(646) 779-0995
palviamd@physiologicnyc.com
409 Fulton Street, Brooklyn, NYAbout Us
about us
Physician-Led, Non-Surgical Pain Care in Brooklyn
Pain rarely exists in isolation. It affects how you move, work, sleep, and stay active. At Motionis Medicine, care is centred on identifying the true source of musculoskeletal pain and guiding patients through targeted, non-surgical treatment pathways built for long-term function — not short-term fixes.
The practice is physician-led, combining image-guided interventional pain procedures, regenerative medicine, and coordinated rehabilitation planning to help patients recover, remain active, and avoid unnecessary surgery or prolonged medication use whenever possible.
Interventional Pain &
Non-Surgical Orthopedic Care
Motionis Medicine evaluates and treats pain involving the spine, joints, muscles, and nerves, with a strong focus on conditions where pain persists despite conservative care.
Rather than applying a standard protocol, care is individualised, based on diagnostic findings, prior treatment response, and functional goals.
Diagnosis-First.
Targeted. Purposeful.
Many patients arrive after physical therapy has plateaued, imaging shows “wear and tear” without a clear solution, or surgery has been recommended without exploring non-surgical options.
Diagnostic Clarity
Care at Motionis Medicine begins with diagnostic clarity.
Precise Identification
When appropriate, image-guided diagnostic injections and nerve blocks are used to accurately identify pain generators in the spine, joints, or surrounding soft tissues.
Evidence-Based Plan
This allows treatment decisions to be precise, evidence-based, and appropriate — rather than trial-and-error.
Clear Communication &
Structured Care
The goal is not simply pain reduction, but improved movement, stability, and confidence in daily activity.
A physician-led evaluation focused on understanding pain patterns
Careful review of prior imaging and treatment history
Transparent discussion of treatment options and expected outcomes
A plan designed to support recovery, durability, and long-term function
Comprehensive Pain Evaluation
& Long-Term Recovery Focus
Care is led by Dr. Tanuj Palvia, a board-certified physician in Anesthesiology and Interventional Pain Medicine with over 15 years of experience.
Dr. Palvia’s background includes:
Fellowship training in Interventional Pain Medicine at NYU
Advanced expertise in fluoroscopic and ultrasound-guided spine and joint interventions
Subspecialty training in regenerative and non-surgical orthopedic procedures, including PRP and bone marrow–derived cell therapies
“His clinical focus is on guiding patients from precise diagnosis through targeted intervention and coordinated rehabilitation, serving as the central physician overseeing long-term recovery rather than delivering isolated procedures.”
What to Expect at Your First Visit
Your initial visit is focused on understanding why pain exists and what can be done next. This typically includes:
A detailed review of symptoms and medical history
Evaluation of prior imaging or reports, if available
Clinical assessment to identify likely pain generators
A clear discussion of findings and appropriate next steps
Many patients leave their first visit with a defined direction, whether that involves diagnostic injections, interventional treatment, regenerative options, or coordinated recovery planning.
FAQ's
Frequently Asked Questions
Not always. Existing imaging can be reviewed if available, but further testing is guided by clinical evaluation.
No. Both acute and chronic pain conditions are evaluated, including instability and degenerative conditions.
That depends on the condition and findings. In some cases, treatment planning begins immediately; in others, further diagnostic clarification is recommended first.
Take the Next Step
Start With an Accurate Diagnosis
If pain has limited your activity, work, or quality of life — or if surgery has been recommended and you want to explore non-surgical options — a comprehensive evaluation can help clarify the best path forward.