Motionis

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:

Detailed clinical evaluation and history

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

Diagnostic injections to confirm pain generators when needed

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.

Facet Joint Injection Medial Branch Block

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

Prolotherapy

Targeted regenerative injections for ligament and tendon instability — case-dependent.

Prolotherapy Details

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.

Botox® for Pain Xeomin® for Pain

SUITABILITY

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

Physician-Led, Every Visit

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

Advanced Image Guidance

Fluoroscopy and ultrasound used routinely for precision and safety.

Diagnosis Before Treatment

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

Regenexx-Licensed Regenerative Expertise

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

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