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

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Physician Partners of America Pain Relief Group is proud to announce that Daniel Shalev, M.D., will join its interventional pain management practice in Carrollton on Monday, Dec. 4.

He was among the first physicians in the Dallas-Fort Worth area to perform spinal cord stimulator and pump implants. He has performed hundreds of spinal cord stimulators, and peripheral stimulator trials and surgical implants since the 1980s.

In more than 30 years of practicing anesthesiology and pain management, Dr. Shalev has founded and managed pain management practices, has been active in clinical teaching and lecturing, and his research has been published in many scholarly journals.

Born in Israel, Dr. Shalev earned his medical degree from Sackler School of Medicine at Tel-Aviv University, and completed his internship and an anesthesiology residency at Meir General Hospital in Kfar Saba, Israel. After immigrating to the United States, he completed a second anesthesiology residency at Montefiore Hospital and Medical Center in Bronx, New York. Dr. Shalev went on to do Critical Care training at Montefiore and a Pain Management Fellowship at the Pain Center at the Department of Anesthesiology, University of Virginia Medical Center in Charlottesville. He spent nearly ten years teaching Pain Fellows in a variety of procedures in a private practice Pain Management Fellowship.

To Dr. Shalev, pain management is one of the most challenging yet satisfying fields of medicine. “It is gratifying knowing a complicated pain issue has been helped,” he says. “Patients are most grateful.”

He and his wife have four grown children and four grandchildren. In his spare time, he enjoys many activities including mixed martial arts, tennis, scuba diving, travel, music, and movies.

Patients can make an appointment with Dr. Shalev at the clinic, 4100 Fairway Court, Suite 100, Carrollton, Texas, 75010, by calling 469-298-1439. The clinic is open from 8 a.m. to 5 p.m. weekdays, with same-day appointments available.

Cindy: Everyone experiences back pain at some point in their life, whether it be strained muscles, a pinched nerve, or something much more serious. Dr. Rudy Gari from Florida Pain Relief joins us now to talk about why it happens and what we can do to stop it. Hi, Dr. Gari.

Dr. Gari: Hi Cindy, how are you?

Cindy: I’m well and thankfully pain-free right now, but I’ve had back pain and I think everybody that’s watching right now at some point in their lives has had it if they’re not having it right now. What can we do, first of all, to prevent this back pain?

Dr. Gari: Well the first thing that you can do is to make sure that your core muscles are intact. One of the biggest reasons for problems with back pain is that as we get older, our muscles and our core tends to loosen up, and those are really the protectors, and when they loosen up, it gets everything else loose and allows you to maybe twist the wrong way for you to get hurt.

Cindy: Yeah, I’ve done that.

Dr. Gari: Yeah.

Cindy: What about pinched nerves? We hear about that a lot. What can your organization do to help people who have pinched a nerve in their back?

Dr. Gari: A pinched nerve is actually a nerve that’s inflamed. What we can do is first identify exactly which nerve it is. Then if it doesn’t go away with typical physical therapy, medication, and so forth, very mild, we can go ahead and put some medication right exactly into that nerve with a very local anesthetic and something to take away the inflammation. If we take the inflammation, that pain goes away.

Cindy: Because a lot of times when people have back pain, it prevents them from doing any kind of activity, and then that’s a ripple effect for their whole health, isn’t it?

Dr. Gari: Absolutely, because if you think about it, your back is the core of your locomotion. You can’t walk, you can’t do anything, you can’t bend. It’s debilitating.

Cindy: Yeah, it can affect every aspect of your life.

Dr. Gari: Absolutely.

Cindy: What’s the most common back pain people come in complaining of?

Dr. Gari: The most common that we see is either some sort of a strain, or it’s some sort of a herniated disk, which is actually where your spine consists of the 31 different vertebrae, like bones, that hold us up, and there are these little shock absorbers in between. That little shock absorber gel, if it protrudes out it can hit a nerve, cause inflammation, and that can be very debilitating.

Cindy: What’s the option for somebody with a herniated disk? My mom had that.

Dr. Gari: Yeah, the option is to see if it goes away with physical therapy and just rest. If it doesn’t, then before you go and get operated, we can go in right like we talked about earlier, go in and take care of that inflamed nerve. It’s an outpatient procedure.

Cindy: Great.

Dr. Gari: Take away and reduce the inflammation, allow you to get back on your feet again, and eventually that inflammation goes away so that we can try to avoid you from getting surgery.

Cindy: Isn’t that nice? A lot of people will be happy to hear about that. What can people do at home and how can exercise play a role in really protecting our backs and preventing damage?

Dr. Gari: The exercise that you can do is, again, core exercises, especially your abdominal area. Want to make sure that you find ways not to have more extra pounds than you need to. You have to be careful with your exercises because you don’t want to hurt yourself either.

Cindy: Right.

Dr. Gari: But anything that strengthens your abdominal area and your back muscles, that’s the first line of defense before it ends up hitting your spine, which is where some of the problems tend to occur.

Cindy: What about yoga and Pilates? Do you think those are good?

Dr. Gari: Those are very good, absolutely. Stretching, and that all causes a lot of core exercises, yoga and Pilates. They’re very good. In fact, Pilates was actually started by a doctor, Dr. Pilate.

Cindy: Yes, of course.

Dr. Gari: Yes, and Dr. Pilate started this Pilates exercises because he suffers from back pain.

Cindy: See?

Dr. Gari: And he wanted to actually find some exercises where he could actually treat himself, and he treated himself with Pilate exercises.

Cindy: All right, well Dr. Gari, thank you very much. For relief of any kind of pain, you can make the same day appointment today at Florida Pain Relief. Be sure to visit their website,, or give them a call. 844-KICK-PAIN. We’ll be right back.