Make Pain a Thing of the Past – arthritis – Physician Partners of America

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Cyndi: Everyone’s familiar with arthritis, but do you know that it does not have to be a life sentence? Arthritis is a life-altering form of pain for so many people, but Dr. Rudy Gari from Florida Pain Relief Group is here to help. Welcome back, Dr. Gari.

Dr. Gari: Thank you.

Cyndi: So we all hear about arthritis, we talk about arthritis, but really what is arthritis?

Dr. Gari: So arthritis, if you break down the word, so itis means inflammation, and arthro means joints. So arthritis is basically an inflammation of your joints. And of course, your joints are what keeps the bones together. So you have joints throughout the entire body. That’s what allows us to bend and do things. So that can cause a lot of wear and tear. That wear and tear leads to inflammation. There are nerve endings in those joints, and it can get pretty painful.

Cyndi: We’ve heard of different types of arthritis. What’s the most common?

Dr. Gari: The most common type of arthritis is osteoarthritis.

Cyndi: Osteo?

Dr. Gari: Yes. In fact, most of us get some sort of arthritis. Even our late 20s it begins, 30s and 40s.

Cyndi: Is it pretty much inevitable that we’re all going to get some form of arthritis?

Dr. Gari: Unfortunately, most of us as we get older, we are gonna get arthritis. It doesn’t mean that you have to know that you have it. You kinda get these aches and so forth throughout the day. But most of us go about our daily lives just, you know, living as if nothing’s going on.

Cyndi: But there are some people their arthritis affects their everyday life and it can really be hard for them to function. So what can you do for people who have arthritis, either in the early stage or quite gradual?

Dr. Gari: The first thing that we do is to determine the type of arthritis, and that helps us to determine what the outcome might be. So let’s just say osteoarthritis, for example, because that’s really common. A lot of times, osteoarthritis causes joint pain everywhere. Most of the pain tends to be low back, cervical region. Our necks hold the head up. Our lower backs help us bend back-and-forth. Those are the daily activities. So we tend to focus on those joints because that’s what’s gonna improve your daily living as much as possible. Things that we can do, we mentioned that’s inflammation of the joints, so what we do is go in there to reduce the inflammation. Some sort of injections goes into those joints, there’s no surgery that’s involved. Two or three of these, if it relieves inflammation, there’s even other things such as radiofrequency, rhizotomies that I’ve mentioned before, that can help burn the little nerve endings that only cause pain.

Cyndi: Wow. We’ve heard about taking turmeric and things like that, and adding more things to our diet to help with inflammation, but that’s not necessarily going to be enough, is it?

Dr. Gari: What happens when you eat something, whether it’s a pill or whatever, it goes in your mouth and through your stomach, and then from there it gets absorbed, goes through your liver, and 95% gets broken down. So a very tiny, tiny fraction of what you’re taking is actually going to those joints. By us delivering the medication straight to those joints, we bypass all that.

Cyndi: Is it always a type of medication that you recommend, or do you have different therapies for arthritis?

Dr. Gari: Different therapies. Sometimes, actually, just moving around. Physical therapy, moving. I ask them to go in the pool, just move your joints more. Sleep. If you can get better sleep, your joints are gonna absorb some more fluid. That’s going to help out as well.

Cyndi: Right, but if you’re finding that it’s really hard to function, you can help.

Dr. Gari: Yes, we can.

Cyndi: You can get right in there and take care of it.

Dr. Gari: Absolutely.

Cyndi: Good stuff. Dr. Gari, thank you very much. Contact Florida Pain Relief Group to schedule your same-day appointment. You can visit their website, it is Or you can give them a call right now, 844-KICK-PAIN, and you too can be pain-free. Thank you, again.

Dr. Gari: My pleasure.

Cyndi: We’ll be right back.

Get relief from arthritis pain in Tampa

Tampa pain specialist Dr. Rodolfo Gari of Florida Pain Relief Group is an expert in the treatment of chronic pain due to arthritis.

In a recent appearance on the News Channel 8 program “DayTime”, Dr. Gari spoke about the various symptoms of pain from arthritis and the treatment options that exist.

You don’t have to suffer in pain from arthritis. Each of our Tampa pain doctors have years of experience treating arthritis pain using a variety of techniques and procedures.

Schedule an appointment at one of our Tampa pain relief center locations in East Tampa, North Tampa and Carrollwood.

Watch the video here:

Millions of people across the country experience pain from arthritis every day. The pain can range from mild discomfort to debilitating.

Effectively treating arthritis depends in large part on the severity of the condition and any related conditions.

Pain specialist Dr. Alik Saidov of Physician Partners of America in Arlington, TX, treats patients with varied arthritis-related conditions on a regular basis.

Below he provides some insight into treatment options and how best to prevent becoming arthritic.


Question: I take over the counter medication for my arthritis, but it’s not effective. What are other treatment options are there?

Dr. Saidov: “First, the pain should be evaluated by a specialist to determine the cause of arthritis. It could be from most common type “wear-and-tear” osteoarthrosis or a part of underlying pathology (e.g. rheumatoid arthritis, psoriasis, etc). The treatment options may vary from simple OTC medications to very strong pain and anti-inflammatory medications and injections into joints.”

Q: Are there specific things I can do in my daily life to reduce arthritis pain?

Dr. Saidov: “This depends on the type of arthritis. Recommendations could range from physical therapy to increase range of motion, to cold/warm applications, braces and more.”

Q: Since I know I have arthritis, are there any other conditions I should keep an eye out for?

Dr. Saidov:  “It could be from most common type “wear-and-tear” osteoarthritis or a part of underlying pathology (e.g. rheumatoid arthritis, psoriasis, Lupus, avascular necrosis, etc). It is important to be evaluated by a specialist first.”

Find Arthritis Relief with Alternative Pain Management

While arthritis pain can be unbearable during any time of the year, many who suffer from arthritis particularly dread the winter season. Though there is little research on the effects that the winter season actually has on arthritis, there are a few theories as to why colder temperatures can intensify arthritic pain in the joints. In cooler weather, air pressure tends to be lower, which can cause tissue around the joints to expand, putting pressure on them and causing pain or stiffness. It is also possible that the cold can cause tissue to contract, pulling on joints and further intensifying pain.

No matter the cause of this increased pain, there are many treatments for arthritis pain that exist outside of prescription drugs or pain medications. At our pain relief centers, we offer a number of alternative pain management techniques designed to effectively relieve arthritis pain.

Massage Therapy

Many studies have found that massage therapy can relieve the pain that is associated with arthritis. Moderate pressure applied to muscles stimulates the nerves that send pain-reducing signals to the brain. It is important to note that applying pressure does not always help to relieve arthritis, but when done properly by a certified therapist, a periodic massage can assist in greatly decreasing pain.


Similar to massage therapy, acupuncture can help loosen the tight muscles that cause arthritis pain. Muscles are especially tightened in cold weather, making acupuncture an ideal treatment during the winter season. In addition to loosening the muscles, acupuncture has been seen to help regulate the nervous system, which can help the body release endorphins that combat pain


Though many view Botox only as a cosmetic procedure, recent studies have begun to explore Botox as a treatment for pain associated with arthritis, migraines, and other forms of chronic pain. Our migraine specialists in Texas and Florida use Botox to block the signals that nerve cells send to muscles, which stops muscles from contracting. This allows Botox to block the transmission of signals between pain receptors and the brain, relieving the pain of arthritis. Pain relief from Botox can also last for a few months, meaning that it does not need to be a daily treatment for pain relief, unlike traditional painkillers.

Spinal Cord Stimulation

A spinal cord stimulator is a device used to send electrodes throughout the body. Electrodes are placed on areas of pain, and electricity is carried to nerves in the back or neck (or wherever the pain is occurring), helping to block nerves from sending pain signals to the brain. The treatment is often used by those who suffer from chronic upper and lower back pain, but it can also help to lessen the pain that is caused by arthritis.