(646) 779-0995
palviamd@physiologicnyc.com
409 Fulton Street, Brooklyn, NYChronic Pain
Chronic Pain Treatment in Brooklyn, NY
Chronic pain is pain that persists beyond normal healing time and can affect daily function, mobility, sleep, and overall quality of life. Because chronic pain often involves multiple overlapping pain generators, accurate diagnosis is essential before selecting treatment. At Motionis Medicine, chronic pain is evaluated through a physician-led, diagnosis-first approach focused on identifying contributing factors and guiding appropriate non-surgical care.
Care is led by Dr. Tanuj Palvia, MD, a board-certified interventional pain medicine physician with over 15 years of experience in managing complex and persistent pain conditions.
What Is Chronic Pain?
Chronic pain is typically defined as pain that lasts longer than three months or continues after expected tissue healing. Unlike acute pain, which serves as a warning signal, chronic pain may persist even when initial injury or inflammation has resolved.
Chronic pain can involve:
- Muscles and soft tissues
- Joints and cartilage
- Nerves
- Spine structures
- A combination of multiple pain sources
Because chronic pain is often multifactorial, comprehensive evaluation is essential.
Common Chronic Pain Symptoms
Symptoms vary widely depending on the underlying contributors and may include:
Chronic pain may fluctuate in intensity and can be influenced by physical, mechanical, and neuromuscular factors.
Persistent or recurring pain in one or more areas
Stiffness or reduced mobility
Muscle tightness or spasm
Burning, aching, or deep discomfort
Fatigue or sleep disruption
Pain that worsens with activity or prolonged posture
Common Causes of Chronic Pain We Evaluate
Chronic pain may develop due to one or more underlying conditions, including:
Degenerative spine or joint conditions
Persistent pain following injury or surgery
Nerve irritation or sensitisation
Myofascial pain and muscle dysfunction
Arthritis-related changes
Biomechanical imbalances affecting movement
Identifying why pain has become persistent is key to effective management.
How Chronic Pain Is Evaluated
Evaluation focuses on identifying all relevant pain generators and understanding how they interact. A physician-led assessment may include:
Detailed medical history and pain timeline
Comprehensive physical and functional examination
Review of prior imaging and treatment history
Diagnostic injections, when appropriate, to clarify pain sources
Assessment of movement patterns and contributing biomechanical factors
This structured approach allows treatment to be tailored rather than generic.
Non-Surgical Treatment Options for Chronic Pain
Treatment recommendations are individualised and depend on diagnosis, symptom patterns, and functional goals. Non-surgical options may include:
Image-guided spine or joint injections
Nerve blocks or radiofrequency ablation (RFA), when appropriate
Trigger point injections for muscle-driven pain
Botulinum toxin (Botox® or Xeomin®) injections for refractory muscle overactivity, when appropriate
Regenerative and non-surgical orthopedic options, when appropriate
Coordinated rehabilitation and long-term recovery planning
Care focuses on improving function, reducing pain, and supporting long-term durability rather than short-term symptom relief alone.
When a Specialist Evaluation May Help
You may benefit from a specialist evaluation if:
Pain persists beyond expected healing time
Multiple areas of pain are present
Prior treatments have provided limited or temporary relief
Pain interferes with work, sleep, or daily activities
Long-term medication use is a concern
A comprehensive evaluation can help clarify underlying contributors and guide appropriate next steps.
Schedule a Chronic Pain Evaluation
If chronic pain is limiting your comfort, mobility, or quality of life, a comprehensive evaluation can help clarify your options and guide appropriate non-surgical care.