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Treatments

Pain Management Services

Treatments & Procedures for Pain Management

Brooklyn, NY

Dr. Tanuj Palvia provides physician-led, non-surgical treatments for spine, joint, nerve, and musculoskeletal pain. Every treatment is selected after a comprehensive evaluation — and performed with advanced image guidance when appropriate for precision and safety.

Tanuj Palvia, MD

Interventional Pain Specialist

Board-certified specialist offering evidence-based procedures to help you avoid surgery and regain mobility.

The Right Treatment Starts With the Right Diagnosis

Pain is rarely caused by a single structure. Symptoms overlap, imaging can mislead, and generic treatments frequently fail because they target the wrong source.

Dr. Palvia's treatment selection process is diagnosis-first — every time:

  1. Detailed clinical evaluation and history

  2. Review of prior imaging — MRI, X-ray, ultrasound

  3. Diagnostic injections to confirm pain generators when needed

  4. Image-guided precision to improve safety and effectiveness

"Treatment follows the diagnosis. Not the other way around."

Treatments Available at Motionis Medicine

Interventional Pain Procedures

  • Epidural Steroid Injections

    Target inflammation and nerve irritation in the cervical, thoracic, or lumbar spine.

    Epidural Steroid Injection

  • Facet Joint Injections & Medial Branch Blocks

    Identify and treat facet-mediated neck or back pain with precision targeting.

  • Radiofrequency Ablation (RFA)

    Longer-lasting relief for confirmed facet joint pain — when diagnostic blocks have identified the target.

    Radiofrequency Ablation

  • Sacroiliac (SI) Joint Injections

    Evaluate and manage SI joint–related low back and pelvic pain.

    SI Joint Injection

Diagnostic & Image-Guided Procedures

  • Diagnostic Nerve Blocks

    Used to isolate pain sources and guide treatment decisions — precision diagnosis before precision treatment.

    Diagnostic Nerve Block

  • Ultrasound-Guided Injections

    Real-time soft tissue visualization for precise targeting of joints, tendons, and muscles.

    Ultrasound-Guided Injection

  • Fluoroscopy-Guided Procedures

    Live X-ray guidance for spine and deep joint interventions — accuracy and safety in the same step.

    Fluoroscopy-Guided Procedures

Regenerative & Non-Surgical Orthopedic Care

  • Regenerative & Orthobiologic Options — Regenexx® Licensed Provider

    Dr. Palvia is a licensed Regenexx physician — trained through the Interventional Orthobiologics Foundation (IOF) in the most research-backed orthobiologic protocols available.

    View Regenexx Details

  • Platelet-Rich Plasma (PRP) Therapy

    Concentrated platelets used to support tissue healing in selected joint, tendon, and soft-tissue conditions — when appropriate.

    PRP Therapy

  • Bone Marrow–Derived Cell Procedures

    Advanced orthobiologic option for joint, tendon, and spine degeneration — for appropriate candidates.

    Bone Marrow Cell Therapy

  • Alternatives to Surgery

    Non-surgical strategies for patients seeking to delay or avoid joint or spine surgery.

    Alternatives to Surgery

Muscle & Neuromuscular Pain Treatments

  • Trigger Point Injections

    Targeted Relief for myofascial pain and chronic muscle spasm.

    Trigger Point Injection

  • Botox® / Xeomin® for Pain

    Dr. Palvia uses Botox® and Xeomin® for chronic muscle-driven pain patterns — including migraines, cervical dystonia, TMJ-related pain, trapezius and neck pain, and muscle spasticity. Medical applications, evaluated individually.

Clinical Suitability

Who These Treatments Are For

Is This the Right Next Step for You?

These treatments may be appropriate if you:

  • Have persistent pain despite physical therapy or medications

  • Have imaging findings without a clear surgical solution

  • Want to explore non-surgical options before committing to surgery

  • Have had limited or temporary relief from prior injections

  • Want a physician who will evaluate you thoroughly before recommending anything

Clinical Excellence

Why Patients Choose Dr. Palvia for Pain Treatment

  1. Physician-Led, Every Visit

    Every evaluation and procedure is performed personally by Dr. Palvia — no handoffs, no mid-levels.

  2. Advanced Image Guidance

    Fluoroscopy and ultrasound used routinely for precision and safety.

  3. Diagnosis Before Treatment

    No protocols pulled off a shelf. Treatment follows a thorough clinical evaluation every time.

  4. Regenexx-Licensed Regenerative Expertise

    Advanced training in evidence-based orthobiologic procedures through the IOF and Regenexx network.

  5. Built for Long-Term Recovery

    Care is structured around durability and function — not temporary symptom relief.

Not Sure Which Treatment Is Right for You?

That's exactly what the evaluation is for. Start with a comprehensive assessment — Dr. Palvia will identify what's driving your pain and outline the options that actually make sense for your case

Book a Treatment Evaluation with Dr. Palvia