(646) 779-0995
palviamd@physiologicnyc.com
409 Fulton Street, Brooklyn, NY
When PT Isn't Enough —
Brooklyn's Non-Surgical Pain Specialist
Dr. Tanuj Palvia helps patients and clinicians find the answer between "keep trying" and "you need surgery." Precise diagnosis. Image-guided treatment. Real results.
A Higher Standard of Pain Care- Built Around Your Diagnosis
Most patients who arrive at Motionis Medicine have already done the right things — physical therapy, chiropractic, rest. They're still in pain.
That's not a failure. That's a signal the problem needs a different level of thinking.
Dr. Palvia's approach is built on three principles applied to every patient, every time:
Comprehensive Evaluation
Every case begins with a thorough diagnostic assessment — not a rushed intake. Dr. Palvia focuses on identifying the true pain generator and its contributing factors before any treatment is recommended.
Targeted Intervention
When procedures are appropriate, Dr. Palvia performs them with image-guided precision — fluoroscopy or ultrasound — ensuring accuracy and safety. Orthobiologic options are considered when the clinical picture supports it.
Rehab Before & After
Procedures alone don't create durable outcomes. Dr. Palvia coordinates with physical therapists and movement professionals to sequence care before and after intervention — for results that last.
services
Spine, Joints, and Everything In Between
If it's been hurting and it's not healing — there's a reason. Dr. Palvia evaluates and treats a wide range of musculoskeletal, nerve-related, and chronic pain conditions
advanced procedures
Targeted Treatments. Image-Guided Precision. No Guesswork.
Every treatment plan is built around your diagnosis — not a protocol pulled off a shelf. Dr. Palvia performs all procedures himself, with advanced imaging guidance for accuracy and safety. When regenerative options may help, he evaluates each case individually and explains exactly what the evidence supports.
Core Treatment Areas
- Epidural steroid injections(ESI)
- Facet joint injections & medial branch blocks
- Radiofrequency ablation (RFA)
- SI joint injections & targeted nerve blocks
- Trigger point injections
- Fluoroscopy & ultrasound - guided diagnostic injections
- Botox® and Xeomin® for muscle-driven pain
- Regenerative medicine & Orthobiologic options (PRP, prolotherapy, BMAC -- case dependent)
You'll always know what's being done, why it's being done, and what success looks like.
Board-Certified Specialist
The Specialist Your PT Has Been Looking For
Dr. Tanuj Palvia Dr. Tanuj Palvia is a board-certified interventional pain physician with over 15 years of clinical experience. He trained in computer engineering at Cornell, earned his MD at the University of North Carolina, completed his residency at NYU School of Medicine, and completed his fellowship at NYU's Center for the Study and Treatment of Pain. He holds additional advanced training in regenerative and interventional orthopedics through the Interventional Orthopedics Foundation — Regenexx network.
He sees every patient himself. He explains everything clearly. He approaches each case with the analytical rigor and clinical curiosity of a physician who genuinely wants to solve the problem — not just manage it.
Motionis Medicine exists because patients deserve a physician invested in their recovery — and because referring clinicians deserve a specialist they can trust with their most complex cases.
Patient Experience
What to Expect When You Come In
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1
A Real Evaluation
Thorough, unhurried, focused on finding the true source of your pain.
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2A Clear Diagnosis
Imaging and diagnostic injections used when appropriate to confirm what's driving your symptoms.
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3
A Plan That Makes Sense
Interventional, regenerative, or rehabilitative options explained in plain language, matched to your goals.
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4Ongoing Support
Recovery and durability matter. Dr. Palvia stays involved through the process.
Centrally Located
Located in Brooklyn Heights — Accessible from Across the Borough
Motionis Medicine is located in Brooklyn, NY — easily accessible to patients from:
Office Coordinates
409 Fulton Street, 2nd Floor, Suite 9
Brooklyn, NY 11201
Still in Pain?
Let's Find Out Why
You don't need to have all the answers before you book. You just need a physician who will actually find them — and build a plan around you.
Frequently Asked
Questions
Dr. Palvia's approach is diagnosis-first. Every treatment plan begins with identifying the true source of pain, not defaulting to a standard protocol. He performs all procedures himself using image-guided precision and coordinates rehabilitation before and after intervention for durable results.
No referral is required. Many patients come directly after plateauing with physical therapy or chiropractic care.
Yes — orthobiologic options including PRP, prolotherapy, and BMAC may be appropriate depending on the diagnosis and clinical picture. These are evaluated case-by-case as part of a comprehensive non-surgical care plan.
Dr. Palvia uses Botox® and Xeomin® for muscle-driven musculoskeletal pain patterns — including neck, trapezius, shoulder, and jaw-related conditions. This is a medical application distinct from cosmetic use and may be appropriate for certain chronic pain presentations.
409 Fulton Street, 2nd Floor, Suite 9, Brooklyn, NY 11201 — serving Brooklyn Heights, Downtown Brooklyn, and surrounding neighborhoods including Lower Manhattan and FiDi.