Osteoarthritis Management in Miami, FL

Living with osteoarthritis can turn simple tasks like walking, climbing stairs, opening jars into daily challenges. At Brickell Rheumatology Wellness Center in Miami, we take a whole-person, evidence-informed approach to help reduce pain, improve mobility, and support long-term joint health.

Dr. Bojana Jovanovic designs personalized plans that may include targeted medications, physical therapy, activity modification, weight management, and select procedures when appropriate. You’ll leave with a clear plan and practical next steps.

What Is Osteoarthritis?

Osteoarthritis (OA) is a common joint condition in which protective cartilage gradually wears down, leading to pain, stiffness, swelling, and reduced range of motion. It most often affects the knees, hips, hands, and spine, but any joint can be involved. Risk factors include age, genetics, prior injuries, repetitive stress, obesity, and other biomechanical or lifestyle contributors. Early evaluation and management can help maintain function and quality of life.

Signs & Symptoms

  • Joint pain that worsens with activity or at day’s end

  • Morning stiffness or stiffness after rest

  • Swelling, tenderness, or a grating sensation

  • Reduced flexibility or range of motion

  • Intermittent flares with variable intensity

Treatment Options for Osteoarthritis

Our goal is to reduce pain, improve movement, and support daily function with the least invasive options first.

Medications

  • Pain relievers (e.g., acetaminophen): May help mild to moderate pain.

  • NSAIDs (topical or oral): Ibuprofen and naproxen can reduce pain and inflammation; topical formulations may have fewer systemic effects. Long-term use requires medical guidance due to potential gastrointestinal, cardiovascular, or kidney risks.

  • Other options as appropriate: Your plan may include additional prescription therapies based on your health profile and response.

Therapy

  • Physical Therapy: Personalized exercises to increase flexibility, reduce stiffness, and strengthen muscles that stabilize the joint. Low-impact activities (e.g., swimming, cycling, walking) help maintain mobility while minimizing joint stress.

  • Occupational Therapy: Ergonomic strategies and assistive techniques to reduce joint strain at work and home (e.g., adaptive tools, joint protection, energy conservation).

A physical therapist gently applies pressure to a patient's knee during manual therapy to improve joint mobility, ease pain, and strengthen nearby muscles.

Surgical and Other Procedures

  • Joint Replacement

When alternative treatments fail, severe osteoarthritis may require arthroplasty or joint replacement surgery. Artificial parts, usually composed of ceramic, plastic, or metal, are used to replace damaged joint surfaces. Hip and knee replacements are the most popular; they greatly lessen pain and restore mobility. Physical therapy is part of the recovery process to restore mobility and strength. Even though surgery is very effective, there are dangers, like infection or implant wear over time. Joint replacement significantly enhances quality of life and restores everyday function for a large number of patients.

  • Bone Realignment

Osteotomy, or bone realignment surgery, redistributes the weight-bearing load on a joint. It is often recommended for younger patients with knee osteoarthritis who want to delay joint replacement. The procedure relieves pressure on the affected area by redistributing the load. Recovery involves physical therapy and several months of rehabilitation. While not a permanent solution, bone realignment can significantly ease symptoms, improve joint function, and slow the progression of osteoarthritis, allowing patients to stay mobile longer.

Lifestyle and Home Remedies

  • Exercise: A balanced routine of low-impact cardio, mobility work, and strength training can support joint stability and reduce stiffness.

  • Weight Management: Even modest weight loss can reduce load on weight-bearing joints (knees, hips, spine).

  • Heat & Cold Therapy: Warmth can ease stiffness; cold can help reduce acute soreness or swelling.

  • Assistive Devices: Braces, canes, walkers, orthotics, and ergonomic tools can reduce strain and improve independence.

Prevention & Flare Reduction Tips

  • Maintain a regular, joint-friendly exercise schedule.

  • Use proper form and supportive footwear; pace repetitive tasks.

  • Address injuries early and consider ergonomic adjustments for work and daily activities.

  • Prioritize sleep, stress management, and recovery between workouts.

Why Choose Brickell Rheumatology Wellness Center?

  • Personalized care: Plans tailored to your symptoms, goals, and daily routine

  • Whole-person approach: Medication optimization plus movement, recovery, and lifestyle support

  • Clear guidance: Practical next steps and ongoing monitoring so you know what to expect

Frequently Asked Questions

  • Is There a Cure for Osteoarthritis?

There is no cure for osteoarthritis, but many people find meaningful relief with a tailored plan that may include exercises, weight management, medications (such as topical or oral NSAIDs when appropriate), bracing, injections, and—only when necessary—surgical options.

  • What Exercises Are Good for Osteoarthritis?

The exercises that are good for osteoarthritis include low-impact activities like walking, cycling, and water-based exercise, paired with gentle range-of-motion and progressive strength training to support the muscles around the affected joint while avoiding heavy loading during a pain flare.

  • What Are the Common Symptoms of Osteoarthritis?

The common symptoms of osteoarthritis include joint pain that worsens with activity, morning or post-rest stiffness, swelling or tenderness, a grating/catching sensation, and reduced range of motion—often affecting the knees, hips, hands, or spine.

  • Do You Accept Insurance?

We’re a private-pay practice and do not bill insurance. Payment is due at the time of service. This approach allows longer, more personalized visits without insurance restrictions. For standard rheumatology visits, we provide a superbill you can submit for possible out-of-network reimbursement (varies by plan and is not guaranteed). Functional medicine visits are not typically covered by insurance.

  • Why Should I Pay Out of Pocket When I Have Insurance?

Insurance models can require high volume, which often leads to short, symptom-focused visits. We’re private-pay, so we can spend 60+ minutes reviewing your full history, triggers, and options (including medication when appropriate, nutrition, lifestyle, and functional medicine). Most patients value the quicker scheduling—often 7–14 days rather than 3–6 months.

Osteoarthritis Management Tailored to Your Lifestyle and Goals

A medical practitioner in a white coat demonstrates osteoarthritis management using a detailed anatomical model of a knee joint. The doctor is pointing at specific joint structures with a pen, likely explaining cartilage wear and tear or treatment options.

Living with osteoarthritis does not mean giving up the activities you enjoy or accepting constant discomfort. The right care can help you move with greater ease, protect joint health, and stay active in your daily life. At Brickell Rheumatology Wellness Center, we focus on personalized treatment strategies that combine medical guidance, movement support, and lifestyle approaches tailored to your needs. Whether you are experiencing early signs of joint wear or looking for long-term management options, our team is here to help you take confident steps toward better mobility and comfort.

If you’re ready to explore a plan that supports both relief and long-term joint health, reach out to us to schedule a consultation. Your journey to moving more freely begins with a conversation.

Begin Your Personalized Osteoarthritis Management Plan

Reference:

Department of Health & Human Services. (n.d.). Medications – nonsteroidal anti-inflammatory drugs. Better Health Channel. Retrieved from: https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/medications-non-steroidal-anti-inflammatory-drugs

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