Osteoarthritis is the most common form of arthritis in the U.S. While osteoarthritis can affect any joint in your body, the disorder most commonly affects joints in your knees, hands, hips, feet, and spine. Osteoarthritis commonly occurs after the age of 40 and gradually worsens over time.

Osteoarthritis joints occur when the cartilage of your bones wear away over time, or when there is a loss or damage to cartilage, the main cause is unknown. This loss of shock absorption causes inflammation and pain.

What Are The Symptoms

Osteoarthritis is one of the most common forms of arthritis. For many, the first signs are joints that ache after physical work or exercise. Typically osteoarthritis comes on slowly and worsen over time.

Common signs and symptoms of osteoarthritis include:

  • Loss of flexibility in your joint
  • Pain in a joint during or after movement, or toward the end of the day
  • Swelling or tenderness in one or more joints
  • Stiffness after periods of inactivity or overuse
  • Flare-ups of pain and inflammation after use of the affected joint
  • Crunching feeling or sound of bone rubbing on bone (called crepitus)
  • Bone spurs, extra bits of bone, which feel like hard lumps, may form around the affected joint.
  • Tenderness. Your joint may feel tender when you apply light pressure to it.

Treatment Options

While no cure exists, treatments are available that can relieve pain and help you remain active. Taking steps to actively manage your osteoarthritis may help you gain control over your symptoms.

Epidural Steroid Injection

We may prescribe steroid injections that treat inflammation and pain right at the source. This minimally invasive treatment involves an injection of corticosteroids into the area around your spinal cord and nerves in order to reduce inflammation.

The epidural space is located along the entire spinal canal superficial to the spinal fluid. Physician injects the medicine into the epidural space to relieve the inflammation of the nerves. This will reduce pain, numbness and tingling. X-ray guidance is used to ensure precise placement.

Holistic Treatments

There are many holistic treatments available for most painful conditions. Pain is often symptom of an injury. Various regenerative injection treatments are used to stimulate the repair of a damaged or injured area when the body’s natural healing process is not able to do the job on its own.

Available options include:

  • Cortisone Injections
  • Knee Viscosupplementation
  • Prolotherapy
  • PRP (Platelet Rich Plasma)
  • Sarapin Injections
  • Zeel Injections
  • Stem Cell Injections

Physical Therapy

Physical rehabilitation with active patient participation is a key approach to treatment of patients. Exercises learned during physical therapy can strengthen your spine and minimize your pain.

It is non-medical and non-surgical treatment in which range of motions and exercises are used to treat patients with back & neck pain, sciatica, and other related symptoms.

It is free from any risk of side-effects that are often linked with surgery such as bleeding and infection. In this treatment, our professionals also teach healthy habits to patients to prevent pain in future.


It is a regenerative treatment that is minimally invasive, in which we inject prolotherapy solution into the inflammation affected ligaments, tendons and joints to stimulate the repaid of damaged or injured area.

It is used to stimulate the repair of a damaged or injured area when the body’s natural healing process is inadequate. It is a great option for treatment because it can be an alternative to pain medications, surgery, and cortisone shots. It is a safe and affordable option for treatment.

Therapeutic Injections

There are several different types of injection therapies that are designed to treat specific types of disorders, injuries and pain in the body.

  • Facet Joint Injections
  • Cortisone Injections
  • Epidural Steroid Injections
  • Joint Injections
  • Lumbar Facet Blocks for Low Back Pain
  • Lumbar Sympathetic Block
  • Platelet Rich Plasma (PRP) Injection
  • Platelet Rich Plasma Therapy
  • Prolotherapy
  • Sacroiliac Joint Injections
  • Sarapin Injections
  • Spinal Injections
  • Sphenopalatine Nerve Blocks
  • Stem Cell Injections
  • Zeel Injections

Trigger Point Injection

In this treatment, medicine is directly injected into the trigger points. These points are central area of muscle spasm in the upper back and shoulder areas. It is used to treat conditions including fibromyalgia, tension headache, and myofascial pain syndrome.

Sometimes an anesthetic or saline is also used to help “flush out” inflammatory agents that may be irritating a nerve.

Osteoarthritis affects an estimated 27 million Americans. The chance of developing the disease increases with age. Most people over age 60 have osteoarthritis to some degree, but its severity varies. In people over age 50, more women than men have osteoarthritis.

Osteoarthritis, commonly known as wear and tear arthritis, is the most common type of arthritis, affecting millions of people worldwide. Osteoarthritis is a common condition that mostly affects any joints in the hands, knees, hips, spine and shoulders. It can happen in any joint, it can be mild or could be severe “bone on bone” resulting in severe daily pain and disability.

Osteoarthritis causes the cartilage in a joint to become stiff and lose its elasticity. Making the joint more susceptible to damage. As the cartilage deteriorates, tendons and ligaments stretch, causing pain.

Over time, the cartilage may wear away in some areas, greatly decreasing its ability to act as a shock absorber. This allows bones under the cartilage to rub together. The rubbing causes pain, swelling, and loss of motion of the joint. If the condition worsens, the bones could rub against each other. Over time bone spurs may grow on the edge of the joint and the joint may lose its normal shape.

There is no definitive test to diagnose osteoarthritis. To help determine whether you have the condition, your doctor will closely ask about your symptoms, medical history and examine your affected joint, checking for tenderness, swelling or redness, and for range of motion in the joint. Your doctor may also recommend imaging and lab tests.

Most people have some joint aches and pains as they age, if self-care techniques don’t sufficiently relieve your pain, a doctor may be able to prescribe other medical treatments or medications that will help.


Information your doctor may need to help diagnose Osteoarthritis includes:

  • A description of your symptoms
  • Medical history
  • Details about when and how the pain or other symptoms began
  • Where you are feeling pain, stiffness or other symptoms
  • How the symptoms are affecting you
  • Whether you have other medical problems that could be causing these symptoms


Your doctor may also recommend imaging and lab tests :

  • X-rays – May show that the cartilage is breaking down, typically revealing an uneven loss of cartilage and spurring of the underlying bone. It is not uncommon for people with no osteoarthritis symptoms to have X-ray signs of the condition.
  • MRI (magnetic resonance imaging) scan – Can help the doctor determine what is causing pain.
  • Blood tests – these are usually performed in order to rule out other conditions, especially rheumatoid arthritis.
  • Joint fluid analysis (arthrocentesis) – a sterile needle is used to withdraw (aspirate) fluid from an inflamed joint and then sent to the lab. If uric acid crystals are present it is more likely the patient has gout. This test can also determine whether there is inflammation or an infection.

There is no cure for osteoarthritis, treatment is used to help maintain or improve joint mobility, and reduce joint pain and stiffness to make it easier for you to remain active. Doctors often combine treatments to fit a patient’s needs, lifestyle, and health.

There are effective treatments available to relieve the pain without surgery. Injection therapies are safe, minimally invasive procedures that can provide pain relief lasting for weeks, months or years. Prompt diagnosis of the area and a targeted treatment allow you to return to normal activity in a short period of time. In most cases our treatments avoid invasive surgery for the patient.

The doctor may recommend medications to help relieve pain when needed or physical therapy to help improve strength and function. When pain is severe and frequent or mobility and daily activities become difficult, surgery may be considered.

Some Treatment Options:

  • Cortisone Injections
  • Knee Viscosupplementation
  • PRP Therapy (Platelet Rich Plasma)
  • Stem Cell Injections
  • Zeel Injections

At our clinic, we properly determine the cause of discomfort, plan strategies and suggest therapies, accordingly. Some conditions we treat include Osteoarthritis, Back pain, Neck pain, Arthritis, Herniated discs, Spinal stenosis, Hip/Knee Pain, Sciatica, Pinched nerves, Fibromyalgia, Headaches and Bursitis.

Also, we offer treatment for chronic migraines, Cervicogenic headache, chronic tension-type headache, Cluster headache and many other painful conditions.

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At our clinic, we properly determine the root cause of your pain.

Our specialists exclusively make use of new techniques for evaluating pain.

Immediate Appointments Available.

We are a Pain Management Center in Manhattan, NY. We provided a one-on-one experience, using state of the art equipment, and proven techniques that reduce pain quickly and enable a return to normal function. With our services, we aim to ensure complete well-being of patients with a holistic approach.

At our clinic, we properly determine the cause of discomfort, plan strategies and suggest therapies, accordingly. Our main aim is to ensure the complete well-being and health of patients; therefore we use several holistic treatments that stimulate the ability of the body to repair the damaged area.

Our holistic treatments are extensively utilized in the form of an alternate to pain medications and surgeries in various musculoskeletal conditions, as it focuses on permanently treating the root cause of the pain. Our holistic treatments include: Prolotherapy, PRP (Platelet Rich Plasma), Sarapin Therapy, Zeel Therapy, and Stem Cell Therapy.

Immediate Appointments Available. Call Us Today.