Treatments We Offer
At Manhattan Pain Medicine, treatment is selected through diagnosis, not habit. Every medication, procedure, therapy, or intervention is chosen based on what we believe is driving the pain, what the body is protecting, and what needs to change for more durable progress.
What Are Zones of Expertise?
Our team organizes conditions and treatments into related zones of expertise to make it easier to explore the care paths most relevant to your symptoms and goals.
Use the zone tags above to browse dedicated pages for each focus area, including services, providers, and what to expect during treatment.
Expertise Built for Complex Pain
Explore the Zones of Expertise by clicking or tapping on a circle.
How Treatments Fit Into Care
Treating complex pain often requires two paths at the same time: helping the patient feel more comfortable while continuing to address the underlying cause. Some treatments calm inflammation or sensitization. Others support healing, improve stability, retrain movement, or help regulate the nervous system. The right plan depends on the diagnosis, the order of care, and how the body responds.
How We Choose the Right Treatment
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Peripheral Nerve Stimulation
Peripheral nerve stimulation may help selected patients with focal nerve pain, pelvic nerve pain, pudendal neuralgia, foot pain, nerve entrapment, or complex chronic pain.
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Dorsal Root Ganglion Stimulation
Dorsal root ganglion stimulation may help selected patients with focal nerve-related, CRPS-related, foot, groin, pelvic, or complex pain when other treatments have not provided enough relief.
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Spinal Cord Stimulation
Spinal cord stimulation may help selected patients with chronic nerve-related, spine-related, CRPS-related, pelvic, or complex pain when other treatments have not provided enough relief.
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Neuromodulation
Neuromodulation may help selected patients with chronic nerve-related, pelvic, spine-related, or complex pain when conservative treatments have not provided enough relief.
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Sacrococcygeal Ligament Injection
A sacrococcygeal ligament injection may help evaluate or temporarily reduce selected tailbone pain, coccydynia, or sacrococcygeal pain with sitting.
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C1/2 Facet Injections for Craniocervical Instability (CCI)
C1/2 facet injections may help evaluate or temporarily reduce selected upper cervical pain, headache overlap, or suspected CCI-related pain patterns.
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Facet Joint Injection
A facet joint injection may help evaluate or temporarily reduce selected neck, back, or headache-related pain when the facet joints are suspected pain generators.
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Epidural Lysis of Adhesions / Racz Catheter
Epidural lysis of adhesions, also called the Racz catheter procedure, may be considered for selected persistent spine-related nerve pain when standard care has not provided enough relief.
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Epidural Steroid Injections
Epidural Steroid Injections may help selected spine-related nerve pain when symptoms involve sciatica, radiating arm or leg pain, disc herniation, spinal stenosis, or irritated spinal nerves.
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Spine Injections Epidurals
Spine injections and epidurals may help evaluate or reduce selected neck, back, arm, or leg pain related to irritated spinal nerves, disc herniations, spinal stenosis, or complex spine conditions.
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Sacroiliac Joint Fixation and Fusion
SI joint fixation or fusion may be considered for selected patients with confirmed sacroiliac joint pain or instability that has not improved with appropriate non-surgical care.
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Sacroiliac Joint Injection
A sacroiliac joint injection may help evaluate or temporarily reduce selected SI joint pain involving the lower back, buttock, hip, or pelvic region.
Find a Treatment Path Built Around the Diagnosis
The most effective treatment plan begins with understanding the reason pain is happening. Our team works to identify the source, calm the systems that may be amplifying symptoms, and build a coordinated plan that supports comfort, function, and long-term management.