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

Tag Archive for: shoulder


Cindy: Nobody wants their everyday activities to be limited because of pain, but shoulder pain can do just that if it goes untreated. Dr. Rudy Gari from Florida Pain Relief Group joins us now to talk more about shoulder pain and, my gosh, this is my life right here, shoulder pain, constant. What causes this, and is it degenerative?

Dr. Rudy Gari: Well, that’s one of the types of shoulder pain, is degenerative. Other types are traumatic. Example, my son, he thinks he’s Superman, and he was working out at the gym, and he hyper-extended his arms, and he dislocated his shoulder. We actually took him to one of the best surgeons in the country, who said, “Well, maybe he needs surgery.” He had a little bit of a tear there. Instead of having surgery, we actually brought him back to our facility and put in some stem cells into his shoulder, and he’s young enough, it actually allows it to regenerate that tear.

Cindy: So, even a tear can be fixed without surgery. That’s the first I’ve heard of that.

Dr. Rudy Gari: We’ve actually seen MRI evidence, before and after. And because stem cells regenerate tissue, we’ve seen the little mice with an ear growing out of his back, okay? That’s regenerated tissue. That’s the future of medicine, and so we’re doing a lot of treatments for joint pains through stem cells, allografts, what’s called now, regenerative medicine.

Cindy: That’s great because I know somebody who recently had shoulder surgery, and the recovery is worse than what he was going through before the shoulder surgery. It’s a long time.

Dr. Rudy Gari: It’s a big operation. Some patients need it, but it really is a big operation. It’s a very long…months, it can be, through recovery period.

Cindy: Definitely. Now let’s talk about arthritis. We think of it as being in our knees, and maybe in our hands, but can we get it in our shoulders?

Dr. Rudy Gari: We get arthritis in every joint, not only in our knees, and shoulders. We actually see a lot of arthritis in your back. Your back has 31 different bones. Each one of those bones is mounted together through these little joints, and they’re called facet joints. You get inflammation in any of the joints, shoulders, neck, anywhere, and that can cause pain, but the good thing is that it can be treated. We have to go after the source. It’s usually some sort of inflammatory process, like in the back, for example. You have pain in the back from inflammation, and once we make that diagnosis, there’s a procedure that’s called radio frequency, actually burns these tiny little nerves that cause pain from those joints. We can do it down the back, in the hip joints, knee joints, just different places.

Cindy: So, for people who are living with chronic arthritis, this could be the relief that they’re looking for?

Dr. Rudy Gari: Absolutely, and we help a lot of people with that.

Cindy: Okay, so should anybody come that’s got shoulder pain, and they think that it’s going to take more than just…like, they’ve gone for the massage and it’s not working, so they come to you? So what do you do then?

Dr. Rudy Gari: The first thing that we’re going to do, Cindy, is make a diagnosis. So, we’re going to take a good history, examination, probably send this patient for an MRI, find out whether it is a tear, arthritis, something else going on, because you have to make a diagnosis first, before you can actually go with a treatment.

Cindy: Right, and your goal is to try to find a way to treat that without having to go through the surgery?

Dr. Rudy Gari: Surgery should be the last option on everybody. Sometimes, you need it.

Cindy: Right.

Dr. Rudy Gari: But, you know, once you get it, it’s a long recovery process, so we want to do everything possible to avoid that.

Cindy: Good stuff. All right, Dr. Gari, thank you very much. You can visit their website, to schedule your same-day appointment, or give them a call right now, 844-KICK-PAIN. Dr. Rudy Gari, great to see you.

Dr. Rudy Gari: My pleasure.

Cindy: We’ll be right back.


Interviewer: We all know that stress can wreak havoc on our bodies, with the problem area often being the neck and shoulders. Dr. Rudy Gari from Florida Pain Relief is back now to tell us how we can treat it. And you know doctor, I’ll tell you what, I know so many people that complain about these very same issues, the neck and the shoulder. A lot of people have this, don’t they?

Dr. Gari: Absolutely.

Interviewer: Yeah. So let’s talk about specifically neck pain. What causes it primarily?

Dr. Gari: Okay. Well, neck pain is caused by many different factors. It could be something as really benign as just tension, which you get tension, you get spasms around your shoulders. Yeah. It causes a lot of stress, a lot of tension in your neck, headaches. It could be something a lot more involved, like it could be a herniated disc and your cervical spine.

Interviewer: So now, is stress primarily associated with the neck and the shoulder pain that a lot of us experience?

Dr. Gari: Well, the shoulder and neck pain that you get from stress is a symptom of stress. So what happens when you get stressed is your body gets really tense. What it does is your muscles in your neck area contract. It goes into spasms. There are these things called trigger points that are almost like very many, little, tiny like very painful areas. And we can treat that. We can treat that very simply with just different medications. Sometimes just injecting a very small injection right into the muscle can just take it away. I’ve seen people come in, in tears, literally tears, because…

Interviewer: Oh wow, because they have such relief.

Dr. Gari: Well, because they’re miserable and… They’re miserable and then…

Interviewer: Oh coming in but then they’re crying tears of joy.

Dr. Gari: That’s right, and then it’s almost like tears of joy because, “Oh my God, I don’t have any pain anymore,” and it was just something very basic.

Interviewer: Absolutely. You know, so I’m coming to you, let’s say, and I’m coming to you with neck and with shoulder pain and maybe some pain in my upper thoracic and my back. What do you do? What’s the process? Explain.

Dr. Gari: Okay. So the first I’m gonna do is take a thorough history.

Interviewer: Okay.

Dr. Gari: I’m gonna take a history and find out what led to that. The next thing that I’m gonna do is perform a very thorough physical examination. After that, based on those findings, I might send you for some diagnostic studies. And it could be something like nerve conduction studies, EMG, basically just to find out if you have a pinched nerve.

Interviewer: Okay.

Dr. Gari: I may send you for some x-rays, MRI to see if you have a herniated disc. Just want to make sure that you don’t have anything a lot more involved that we should be treating other than just typical tension and neck pain.

Interviewer: Sure. So it really varies depending on, yeah, each person.

Dr. Gari: It varies and each person is different. The way that we like to treat you is to treat you as a person. We’re gonna take care of you as a person. Find out what you have and then tailor that treatment plan according, exactly, to your needs and to your situation.

Interviewer: So you have a specific plan for each person depending on the pain that they’re having?

Dr. Gari: Absolutely, yeah. It has to be tailored uniquely to the patient’s symptoms, history, examination findings.

Interviewer: Sure. Let’s talk about some exercises people can do to alleviate the pain we’re talking about, the neck and the shoulders specifically.

Dr. Gari: Okay. Well, some of the exercises are very basic. Sometimes if you just kind of touch your neck area, you feel like a lump there. That lump is actually your muscles completely contracted. And sometimes even just like massage therapy…

Interviewer: Yeah.

Dr. Gari: …you know how it feels so good because you relax that and that muscle, it’s no longer tense and the relief goes away. The problem is it doesn’t always go away from them. And that’s where we can get a little more involved.

Interviewer: Yeah.

Dr. Gari: But something very basic like that can just help out, just the massaging of that little knot that you have does a lot.

Interviewer: Fantastic, Dr. Gari, appreciate it. Now you can make same-day appointments with this guy and so be sure to visit their website, or give a call 844-KICK-PAIN. That’s what he does. We’ll be right back. Thanks so much, Dr. Gari.

Dr. Gari: Thank you.

Interviewer: Thank you.