Live Better With Arthritis Without Rushing Into Surgery

Arthritis is one of the most common causes of chronic joint pain, affecting millions of Americans every year.

Whether it’s your knees, hips, shoulders, hands, or another joint, arthritis can make everyday activities like walking, climbing stairs, exercising, or even getting dressed increasingly difficult.

The good news is that arthritis doesn’t automatically mean you need joint replacement surgery.

For nearly 30 years, Dr. Todd Koppel has served as a trusted pain management doctor in New Jersey, helping patients manage arthritis pain through personalized, minimally invasive treatment options designed to improve comfort, restore mobility, and help many patients delay or avoid surgery.

More than 95 percent of Dr. Koppel’s patients find meaningful relief without surgery.

What Is Arthritis?

Arthritis is a condition that causes inflammation and gradual breakdown of the cartilage that cushions your joints.

As cartilage wears away, the bones begin rubbing against one another, leading to pain, stiffness, swelling, and reduced movement.

Although arthritis becomes more common with age, previous injuries, repetitive stress, genetics, and excess weight can all contribute to its development.

The most common type is osteoarthritis, often called “wear and tear” arthritis.

Symptoms of Arthritis

Arthritis often develops gradually.

Symptoms may include:

  • Joint pain
  • Morning stiffness
  • Swelling
  • Reduced flexibility
  • Grinding or popping sensations
  • Pain during activity
  • Difficulty walking
  • Difficulty climbing stairs
  • Reduced grip strength

Symptoms often become more noticeable over time if left untreated.

Which Joints Are Commonly Affected?

Many pain practices focus narrowly on the spine. Dr. Koppel evaluates and treats arthritis and joint pain throughout the entire body:

  • Knee: pain with stairs, kneeling, squatting, and prolonged walking
  • Hip: deep groin or outer hip pain that worsens with walking or standing
  • Shoulder: aching with reaching, lifting, or lying on that side at night
  • Facet joints of the spine: a very common cause of chronic neck and back pain
  • Hands and fingers: morning stiffness, swelling, and reduced grip strength
  • Ankles and feet: especially in patients who are on their feet all day

Treatment Options

There is no one-size-fits-all solution for arthritis. Dr. Koppel builds a treatment plan based on which joint is affected, the severity of the damage, what the patient has already tried, and their goals.

PRP Therapy (Platelet-Rich Plasma)

PRP uses concentrated growth factors from your own blood, injected directly into the damaged joint. Rather than simply masking pain, PRP stimulates tissue repair and can slow the progression of arthritis. Many patients notice improvement within a few weeks, with continued gains over three to six months.

Regenerative Cell Therapy

For patients with more significant joint degeneration, regenerative cell therapy delivers powerful healing regenerative cells into the joint to support cartilage repair and reduce long-term inflammation. Free consultations are available.

Genicular Nerve Block and Radiofrequency Ablation

For knee arthritis specifically, this approach blocks the small nerves that carry pain signals from the knee to the brain. A diagnostic nerve block first confirms these nerves are the source, then radiofrequency ablation can interrupt those signals for a year or more.

Joint Injections

Targeted anti-inflammatory joint injections placed directly into the affected joint provide fast, meaningful relief. They reduce inflammation and restore enough function that many patients can return to normal activities and participate in physical therapy.

Spinal Cord Stimulation

For chronic joint pain that has not responded to other treatments, a small implanted device delivers gentle electrical signals that interrupt pain pathways. This is a longer-term option for persistent, difficult-to-treat joint pain.

Do You Really Need Joint Replacement Surgery?

The two questions arthritis patients ask most often:

  1. Can I just take medication?
  2. And do I need joint replacement surgery?

Medication reduces discomfort but does nothing to address the underlying joint degeneration. Joint replacement is a major surgery with a months-long recovery, real risks, and results that vary widely. Dr. Koppel’s position is straightforward: exhaust every appropriate non-surgical option first. In the vast majority of cases, that’s enough.

If surgery ultimately becomes the right answer, Dr. Koppel will tell you honestly and help coordinate that care. But it should never be the starting point.

Why Choose Dr. Todd Koppel?

Successful arthritis treatment begins with understanding exactly what’s causing your pain.

Dr. Koppel has helped patients throughout New Jersey manage arthritis using personalized treatment plans designed to reduce pain, improve mobility, and help patients remain active.

Patients choose Dr. Koppel because he offers:

  • Nearly 30 years treating arthritis
  • 1,000+ five-star patient reviews across Google, Healthgrades & RateMDs
  • Board Certified in Pain Medicine by the American Board of Anesthesiology
  • Board Certified in Anesthesiology by the American Board of Anesthesiology
  • Fellowship Trained in Interventional Pain Management
  • Earned his medical degree from Weill Cornell Medical College
  • Fellowship training at The New York Hospital and Hospital for Special Surgery (HSS)
  • Advanced expertise in image guided, minimally invasive pain procedures
  • Personalized treatment plans
  • Advanced image guided procedures
  • Minimally invasive treatment options
  • A conservative approach before surgery

 

Frequently Asked Questions

There is currently no cure for most forms of arthritis, but there are many effective treatments that can help reduce pain, improve mobility, and slow the progression of joint damage. The goal of treatment is to help you stay active, maintain your independence, and improve your quality of life. Dr. Koppel develops personalized treatment plans based on the affected joint, the severity of your arthritis, and your individual goals.

Although arthritis becomes more common with age, it should not be considered an unavoidable part of aging that you simply have to live with. Previous injuries, repetitive activities, genetics, excess weight, and certain medical conditions can all contribute to joint degeneration. Many patients find significant relief with conservative treatment and are able to remain active for years.

Yes. Staying active is one of the best ways to help manage arthritis. Low impact activities such as walking, swimming, cycling, and stretching can strengthen the muscles that support your joints, improve flexibility, and reduce stiffness. Dr. Koppel can help determine which activities are appropriate based on the joints involved and the severity of your condition.

Yes. Many people develop arthritis in multiple joints over time, including the knees, hips, shoulders, hands, and spine. It’s also common for arthritis in one area of the body to change the way you move, placing additional stress on other joints. A comprehensive evaluation helps identify all contributing sources of pain so your treatment plan addresses your overall function rather than focusing on a single joint.

Yes. Cortisone is one tool, but it doesn’t always work for everyone at every stage of arthritis. Many patients who didn’t respond to steroids do very well with PRP, regenerative cell therapy, or nerve block procedures. Dr. Koppel reviews what you have already tried before recommending what you have not.

Most patients experience meaningful improvement for 9 to 18 months. Because PRP promotes actual tissue healing rather than just suppressing inflammation, results tend to build over time and last longer than a cortisone shot.

Absolutely. A recommendation from one doctor is not a final verdict. Many patients who were told they needed a knee replacement have avoided it for years after the right regenerative and interventional treatment. A second opinion is well worth it before committing to major surgery.

Standard joint injections are typically covered by most insurance plans. Regenerative treatments like PRP are generally not. Dr. Koppel’s office can review your coverage and discuss all options during your consultation.

Todd Koppel, MD, interventional pain specialist

Todd Koppel, MD

Board-Certified, Fellowship-Trained Interventional Pain Specialist

“After seeing two previous doctors without results, Dr. Koppel helped me get my life back. I’m now more mobile and no longer in pain 24/7.” ✓ Verified Patient Review
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Precision Is the Difference Between Masking Pain and Actually Stopping It

Living with pain can affect every part of your life, but you don’t have to face it alone.

At Garden State Pain Management, Dr. Todd Koppel takes the time to understand your symptoms, identify the source of your pain, and recommend a personalized treatment plan designed to help you feel better and get back to the activities you enjoy.

Whether you’re experiencing neck pain, back pain, joint pain, or another chronic pain condition, we’re here to help.

Call (973) 473-5752 today to schedule your consultation.

Get In Touch

Clifton Location
1033 Clifton Ave., Suite 209 Clifton, NJ 07013

Elizabeth Location
230 West Jersey Street, Suite 306, Elizabeth, NJ 07202

Open Hours
Mon – Wed: 8:30am – 4:30pm
Thursday: 10:00am – 6:30pm
Friday: 8:30am – 4:30pm