Osteoarthritis Specialists

In Maryland, Pennsylvania, Florida and Virginia


Osteoarthritis is a condition that  affects millions of people worldwide. It is a degenerative disease that primarily affects the joints, causing pain, stiffness, and limited mobility. At Pain and Spine Specialists, we understand how debilitating osteoarthritis can be for our patients. That's why our team of highly skilled physicians specializesa in providing comprehensive care for this condition. We offer personalized treatment plans to help manage symptoms and improve quality of life.

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Managing Pain From Osteoarthritis

Osteoarthritis, often known as "wear and tear" arthritis, is a condition that affects millions of people worldwide. This degenerative joint disease primarily targets your hands, knees, hips, and spine, making everyday tasks a challenge for those living with it. The prevalence of osteoarthritis is increasing due in part to an aging population and rising obesity rates.

To learn more about treatments we offer and other frequently asked questions about Osteoarthritis, use the resource buttons below.

When you're ready to take the next step, the osteoarthritis specialists at Pain and Spine Specialists are here to help. Remember, early intervention is vital when it comes to managing osteoarthritis. Don't wait until your pain becomes unbearable; reach out to us today and start your journey towards a more comfortable life. Schedule a new patient consultation with us by submitting a contact form or giving us a call.


What Patients Are Saying


Great office, good people. Been there quite a few years. Never a problem. Leave them a message, they always respond. I've had six back surgeries 2knees and right shoulder. Gregg keeps my chronic debilitating pain managed well so I can still live my life best I can. Im so grateful.

Jenny Martins / google review

Dr. Rao. I can't find the words to tell you how much he has meant to me. I followed him from an old practice to his very new high tech office. They offer so many different areas of assistance to those with issues from nutrition to spinal surgery... and much more. His office is professional.

Mom To2 / vitals

Dr. Rao is such an amazing doctor! During my first visit, he never tried to rush through my appt.; he genuinely listened to all my concerns and then took his time to explain to me in detail all his recommendations and how they would help me.

Nikki / healthgrades

Osteoarthritis Treatment Guide

Osteoarthritis Digital Guide

Download our comprehensive digital guide on the causes, symptoms, and treatments for arthritis, answering frequently asked questions about this condition.

We Accept All Insurances

Individualized Patient Care

Board Certified Doctors

Seen Within Two Weeks

Understanding Osteoarthritis

Osteoarthritis is the most common form of arthritis, affecting millions globally. This degenerative joint disease disrupts the smooth motion of joints, leading to pain and stiffness.

It's prevalent among the older population, with women being more affected than men. However, younger people can also develop osteoarthritis, particularly after an injury or due to genetic factors.

Osteoarthritis primarily affects the weight-bearing joints such as the knees, hips, and spine but can also impact other joints like hands and shoulders. The condition is characterized by the breakdown of cartilage, the protective tissue that covers the end of bones, leading to bone-on-bone rubbing and inflammation.

Customers served! 1 million  Americans Affected by lower back pain at any given time in their lives.

Approximately 54.4 million U.S. adults reported to be living with a form  of arthritis.

21%

 Between 2019 – 2021 one in five US adults (21.2% of the population) had doctor-diagnosed arthritis.

24%
Of Population

By 2040, the prevalence of arthritis will increase to 24%.


Causes of Osteoarthritis

Osteoarthritis is often caused by a combination of factors that are largely beyond your control, but understanding these factors can help manage your condition better.

Some of the causes of osteoarthritis include:

  • Age: As you grow older, your joints tend to wear down. This natural process can lead to osteoarthritis.
  • Genetics: Some people inherit a tendency to develop osteoarthritis.
  • Obesity: Carrying extra body weight contributes to osteoarthritis in several ways, and the more you weigh, the greater your risk.
  • Joint Injuries: Injuries, such as those that occur when playing sports or from an accident, may increase the risk of osteoarthritis.

Risk factors for osteoarthritis include not just age, genetics, obesity, and joint injuries but also gender, as women are more likely to develop the disease than men. Repeated stress on the joint, like kneeling or squatting for more than an hour a day, and certain metabolic disorders can also increase the risk.

Joint anatomy, osteoarthritis and rheumatoid arthritis infographic with anatomical illustrations

Joint anatomy, osteoarthritis and rheumatoid arthritis infographic with anatomical illustrations

Osteoarthritis Symptoms

Symptoms of osteoarthritis can vary from person to person, but some of the most common include:

  • Joint Pain: Joint pain occurs during or after movement.
  • Joint Stiffness: Joint stiffness is most noticeable upon waking up in the morning or after a period of inactivity.
  • Loss of Flexibility: You may find it challenging to use the full range of motion in your joint.
  • Grating Sensation: You might feel a grating sensation when using the affected joints.
  • Bone Spurs: Bone spurs are extra bits of bone that form around the affected joint.

The severity of these symptoms can vary significantly from person to person. Some may experience only mild symptoms, while others can have severe symptoms that significantly interfere with daily activities.

For instance, in mild cases, you may only feel pain in your joints after physical work or exercise. However, as the condition progresses, pain and stiffness may become persistent and can even occur during rest or inactivity.

A women suffering from osteoarthritis holding her knee.

Living with Osteoarthritis

Living with osteoarthritis presents its own unique set of challenges, and it's essential to understand how this condition can affect your everyday life.

Daily challenges often revolve around managing pain and maintaining mobility. You may find that simple activities, such as walking, climbing stairs, or even opening a jar, become difficult due to joint pain and stiffness. This can significantly impact your quality of life, leading to frustration and sometimes even depression.

However, it's not all dire. There are coping mechanisms and lifestyle adjustments that can help you manage these challenges.


Ways to minimize the effects of osteoarthritis include:

  • Exercise: Regular physical activity can help strengthen the muscles around your joints, improve your balance, and keep your joints flexible.
  • Weight Management: Maintaining a healthy weight can reduce stress on weight-bearing joints and prevent further damage.
  • Pain Management: Over-the-counter pain relievers and non-steroidal anti-inflammatory drugs can help manage pain. However, they should be used under the guidance of a healthcare professional.
  • Assistive Devices: Tools like canes, shoe inserts, braces, and jars or bottle openers can help protect your joints and improve your ability to perform daily tasks.

Lifestyle Adjustments and Activities to Avoid

Living with osteoarthritis means adapting your lifestyle in order to manage symptoms effectively. It's not just about what you do but also about what you should avoid doing.

Managing osteoarthritis involves more than just medication and physical therapy; it also requires certain lifestyle adjustments. One of the most important things to avoid is a sedentary lifestyle. While rest is important when your joints are inflamed or painful, long periods of inactivity can actually make your symptoms worse. Regular exercise helps keep your joints flexible and strengthens the muscles that support them.

Avoiding excess weight is also crucial. Extra pounds put additional pressure on your weight-bearing joints, accelerating the wear and tear process. If you're overweight, losing even a few pounds can significantly reduce stress on these joints and slow the progression of your osteoarthritis.

Certain activities put extra strain on your joints and can exacerbate your osteoarthritis symptoms. High-impact activities such as running, jumping, or any activity that involves hard pounding on your joints should be avoided. Instead, opt for low-impact exercises like swimming, cycling, or walking, which provide the benefits of physical activity without the added stress on your joints.

You should also avoid repetitive movements that overuse a particular joint. This can cause further damage and worsen your symptoms. If your job or a hobby involves such movements, it may be necessary to find alternatives or modify how you perform these tasks.


Our Diagnosis Process

At Pain and Spine Specialists, we understand how crucial it is to receive an accurate diagnosis for your osteoarthritis.

Our diagnosis process includes:

Four blocks representing the consultation steps at Pain and Spine Specialists

  1. 1
    Review of Medical History: Your journey toward a diagnosis begins with a comprehensive review of your medical history. You are the most important source of information. We'll ask about your symptoms, their duration, and any changes in intensity. We'll also discuss your past injuries, surgeries, and any family history of similar conditions.
  2. 2
    Physical Examination: Next, we conduct a thorough physical examination. We assess your pain, joint movement, strength, and overall function. We look for signs of tenderness, swelling, or redness, and we evaluate your ability to walk, bend, and carry out activities of daily living.
  3. 3
    Diagnostic Imaging: If necessary, we use diagnostic imaging techniques such as X-rays, MRI, or CT scans. These images allow us to see the condition of your joints and surrounding tissues. For osteoarthritis, X-rays are particularly useful in revealing bone spurs, cartilage loss, and damage to the joints.
  4. 4
    Nerve Tests: In some cases, we may conduct nerve tests to rule out other conditions that can cause similar symptoms. These tests help us assess the health of your nerves and muscles.
  5. 5
    Diagnostic Nerve Blocks: If applicable, we may utilize diagnostic nerve blocks such as facet joint injections, epidural steroid injections, SI Injections, or Medial Branch blocks. These procedures can help us identify the specific source of your pain.

At Pain and Spine Specialists, we believe understanding is the first step towards healing. Our comprehensive diagnostic process ensures we understand your condition thoroughly, enabling us to develop a personalized treatment plan that addresses your unique needs.

A set of six painful joints, medical 3D illustration.

A set of six painful joints, medical 3D illustration


Treatments for Osteoarthritis

Living with osteoarthritis, we understand the daily challenges you face. Our approach at Pain and Spine Specialists is comprehensive, incorporating a variety of treatments designed to manage your pain and enhance your life quality.


Injection Therapies

For osteoarthritis, we offer several injection therapies that can provide relief from joint pain.

  • Genicular Nerve Block: This is typically used for knee pain, which can be caused by osteoarthritis. It involves injecting an anesthetic near the genicular nerves around the knee to block the pain.
  • Hyaluronic Injections: Also known as viscosupplementation, these injections are used to treat osteoarthritis of the knee. They supplement the joint fluid in your knee to help lubricate it, reducing pain and improving mobility.
  • Facet Joint Injections: If osteoarthritis is affecting the facet joints in your spine, these injections can deliver steroids directly into the affected joints to reduce inflammation and pain.
  • Medial Branch Block: Similar to facet joint injections, this spinal osteoarthritis treatment is used when osteoarthritis affects the spine. MBB injections can also help determine if the facet joints are the source of pain.
  • Sacroiliac Joint Injections: If osteoarthritis is causing pain in your sacroiliac joint (where your spine connects with your pelvis), this type of injection can be beneficial.

Advanced Interventional Procedures

We also provide advanced interventional procedures tailored to your unique needs. These procedures are minimally invasive and utilize cutting-edge technology to target the source of your pain and provide long-lasting relief.

  • Radiofrequency Ablation: If your osteoarthritis pain is localized to a specific joint, such as the knee or hip, this procedure might be beneficial. It uses heat generated by radio waves to target specific nerves and temporarily turn off their ability to send pain signals.
  • Sacroiliac Joint Fusion: If your sacroiliac joint (where the spine connects with the pelvis) is affected by osteoarthritis, this surgical procedure may provide relief. It involves fusing the joint to minimize movement and reduce pain.

Conventional Medication Management

Alongside these specialized treatments, we utilize conventional therapies like medication management programs, which focus on using medications to manage pain effectively. This is often referred to as a first line treatment osteoarthritis approach. It involves the use of both over-the-counter and prescription medications to alleviate your discomfort and improve your quality of life. Physical therapy referrals may also be part of your treatment plan, helping improve your strength and flexibility, reducing pain, and improving function.


Alternative Therapies

Lastly, we believe in holistic healing and offer referrals to our sister company, Shakthi Health and Wellness Center, for alternative therapies. These include infrared sauna, acupuncture, and IV therapy, among others, which can complement your treatment plan and contribute to overall wellness.

Our goal is to find a solution that provides you with the best possible relief from your symptoms. The decision to use any of these procedures will be based on a thorough evaluation of your condition, your overall health, and your personal preferences. Together, we'll work to manage your pain and improve your quality of life. Please feel free to ask any questions or share any concerns you may have.

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Frequently Asked Questions

What doctor treats osteoarthritis?

For arthritis treatment, you should consider seeing a rheumatologist, an orthopedic surgeon, and importantly, a pain management specialist who can help devise strategies to manage chronic pain associated with arthritis.

What some new treatments for osteoarthritis of the knee?

Knee osteoarthritis new treatments in HA injections, Radiofrequency ablation, and Sacroiliac joint injections.

Is there Osteoarthritis In Neck Treatment?

Yes, there are treatment options available for osteoarthritis in the neck. Some common treatments include:

Medications: Non-steroidal anti-inflammatory drugs (NSAIDs) can help reduce pain and inflammation, while corticosteroids can provide short-term relief.

Physical therapy: A physical therapist can recommend exercises and stretches to improve neck flexibility and strengthen the muscles supporting the neck.

Injections: Corticosteroid injections can be directly injected into the affected joint to provide temporary relief.

Surgery: In severe cases where other treatments have not been effective, surgery may be necessary to repair or replace damaged joints.

It is important to consult with a healthcare professional to determine which treatment option is best for you based on your specific condition and needs.

Are there Osteoarthritis treatment for hands?

Yes, osteoarthritis treatments for hands include:
1. Medications such as over-the-counter pain relievers, topical creams, and corticosteroid injections
2. Physical therapy exercises to improve hand strength and flexibility
3. Splints or braces to support and protect the affected joints
4. Hot/cold therapy to alleviate pain and stiffness
5. Surgery in severe cases, such as joint replacement or fusion
6. Lifestyle changes, including maintaining a healthy weight and avoiding repetitive hand movements that can worsen symptoms

Find Relief from Osteoarthritis at Pain and Spine Specialists

In treating osteoarthritis, our Pain and Spine Specialists team employs a comprehensive approach that encompasses various therapies and treatments. This approach is not a one-size-fits-all; it is tailored to meet your unique needs and circumstances. We use a combination of injection therapies, advanced interventional procedures, conventional treatments, and alternative therapies. These methods aim to not only manage your pain but also improve your overall health and well-being.

Starting your journey toward pain management with us is simple. Reach out to us through our contact page or give us a call. You will find a team ready to listen, understand, and guide you through your treatment options. We'll schedule an initial consultation where we'll review your medical history, conduct a physical examination, and discuss the best course of action for your specific situation.

Pain and Spine Specialists logo with a healthcare symbol and the letters PASS.

About Us

At Pain and Spine Specialists, we're a team of board-certified physicians specializing in minimally invasive treatments for osteoarthritis and rheumatoid arthritis pain. With our proven expertise and successful track record, we're here to help turn your chronic pain into relief and recovery.

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Contact Us

Suffering from Osteoarthritis? Let our  specialists help. Contact us today for personalized treatment options.

Appointment FAQ's

Billing / Insurance Questions

We Accept All Insurances!

That includes Medicare and state Medicaid.

How Soon Can I Be Seen?

Usually within one week of the initial call.

Appointments can be schedule by phone or through our contact form here.

What To Expect During Appointments

At Pain and Spine Specialists we provide comprehensive pain care while offering the most up-to-date minimally invasive techniques. Our ethos is to treat each patient (and potential patient) as if they were a family member.

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Patient Portal / Policies

At Pain and Spine Specialists we want to provide the most efficient and pleasurable experience possible. As in all medical facilities, we have certain policies in place to ensure that you receive the time you require to address your needs as well as enhance your experience while in our care.

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Reviews and Testimonials

We encourage patient feedback to better improve your experience. We strive to create a friendly and warm environment where patients feel their voices are heard and validated.

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Meet Our Team

Osteoarthritis Specialists in Maryland, Pennsylvania, Florida and Virginia


Our doctors for osteoarthritis serve our patients in Maryland, Pennsylvania, Florida and Virginia. We bring over two decades of experience in treating chronic pain caused by arthritis. Over the years, we have developed a comprehensive approach to pain management that addresses not just your osteoarthritis pain symptoms but also your overall well-being and long term relief.

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