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

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Dr. Rodolfo Gari Talks Kyphoplasty: Pain Management Without Surgery

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Interviewer: Our next guest has been here before, of course, talking about the innovative ways that he treats pain without surgery. We love the sound of that. We welcome back Dr. Rudy Gari from Florida Pain Relief Group who is here with another method and that is called – it’s got a funny name but I’ll try it right here – kyphoplasty.

Dr. Gari: Yes, yes.

Interviewer: Okay, so what is a kyphoplasty?

Dr. Gari: So, a kyphoplasty, basically, it is a way…we’re actually putting like a cement into your vertebral bodies. So, your spinal column consists of 31 different bones called vertebral bodies. Sometimes, usually as we get older or we fall and so-forth, that body can become fractured. It can have what’s called a compression fracture where the body actually shrinks. And we didn’t have a whole lot of methods before except to go on and put all kinds of fuses and rods in there to straighten it up. Now, what we can do, we can actually put medication, like a cement, into that vertebral body to make it stronger to try to really strengthen that bone, and the relief can be sometimes instantly.

Interviewer: That’s fantastic. Now, we’re talking about…you’re mentioning these vertebral bodies, it’s basically the vertebrae, right?

Dr. Gari: It’s the vertebrae, correct.

Interviewer: Okay, and so we’re talking about back and any part of the back that this kyphoplasty helps?

Dr. Gari: Well, this help patients that have had a fracture.

Interviewer: Okay. Specifically?

Dr. Gari: Specifically.

Interviewer: Okay.

Dr. Gari: They’ve broken their backbone, if you will, somehow and it’s a way to be able to give them strength of that vertebrae again, so that they can get back on their feet and be able to get things done.

Interviewer: And a lot of times people who have had these fractures, they start to shrink, don’t they? So does this prevent that from happening?

Dr. Gari: Well, what actually happens when we shrink it…well, first of all, it does align you a little bit more, but the reason why we shrink when we get older is not so much the bone, but there is actually this gelatinous tissue in between the bones…

Interviewer: That disappears.

Dr. Gari: …and that tends to get lower and lower. So, we can lose 1, 2, or 3 inches as we get older because it tends to dry out.

Interviewer: Yeah, I’ve lost an inch already. I used to be 6’3″, I’m 6’2″ now and I hate that. All right, so are we talking about permanent or temporary relief with this kyphoplasty?

Dr. Gari: Well, the kyphoplasty, you know, it’s a permanent thing. I mean, we put that in there and that vertebra is a lot stronger that what it’s been before.

Interviewer: That’s great.

Gari: And that stays in there.

Interviewer: Sure. Now, how does one know if they’re a candidate for this type of treatment?

Dr. Gari: Well, usually your…you know, most physicians know about this procedure. So, if you go to your primary care doctor or your orthopedic or whoever it may be, you know, they’ll diagnose that fracture and find a physician that is competent and skilled at performing these procedures.

Interviewer: Yeah. And you know, Doctor, a lot of people out there who are in pain, no matter what kind of pain it is, the first thing they reach for in the medicine cabinet is an anti-inflammatory or, worse yet, even an opiate. Why is that not a good idea?

Dr. Gari: They have side effects. Those anti-inflammatories…I’ve actually done a year of internal medicine and I’ve seen patients, actually, beat up and die from anti-inflammatories. You cannot be taking this and you should not be taking these on a daily basis. There’s a lot a lot of, I mean, a more mild and gentle anti-inflammatory drugs, but even they have side effects as well. They can affect your kidneys. There’s all kinds of different side effects from long-term medications and, of course, the opioid. We all know about the opioid addiction, the epidemic that goes on. They’re not meant to be taken in the long term. Some patients need long-term opioids. However, there’s a lot of things that can be done so that you don’t have to take all these medications with significant side effects.

Interviewer: Okay, and this being one of them and you have so many other treatments available.

Dr. Gari: Yes we do.

Interviewer: Dr. Gari, thank you so much. Now, Florida Pain Relief Group even schedules same-day appointments for you.

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Osteoporosis Pain Relief

Osteoporosis, which is a disease that affects the strength and density of the bones, is extremely common. It is estimated that more than three million Americans are newly diagnosed with this condition each year, resulting in more than 50 million annual cases of osteoporosis.

While anyone can develop osteoporosis, certain risk factors greatly increase your chances of developing brittle, weak bones:

  • Being Caucasian or Asian
  • Being female
  • Being over the age of 60
  • Low body weight
  • Low sex hormone levels
  • Menopause
  • Small body frame
  • Smoking

Although osteoporosis is most common in older individuals, bone mass gradually starts to decrease – sometimes by as much as one percent each year – as early as the age of 30. Taking preventive measures when young, such as exercising and getting sufficient calcium and vitamin D, is an essential part of life-long bone health.

Osteoporosis Diagnosis & Symptoms

Unfortunately, many people don’t realize they have osteoporosis until a bone fracture occurs. Considered a “silent” disease, osteoporosis can develop over the course of many years without producing any noticeable symptoms. Being vigilant about potential signs of bone loss is extremely important, as taking measures to fend off osteoporosis early can help prevent dangerous fractures down the line. Talk to your doctor about your risk for osteoporosis if you notice:

    • Bone pain or low back pain
    • Spinal curvature
    • Height loss

A diagnostic test called a bone mineral density scan, or DEXA scan, is an X-ray specifically geared toward detecting loss of bone density. Images of your bones are compared to healthy bone benchmarks for someone of your age, gender, and ethnicity. Your doctor may order a DEXA scan if you are at an increased risk for osteoporosis or exhibit any of the symptoms listed above.

Osteoporosis Treatment in Texas and Florida

If you are diagnosed with osteoporosis, treatments will likely include calcium, vitamin D, specialized osteoporosis medication, physical therapy, and strength training. Treatment may vary if you are experiencing osteoporosis pain due to a bone fracture. Back pain due to a fracture of one of the spinal vertebrae can be especially debilitating and may require surgery. At Physician Partners of America locations across Texas and Florida, we offer osteoporosis pain treatment and vertebral fracture treatments such as vertebroplasty and kyphoplasty. These minimally invasive procedures can help heal a vertebral fracture caused by osteoporosis so that you can get back to living your life.

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