Dr. Andrew J. Harb, DO is a general practitioner in West Palm Beach, FL specializing in general practice and physiatry (physical medicine & rehabilitation). He graduated from Nova Southeastern University, College of Osteopathic Medicine in 2019 and has 7 years of experience. Dr. Andrew J. Harb, DO is affiliated with New York University, NYU Langone Health and NYU Langone Medical Associates — West Palm Beach.
NYU Langone Health
NYU Langone Health
Joint Injections
A joint is any area of the body where two bones connect. Due to injury or disease, the space between the two bones can sometimes become swollen and inflamed, which leads to pain and a loss of mobility. Injection and aspiration are two tools that physicians use to treat joint pain locally without needing to perform surgery.
Both injection and aspiration are techniques that involve inserting a needle connected to a syringe directly into the joint. Aspiration involves the removal of excess fluid, and injection is the placement of medication directly into the joint space via the needle. Both procedures may be performed at the same time. In both cases a local anesthetic may be used, the skin will be cleaned and disinfected, and then the needle will be inserted. In some cases, especially if the injection or aspiration is in a large and deep joint such as the hip or spine, ultrasound may be used to guide the needle to the exact location desired.
In some cases, irritation to the joint can cause fluid to build up so significantly that the joint hurts and can no longer move well. Aspiration removes some of the excess fluid and relieves the pressure. In addition, aspiration can be used to provide a sample of joint fluid if it needs to be examined microscopically for the presence of white blood cells, bacteria, or crystal formations.
Certain injuries and diseases that affect joints are inflammatory in nature, such as rheumatoid arthritis, tendonitis or gout. These diseases may be helped by the local injection of anti-inflammatory medications directly into the affected joint. In this case, corticosteroids such as methylprednisone are usually used. Relief from the pain may be felt right away and may last for weeks or even months.
In some cases, such as with osteoarthritis, the cartilage buffer between the two bones wears down and pain comes from bones rubbing against each other. In this case, injection of a lubricating agent such as hyaluronic acid may be beneficial. It provides a slippery cushion between the bones to relieve pain that can last for months.
Spinal Cord Stimulation (SCS)
If conservative treatment options and other spine surgeries have failed to provide someone pain relief, they may be a candidate for spinal cord stimulation. Spinal cord stimulation is a treatment for chronic back or leg pain. A spinal cord stimulator, which is surgically implanted underneath the skin (subcutaneously), can deliver electrical pulses to the area of pain. These pulses will reach the brain before the pain signals can, so instead of pain, patients will experience a tingling sensation.
To determine if spinal cord stimulation may benefit someone, they will first undergo a trial period. During this period, a temporary electrode lead is placed subcutaneously above the spinal cord, and it is connected to an external stimulator that they will carry with them. The procedure is typically completed within an hour, and patients may return home the same day. After a few days or weeks, the trial stimulator will be assessed for effectiveness. If the trial is unsuccessful, patients may undergo a second trial period, or the leads will be removed, and other treatment options will be considered. If, instead, a patient's pain is relieved during the trial, they will undergo surgery for implantation of a permanent stimulator and leads.
The components of a spinal cord stimulation system include the stimulator, the leads, and the wire that connects the two. Implantation of permanent leads may be percutaneous (through the skin) or involve a surgical incision. The spinal cord stimulator is implanted subcutaneously in the abdomen or buttock. The stimulator is battery-powered and may be rechargeable. If the battery is not rechargeable, it will last around 2-5 years, and a patient will need surgery to replace it.Their doctor will program the neurostimulator following the procedure.
After spinal cord stimulator surgery, patients may be released from the hospital the same day or the next one. In the weeks following the operation, patients will need to work with their doctors to find the optimal settings for their neurostimulator. Activities such as driving, twisting, bending, raising one's arms, sleeping on one's stomach, or lifting heavy objects should be limited.
The top procedures that Dr. Andrew J. Harb, DO treated as a general practitioner in West Palm Beach, FL during 2023 were nursing home care.
Volume of procedures performed by Dr. Andrew J. Harb, DO for Medicare patients.
| nursing home care | 13 |
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Volume of procedures performed by Dr. Andrew J. Harb, DO for Medicare patients.
The highest averages for the top procedures that Dr. Andrew J. Harb, DO treated as a general practitioner in West Palm Beach, FL were nursing home care.
| nursing home care | 13 |
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Dr. Andrew J. Harb, DO graduated from Nova Southeastern University, College of Osteopathic Medicine in 2019. He completed residency at Wayne State University Affiliated Hospitals. He is certified by the American Board of PM&R - Physical Medicine & Rehabilitation and has a state license in Florida.
Medical School: Nova Southeastern University, College of Osteopathic Medicine (2019)
Residency: Wayne State University Affiliated Hospitals (2023)
Board Certification: American Board of PM&R - Physical Medicine & Rehabilitation (2025)
Licensed In: Florida
Dr. Andrew J. Harb, DO is associated with these hospitals and organizations:
Dr. Andrew J. Harb, DO appears to accept the following insurance providers: Apw, Aetna HMO, Aetna Student Plan, Aetna PPO, Aetna Medicare Advantage, Aetna Indemnity, Aetna POS, MultiPlan, BlueCross BlueShield of Florida, GHI Medicare Supplement, CIGNA Open Access, United Healthcare PPO, United Healthcare POS, United Healthcare Indemnity, United Healthcare HMO, United Healthcare EPO, United Healthcare Choice, First Health PPO, Aetna POS, Aetna Open Access HMO, Great-West Healthcare HMO, Aetna Indemnity, Golden Rule, Great-West Healthcare, TRICARE, Community Care Network (CCN), Trustmark , Aetna PPO, Beech Street PPO, Aetna HMO, Kaiser Permanente, Aetna Open Access EPO, Group Health Incorporated (GHI), CIGNA PPO, CIGNA HMO, EmblemHealth, CIGNA Indemnity, United Healthcare Medicare, AARP, Medicare Part B, Medicare Advantage, TriWest, HealthSpring, US Family Health Plan, UnitedHealthcare, United Healthcare, United Healthcare Navigate, GEHA, Railroad Medicare, Guardian, Humana, Cigna, Aetna Medicare, MultiPlan PPO, Private Healthcare Systems (PHCS), Apwu Health Plan, IUOE Local 14-14B, American Plan Administrators, Nippon Life-Aetna, Teamsters Allied Benefits, Insurance Design Administrators, Aetna POS (American Express Employer), Mutual of Omaha, Christian Brothers Services, Aetna EPO (American Express employer), Administrative Concepts, WellNet, Oxford Health Plans Liberty, Qualcare Inc, Aetna Florida Exchange QHP, Global Excel, NYS Health Insurance Plan - The Empire Plan, Excelsior Plan, NY Student Employee Health Plan, Aetna Medicare Value Select HMO, AXA Assistance USA, World Trade Center - Sedgwick, UMR, Surest, UMR GEHA, Wellfleet-NYU Student, MVP Preferred EPO, Starmark, Screen Actors Guild, Allied, BCBS Federal Program, AETNA EPO (NYULH Employees), Oxford Health Plans Freedom, US Life Insurance Company, Meritain Health, WTC Health Program, Nippon Life Ins Co, Fiserv Health, Chesterfield Resources Inc, BCBS EPO (NYU Langone Suffolk Employees), NY Fire Department - WTC, Aetna International, BCBS Out of State or Region, Professional Benefit Admin, Aetna Signature Administrators PPO, Qualcare Direct, Nippon Life of America-Aetna, Health Net of California, Aetna Choice POS II Value Plan (NY University Employees), AETNA EPO (Sunset Park Employees), Wlny-TV Inc., Aetna Meritain Health, Aetna Choice POS II Choice Plus Plan (NY University Employees), Health Republic of New Jersey, Medicare Part A and B, Diversified Administration Corporation, NYC Employees PPO Plan, Global Health and HIP Medicare Supplement.
According to our sources, Dr. Andrew J. Harb, DO accepts the following insurance providers:
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These charts describe general payments received by Dr. Andrew J. Harb, DO. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.
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$978
WaveWriter Alpha Prime 16 $149 |
$830 |
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$126
$126 |
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$124
SYNCHROMEDII $124 |
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$110
Senza $110 |
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$17
BOTOX $17 |
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| $675 |
Dr. Andrew Harb is a physician who specializes in general practice and physiatry (physical medicine & rehabilitation). His areas of expertise include onabotulinumtoxinA (botox, botox cosmetic), elbow pain, and facial pain. He is affiliated with NYU Langone Health. Before performing his residency at a hospital affiliated with Wayne State University, Dr. Harb attended Nova Southeastern University, College of Osteopathic Medicine for medical school. He appears to be in-network for Trustmark, Blue California, Coventry, and more.
