(646) 779-0995
palviamd@physiologicnyc.com
409 Fulton Street, Brooklyn, NYNon Surgical Orthopedics
Non-Surgical Orthopedics Focused on Function & Joint Preservation
There's a significant gap between "keep doing PT" and "you need surgery." Dr. Tanuj Palvia specializes in exactly that space — using advanced diagnostic techniques and evidence-based orthobiologic treatments to help patients avoid unnecessary surgery and get back to living.
Not Every Joint Problem Needs a Surgeon
Non-surgical orthopedics is designed for patients who want effective, physician-led treatment options before committing to surgery — or who have been told surgery is their only option and want a second perspective.
Suitability for Care:
Care is tailored to the individual — based on diagnosis, imaging, activity level, and long-term goals. Not a protocol. Not a sales pitch. A plan built around your specific case.
Dr. Palvia's Diagnostic-First CommitmentSurgery Is Sometimes the Answer. But Not Always.
Surgery carries real risks — infection, prolonged recovery, hardware complications, and no guarantee of full relief. For many musculoskeletal conditions, a well-executed non-surgical approach can achieve meaningful improvement without those risks.
Focused Relief
Reduce pain and inflammation through targeted intervention
Tissue Integrity
Preserve native joint and tissue structure vs replacement
Active Recovery
Maintain mobility and activity during the recovery phase
Minimized Risk
Avoid surgical complications and extended downtime
The goal isn't to avoid surgery at all costs — it's to make sure surgery is actually necessary before pursuing it.
Diagnosis First. Then a Plan That Makes Sense.
Effective non-surgical care starts with understanding exactly what's driving the problem.
Dr. Palvia's Process:Diagnostic injections to identify pain generators with precision
Image-guided interventional procedures for accuracy and safety
Orthobiologic treatments when the clinical picture supports them
Coordinated rehabilitation planning — before and after intervention
Treatment selection is based on measured clinical response and functional goals — not trial and error.
What Non-Surgical Orthopedic Care Looks Like at Motionis Medicine
Conditions Dr. Palvia Treats Non-Surgically
Not every condition is appropriate for non-surgical treatment. If surgical consultation is clearly indicated, Dr. Palvia will say so directly.
One Physician. From Diagnosis Through Recovery.
All non-surgical orthopedic care at Motionis Medicine is directed personally by Dr. Tanuj Palvia — board-certified in interventional pain medicine, fellowship-trained at NYU, and Regenexx-licensed for advanced orthobiologic procedures.
Dr. Palvia is not a proceduralist who sees patients once and moves on. He serves as the central physician overseeing diagnosis, treatment selection, and long-term recovery planning — staying involved through the entire arc of care.
What Non-Surgical Orthopedics Can — and Can't — Do
Non-surgical orthopedics is not a guarantee or a shortcut. Outcomes depend on the underlying condition, severity and chronicity, individual healing response, and active participation in rehabilitation.
"The goal is meaningful functional improvement and reduced pain — with surgery avoided when the clinical picture genuinely supports that path."
Want to Know If Non-Surgical Care Is Right for You?
A comprehensive evaluation is the only way to find out. Dr. Palvia will review your imaging, assess your history, and give you a straight answer about what options make sense — and what don't.
Frequently Asked Questions
Traditional pain management often focuses on symptom relief — medications, injections for temporary comfort. Non-surgical orthopedics takes a broader view, addressing the structural and functional factors driving pain with the goal of long-term improvement and, where appropriate, tissue recovery.
No. Dr. Palvia is a board-certified interventional pain physician specializing in non-surgical orthopedic care. When surgery is clearly indicated, he will refer appropriately — but his focus is exhausting non-surgical options first.
Orthobiologics are treatments derived from the body's own biology — such as platelet-rich plasma (PRP) or bone marrow aspirate concentrate (BMAC) — used to support tissue healing in selected musculoskeletal conditions. Dr. Palvia is a licensed Regenexx physician trained in evidence-based orthobiologic protocols.
Coverage varies by treatment and plan. Interventional procedures are often covered. Regenerative and orthobiologic options are frequently not covered by insurance. Dr. Palvia's team can help clarify what applies to your specific situation.