Degenerative Joint Disease Specialists

Dr. Reza Mahrou and Dr. Amir Rafizad at Pain Care Providers serve the patients who live in and around the Irvine, California area. They specialize in diagnosing and treating conditions like degenerative joint disease and other health issues related to the spine.

Degenerative Joint Disease Q & A

How Do Steroid Injections Work?

Steroid injections are used to help relieve the pain and discomfort associated with a variety of injuries. The steroids act as an anti-inflammatory agent and reduces the pain that is caused by pressure placed on the nerves surrounding the injury. The steroids are mixed together with either a saline based solution or one that contains local anesthetic (numbing medicine) and then injected into the affected area. The solution can be used as an epidural and injected into the dura mater of the spine or into a joint that is severely inflamed or damaged from an injury.

How Do Stem Cell Injections Help Degenerative Joint Disease?

Stem cells are autogenic. This means they can take on the form of whatever type of cell they are introduced. As a blank slate of sorts, stem cells can become any type of cell in the body. Once they take on the characteristics of the cells closest to them, they can become bone cells, cartilage cells, muscle cells, and the list goes on. Introducing a stem cell matrix into a damaged joint can help repair the damage that has been caused by an accident or illness. The process takes time and may only be able to reverse a portion of the damage, but will also provide a certain degree of relief when it comes to pain and inflammation.

How do Lubricants Help Degenerative Joint Disease?

Joint lubricant injections involve injecting a lubricant directly into the joint to help alleviate pain and suffering, as well as improve function. Also known as viscosupplementation, this type of procedure normally calls for the use of hyaluronic acid. An extremely thick, jelly-like substance, hyaluronic acid is injected into the problem joint. The substance acts as a lubricant making it easier for the joint to move and may reduce the inflammation and pain that is caused by the injury. This provides effective relief for individuals who are not good candidates for surgery.


We are contracted with various PPO plans as well as Medicare and MediCal. Please call our office if you do not see your insurance listed here.

Aetna HMO
Anthem Blue Cross
Anthem Blue Cross Blue Shield HMO
United Healthcare

Words from our patients

  • Healthgrades

    "Dr. Rafizad is a very smart, caring doctor who has extraordinary knowledge about choosing the right medicines."

    Michael T.
  • facebook

    "Dr. Mahrou, Dr. Rafizad, nurses & administrative staff are a complete team for pain management, very professional & caring for their patients. Thank you PCP!!!"

    Oliver L.
  • Yelp

    "I would highly recommend [Dr. Mahrou] to anyone suffering from acute or chronic pain. He truly is THE BEST physician I have ever had."

    Diann H.
  • Yelp

    "I LOVE these two doctors; they are one of a kind. When you're in the office with the doctors they always make you feel as if you're the only person that matters."

    Melanie J.
  • Yelp

    "Dr. Rafizad has saved my life making the pain tolerable and in some cases go away all together."

    Marylou B.
  • RateMDs

    "Dr. Rafizad is super intelligent & he actually listens when one speaks. I would recommend Dr. Rafizad highly to anyone with a pain issue. This is a first rate doctor."

    Verified Patient
  • Vitals

    "Dr. Reza Mahrou was a very PLEASANT and professional individual. We talked and he actually "listened" to what I had to say. I would definitely recommend this doctor."

    Verified Patient
  • facebook

    "Dr Mahrou is the kindest most compassionate Dr. He has definitely improved my quality of life. He and Dr. Rafizad are my Dynamic Duo!"

    Shannon B.
  • Yelp

    "I recently had a procedure performed on my back. I'm very pleased with this group and will continue to go there. I would definitely recommend them."

    Stefani W.
  • Yelp

    "Dr. Mahrou is the most kind, genuine, compassionate Pain Management doctor I have ever seen. Thank god for Doctors that love their job and genuinely try to help people."

    Amy B.
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