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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Prolotherapy
Prolotherapy may be considered for selected ligament, tendon, joint, SI joint, pelvic, TMJ, foot, or hypermobility-related pain patterns.
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Platelet-Rich Plasma (PRP)
PRP treatment may be considered for selected joint, tendon, ligament, chronic sprain, SI joint, foot, or hypermobility-related pain patterns.
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Regenerative Medicine
Regenerative medicine may be considered for selected joint, tendon, ligament, SI joint, foot, pelvic, or hypermobility-related pain patterns.
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B12 Replacement
B12 replacement may be considered when low B12 or deficiency may be contributing to numbness, tingling, fatigue, weakness, or neurologic symptoms.
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DMARDs
DMARDs may be used for selected autoimmune and inflammatory diseases when inflammation contributes to joint pain, stiffness, enthesitis, or systemic symptoms.
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Biologic Autoimmune Medications
Biologic therapy may be considered for selected autoimmune and inflammatory conditions that contribute to joint, spine, tendon, or systemic pain.
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Suboxone Treatment
Suboxone may be considered for selected chronic pain patients when opioid safety, tolerance, dependence risk, or long-term medication concerns are part of care.
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Opioid Therapy
Opioid therapy may be considered for selected patients with severe pain when benefits, risks, function, safety, and alternatives are carefully reviewed.
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Pain Medication Management
Pain medication management helps match medication options to the diagnosis, pain type, safety profile, treatment history, and care goals.
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Ketamine Therapy
Ketamine therapy may be considered for selected patients with refractory chronic pain, neuropathic pain, CRPS, centralized pain, pelvic pain, or complex pain patterns.
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Lidocaine and Ketamine Infusions
Lidocaine and ketamine infusions may be considered for selected patients with refractory neuropathic, centralized, CRPS-related, pelvic, or complex chronic pain.
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Infusions for Pain
Infusion therapy may be considered for selected chronic pain, neuropathic pain, CRPS, autoimmune-related pain, inflammatory arthritis, and complex pain conditions.
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.