Motionis

Chronic Pain Treatment in Brooklyn, NY

Chronic pain is pain that persists beyond normal healing time and can affect daily function, mobility, sleep, and overall quality of life. Because chronic pain often involves multiple overlapping pain generators, accurate diagnosis is essential before selecting treatment. At Motionis Medicine, chronic pain is evaluated through a physician-led, diagnosis-first approach focused on identifying contributing factors and guiding appropriate non-surgical care.

Care is led by Dr. Tanuj Palvia, MD, a board-certified interventional pain medicine physician with over 15 years of experience in managing complex and persistent pain conditions.

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What Is Chronic Pain?

Chronic pain is typically defined as pain that lasts longer than three months or continues after expected tissue healing. Unlike acute pain, which serves as a warning signal, chronic pain may persist even when initial injury or inflammation has resolved.

Chronic pain can involve:

Muscles and soft tissues
Joints and cartilage
Nerves
Spine structures
A combination of multiple pain sources

Because chronic pain is often multifactorial, comprehensive evaluation is essential.

Common Chronic Pain Symptoms

Symptoms vary widely depending on the underlying contributors and may include:

Chronic pain may fluctuate in intensity and can be influenced by physical, mechanical, and neuromuscular factors.

Persistent or recurring pain in one or more areas

Stiffness or reduced mobility

Muscle tightness or spasm

Burning, aching, or deep discomfort

Fatigue or sleep disruption

Pain that worsens with activity or prolonged posture

Common Causes of Chronic Pain We Evaluate

Chronic pain may develop due to one or more underlying conditions, including:

Degenerative spine or joint conditions

Persistent pain following injury or surgery

Nerve irritation or sensitisation

Myofascial pain and muscle dysfunction

Arthritis-related changes

Biomechanical imbalances affecting movement

Identifying why pain has become persistent is key to effective management.

How Chronic Pain Is Evaluated

Evaluation focuses on identifying all relevant pain generators and understanding how they interact. A physician-led assessment may include:

Detailed medical history and pain timeline

Comprehensive physical and functional examination

Review of prior imaging and treatment history

Diagnostic injections, when appropriate, to clarify pain sources

Assessment of movement patterns and contributing biomechanical factors

This structured approach allows treatment to be tailored rather than generic.

Non-Surgical Treatment Options for Chronic Pain

Treatment recommendations are individualised and depend on diagnosis, symptom patterns, and functional goals. Non-surgical options may include:

Image-guided spine or joint injections

Nerve blocks or radiofrequency ablation (RFA), when appropriate

Trigger point injections for muscle-driven pain

Botulinum toxin (Botox® or Xeomin®) injections for refractory muscle overactivity, when appropriate

Regenerative and non-surgical orthopedic options, when appropriate

Coordinated rehabilitation and long-term recovery planning

Care focuses on improving function, reducing pain, and supporting long-term durability rather than short-term symptom relief alone.

When a Specialist Evaluation May Help

You may benefit from a specialist evaluation if:

Pain persists beyond expected healing time

Multiple areas of pain are present

Prior treatments have provided limited or temporary relief

Pain interferes with work, sleep, or daily activities

Long-term medication use is a concern

A comprehensive evaluation can help clarify underlying contributors and guide appropriate next steps.

Schedule a Chronic Pain Evaluation

If chronic pain is limiting your comfort, mobility, or quality of life, a comprehensive evaluation can help clarify your options and guide appropriate non-surgical care.