Interventional Pain Management in Brooklyn
Interventional pain management uses precise, image-guided procedures to find and treat the source of spine, joint and nerve pain, often when time, medication or physical therapy have not been enough. At Motionis Medicine in Downtown Brooklyn, Dr. Tanuj Palvia, MD is board certified in interventional pain medicine and anesthesiology and evaluates each patient personally.
Last updated: · Information from Motionis Medicine, Downtown Brooklyn
What interventional pain management means
An interventional pain physician combines a careful diagnosis with targeted procedures. Instead of treating pain only with medication, the goal is to identify the structure that is generating the pain, such as a spinal nerve, a facet joint, the sacroiliac joint or a tight muscle, and then treat that structure directly when appropriate.
Procedures are performed under fluoroscopic (live X-ray) or ultrasound guidance for precision and safety, and are chosen as part of a broader care plan, not on their own.
Who may benefit from a pain specialist evaluation
You may benefit from a specialist evaluation if:
- Pain has lasted longer than expected
- Physical therapy or medications have not provided enough relief
- Imaging shows wear and tear, but you would like to avoid surgery
- Pain interferes with work, sleep or daily activity
- Symptoms are recurring or getting worse
Image-guided treatments offered
- Epidural steroid injections for nerve-related back, neck and leg pain
- Facet joint injections and medial branch blocks
- Radiofrequency ablation for chronic facet-related spine pain
- Sacroiliac joint injections
- Nerve blocks and diagnostic injections
- Trigger point injections, Botox and Xeomin for muscle-driven pain
- Ultrasound-guided injections and fluoroscopy-guided procedures
Regenerative options, including PRP therapy, are described under non-surgical orthopedics.
Conditions we evaluate
Common reasons patients come to Motionis Medicine include back pain, neck pain, sciatica, herniated discs, spinal stenosis, SI joint pain, knee arthritis, shoulder pain and chronic pain. See all conditions.
Your physician and our Brooklyn office
Dr. Palvia completed his anesthesiology residency and his interventional pain medicine fellowship at NYU and earned his MD at the University of North Carolina at Chapel Hill. Read his full background.
The office is at 409 Fulton Street, 2nd Floor, Brooklyn, NY 11201, serving Brooklyn Heights, Downtown Brooklyn, DUMBO, Cobble Hill, Boerum Hill, Carroll Gardens, Fort Greene and Lower Manhattan. See what to expect at your first visit.
Frequently asked questions
What is the difference between a pain doctor and an interventional pain doctor?
A pain doctor may manage pain mainly with medication and therapy. An interventional pain physician also performs image-guided procedures, such as injections and nerve treatments, to diagnose and treat the source of pain.
Are interventional procedures a first step?
Not always. Many plans begin with conservative care. Procedures are considered when they fit your diagnosis and goals, and are discussed with you first.
Is surgery the only option if injections do not work?
No. Non-surgical and minimally invasive options are explored thoroughly, and Dr. Palvia helps patients understand whether surgery is truly necessary and what alternatives may be appropriate.
Talk to Motionis Medicine
New patients are welcome. Call (646) 779-0995 or book online. If you think you are having a medical emergency, call 911.
Call (646) 779-0995 Book online Send a messageThis page is general educational information from Motionis Medicine and is not medical advice or a substitute for an evaluation by a physician. Individual results and eligibility vary.