evidencing the intended use of any drug, biologic, device, or HCT/P under FDA's intended use framework (21 CFR 201.128);
- language that could undermine a tissue-based product's classification as a section 361 HCT/P by suggesting non-homologous use, more than minimal manipulation, combination with another article, or a systemic effect inconsistent with 21 CFR 1271.10;
- disease-treatment claims that could affect the regulatory classification or enforcement risk of any referenced biologic or tissue-based product; and
- language likely to create an unintended physician-patient relationship or actionable reliance.
Health-related claims are also reviewed with awareness that the FTC expects health-benefit and safety claims to be truthful, not misleading, and scientifically supported, and the FDA has issued public warnings about unapproved regenerative medicine products and exosome claims.
Evidence Hierarchy and Source Selection
The website may draw from physician experience, clinical reasoning, general medical literature, textbooks, specialty practice concepts, peer-reviewed studies, government materials, manufacturer materials, continuing education, and publicly available regulatory information. However, Nonsurgical Orthopedics is not required to publish content only if a randomized controlled trial exists, and absence of perfect evidence does not prohibit publication of educational material if the content is carefully qualified.
When feasible, the reviewer may prefer higher-quality sources for medical claims, including peer-reviewed literature, specialty society materials, government sources, official labeling, and regulator communications. Lower-quality, anecdotal, promotional, sensationalized, or manufacturer-driven materials may be rejected, heavily qualified, or excluded. The reviewer may refuse to publish claims that appear weakly supported, overstated, difficult to substantiate, legally risky, or likely to mislead a lay reader even if some literature exists.
No page is required to contain every available study, every contrary study, or a full systematic review. The site is educational, not a medical database.
Regenerative Medicine, Biologics, Off-Label Uses, and Investigational Content
This website covers orthopedic and regenerative topics that may involve products, procedures, or uses that are off-label, investigational, controversial, evolving, or not approved by the FDA for specific musculoskeletal indications. The FDA states that regenerative medicine therapies have not been approved for orthopedic conditions such as osteoarthritis and tendonitis and that there are currently no FDA-approved exosome products. The FDA has also warned consumers about broad marketing of unapproved regenerative medicine products.
Accordingly, any content discussing stem cell therapy, BMAC, adipose allograft injections, amniotic or placental tissue products, exosome therapy, or related biologic or tissue-based interventions is subject to heightened review. Such content may be revised or withheld unless it clearly distinguishes educational discussion from treatment recommendation, avoids implying FDA approval where none exists, avoids promising cartilage regrowth or other specific tissue outcomes unless narrowly and accurately qualified, and includes appropriate limitations regarding uncertainty, patient selection, variability of results, and informed-consent requirements.
Because the site identifies Jason Pirozzolo, DO, an osteopathic physician, content that advertises or describes stem cell therapy is also reviewed for consistency with Florida's osteopathic stem cell statute, section 459.0127, including the statutory advertising notice and consent framework where applicable.
Because website content describing how a product is used can constitute evidence of intended use under the FDA's intended use framework (21 CFR 201.128) and can affect whether a product qualifies for regulation solely under section 361 of the Public Health Service Act (as an HCT/P meeting 21 CFR 1271.10 criteria) or instead requires a Biologics License Application under section 351 of PHSA, a New Drug Application, or other premarket authorization, content describing regenerative, biologic, or tissue-based treatments is reviewed with particular attention to language that could be construed as establishing or broadening the intended use of any product beyond its lawful classification. The reviewer may reject, revise, or qualify language that explicitly or implicitly claims that a product treats, cures, mitigates, or prevents a specific disease or condition if such language could affect the product's regulatory classification or create enforcement exposure for the manufacturer, distributor, or practice. The practice does not manufacture any biologic product, HCT/P, drug, or device, and makes no representation about any manufacturer's regulatory compliance, product classification, or establishment registration status.
No Personalized Medical Advice; No Physician-Patient Relationship
All website content is intended solely for general informational and educational purposes. Medical review does not convert website content into diagnosis, treatment, clearance, individualized rehabilitation instructions, or medical advice for any user. Use of the website, reading medically reviewed material, submitting a contact form, sending an email, or calling the practice does not create a physician-patient relationship. A physician-patient relationship arises only through the practice's formal intake, consent, scheduling, and evaluation process as determined by the practice.
Users must not rely on the website as a substitute for direct medical evaluation. If a user has an emergency, the user must call 911 immediately or seek emergency care. A medically reviewed label does not change that rule.
Medical review of website content does not constitute or replace the informed consent required under Florida law, including F.S. 766.103 and F.S. 459.0127, before any actual medical treatment or procedure. Patients must receive individualized disclosure of risks, benefits, alternatives, and the nature of any proposed treatment through the practice's formal consent process before undergoing any procedure.
HIPAA and Submission of Information
This website policy concerns website publication review, not the full legal handling of protected health information in an established clinical relationship. HHS states that doctors and clinics are HIPAA covered entities only if they transmit information electronically in connection with standard transactions. Users should not assume that information sent through general website forms or general email is protected in the same manner as information held in a formal patient record.
Medically reviewed pages should therefore avoid inviting users to submit sensitive protected health information through public-facing forms or unsecured channels unless the site expressly directs users to an approved secure process.
Testimonials, Reviews, and Anecdotal Outcomes
Patient testimonials, reviews, anecdotes, and narrative experiences may be edited, limited, qualified, delayed, or excluded if they could reasonably imply typicality, guaranteed success, superiority, predictable outcomes, or absence of risk. No testimonial may be published in a manner that suggests a typical or guaranteed result unless that implication is true, substantiated, and appropriately disclosed.
Nonsurgical Orthopedics reserves the right to refuse to publish, to redact, or to remove any testimonial, review excerpt, or outcome statement that is inaccurate, unverifiable, legally risky, overly promotional, clinically misleading, defamatory, privacy-invasive, or inconsistent with this policy.
Third-Party Sources, External Links, and Citations
A medically reviewed page may cite or link to third-party material, including journals, government resources, or industry sources, but no such citation or link constitutes adoption of the third party's full position, endorsement of the third party, or warranty of accuracy. External links may be added, removed, replaced, or omitted at any time in the reviewer's discretion.
The presence of citations does not mean the page is exhaustive. The absence of a citation does not mean that a statement is unsupported; it may instead reflect physician-authored educational synthesis, common clinical knowledge, or editorial choice. Conversely, the presence of a citation does not authorize readers to extrapolate beyond the cited proposition.
AI-Generated and Automated Content
No content may be labeled "medically reviewed" if it was generated, drafted, modified, summarized, expanded, or translated by artificial intelligence or any automated system unless it undergoes full human physician review and express approval before publication. AI-assisted drafting, if ever used internally, does not reduce or replace physician responsibility for final review.
No third party may use this website, its medically reviewed pages, metadata, structure, text, images, or related materials to train, fine-tune, benchmark, validate, or improve any artificial intelligence or machine learning system.
Any unauthorized scraping, crawling, automated extraction, model training, or derivative data compilation involving medically reviewed content is prohibited and may result in blocking, evidence preservation, cease-and-desist demands, claims for injunctive relief, and pursuit of all available legal remedies.
Editing, Updating, and No Duty of Continuous Revision
Medically reviewed content may be updated periodically, but Nonsurgical Orthopedics assumes no duty to revise all pages immediately upon publication of new research, guideline changes, regulatory updates, manufacturer revisions, litigation developments, payer policy changes, or changes in physician preference. Review dates are editorial markers only. They do not imply continuous surveillance.
The practice may leave older educational content published if it remains generally useful, even if newer information exists, provided the practice determines in its discretion that the content is not materially misleading. The practice may also archive, revise, restrict, relabel, or remove content without notice.
Corrections, Challenges, and Reader Submissions
Nonsurgical Orthopedics may, but is not obligated to, review reader-submitted correction requests, citation suggestions, scientific objections, or allegations of error. The practice may ignore, reject, investigate, or act upon such submissions in its sole discretion. Submission of a proposed correction does not create any obligation to respond, revise, or publish a rebuttal.
Any correction request should identify the page, the challenged language, the proposed correction, and supporting source material. The practice may request additional information before considering any change.
Content Removal and Emergency Takedown Authority
The practice reserves absolute discretion to remove, unpublish, geo-restrict, password-protect, suspend, or materially revise any medically reviewed page at any time for any reason, including medical ambiguity, changed regulatory climate, legal risk, reputational concerns, technical compromise, outdated evidence, misuse by third parties, AI scraping risk, or concern that a page may be misread by the public.
The practice may temporarily remove pages without explanation while review is pending.
Advertising Separation and Commercial Statements
Medical review does not convert marketing copy into medical fact, and marketing personnel may not represent that any content was medically reviewed unless a qualified physician reviewer actually approved the final published version. Claims of efficacy, safety, superiority, speed of recovery, regenerative effect, candidacy, or likely success may be narrowed, rejected, or stripped from advertising language during review.
Where health-related commercial claims are made, they should be evaluated in light of the FTC's guidance that health claims must be truthful, non-misleading, and supported by appropriate substantiation.
Intellectual Property and False Attribution
All medically reviewed content is proprietary to Key West Concierge Orthopedics LLC unless otherwise noted. No third party may copy, republish, frame, mirror, excerpt in bulk, relabel, or falsely attribute any medically reviewed material to another reviewer, practice, platform, or AI system. False attribution of physician review, unauthorized syndication, or misleading republication is prohibited.
No Waiver; Reservation of Rights
Failure to review particular content, delay in updating content, or publication of content without a medical review label does not waive any right of Nonsurgical Orthopedics to restrict, revise, remove, defend, or disclaim that content. The practice reserves all rights to interpret, apply, modify, suspend, or replace this policy at any time.
Relationship to Terms of Service and Privacy Policy
This Medical Review Policy is incorporated into and subject to the Terms of Service. The governing law, exclusive venue, limitation of liability, disclaimer of warranties, indemnification, class action waiver, jury trial waiver, and statute of limitations provisions of the Terms of Service apply in full to any claim arising under or relating to this Medical Review Policy. Your use of the Site is also subject to the Privacy Policy. In the event of a conflict between this policy and the Terms of Service regarding liability, remedies, or dispute resolution, the Terms of Service control.
Changes to This Policy
This Medical Review Policy may be revised at any time without prior notice. Revised versions become effective upon posting unless a later effective date is stated. Continued use of the website after posting of a revised policy constitutes acceptance of the revised policy.
Contact
Questions regarding this Medical Review Policy should be directed to:
Key West Concierge Orthopedics LLC
Attn: Medical Review and Website Compliance
Key West, Florida
Email: Contact Here
Telephone: (305) 707-8484