Orthopedic Pain Management Specialist

Orthopedic pain management is one of the innovative services available at Manhattan Medicine. The integrated group of board-certified specialists works together to help you gain control over your pain to get you back to doing the things you love.

Unlike traditional pain management, orthopedic pain management at Manhattan Medicine focuses on finding and treating the root cause of your pain to resolve the problem altogether. 

Once we have ruled out any underlying disease or problem, the most common causes of knee pain are usually mechanical in nature. Other than trauma from injuries or over-use, another commonly overlooked factor in knee pain, are changes in the function of the lower back, pelvis, and hip causing stress on the knee. If these areas are not well balanced it changes how we bear weight on the knee. Improper weight bearing on the knee joint over time is a common cause of knee injury and pain. 

With elbow tendon pain the damage can become so severe that it is difficult to hold up a glass of water or even do the normal activities of daily life such as buttoning your coat or lifting your purse or briefcase. The good news is there are some excellent treatments, that don't require surgery and can resolve the problem fairly quickly.

Your board-certified specialist at Manhattan Medicine conducts a comprehensive evaluation to determine if you’re a candidate for orthopedic pain management. During the evaluation, your provider asks detailed questions about your pain, including the underlying cause, the severity of your discomfort, and how it affects your quality of life. 

Your provider performs a physical and neurological exam and runs diagnostic tests such as X-rays or an MRI to find the true cause of your pain. Manhattan Medicine uses advanced diagnostic testing to get to the source of your painful condition.

Finding the root cause of your pain ensures you get the most effective treatment. Manhattan Medicine provides care for back pain, neck pain, arthritis, and joint pain. 

The private medical practice also specializes in sports medicine, treating sports injuries that may also benefit from orthopedic pain management. 

From here we create a personalized treatment plan, designed to help you recover, naturally if possible. Our treatment approach may include manual therapy by an Osteopathic Medical Doctor, Chiropractic adjustments to the joints of the body particularly the lower limb, Physical Therapy with custom rehab exercises and stretches, and maybe even Acupuncture. We may also suggest prescription medication or an injection to relieve the pain faster and help you heal. Last but not least, we examine lifestyle factors and habits that may have worsened the problem and help you make modifications as necessary to prevent future problems.

We believe we have one of the most comprehensive approaches to the diagnosis and treatment of knee pain you can find anywhere. We combine the best of our multiple disciplines to get faster pain relief that lasts. If you look at some of the comments our patients make, it looks like they agree with our approach!

Without this step, we have seen many patients fail to get better and get worse with treatments that inadvertently hurt the tendon, not helping it. 

Note: We find patients who have been told to stretch, massage, and exercise their “tendonitis” only to complain that they feel worse after treatment. Why? If you have a small tear not just inflammation (tendonitis) then pulling on the tear either through stretching or exercise can cause make it larger. We avoid these mistakes by imaging the tendon first before we start therapy. Tears are more common than you'd think with elbow tendon pain which may be one of the reasons why so many people fail to get better even with treatment like Physical Therapy. 

One of our favorite tools for treating Golfer’s or Tennis Elbow is “PRP”, which stands for Platelet Rich Plasma injection. This is a non-invasive, in-office treatment, where we take small quantities of blood through a simple blood draw technique and concentrate the number of naturally occurring platelet cells. We then inject the “Platelet Rich Plasma” directly into the tear under ultrasound imaging guidance, in essence using the power of these healing cells to “seal” the tendon injury without surgery. (Platelets produce growth factors and other compounds that stimulate repair when they are placed in an area of tissue injury. They are the same lifesaving cells that stop the bleeding and repair a cut in your skin when you hurt yourself). 

Thankfully PRP does not generally require many visits either, usually, 1 - 3 to three treatments are enough to manage most elbow tendon issues that we see.  The result is that our patients can get back to the things to things they love quickly, even when they have been in pain for long periods of time and failed other forms of treatments. 

The result is our shoulder treatment programs have been very successful at returning most of our patients back to normal active lifestyles without surgery.  We think our unique way of combining different disciplines all focused on getting you better faster, is what makes us special.  From the comments that our patients make, they think so too!

We think our unique way of combining different disciplines all focused on getting you to better faster is what makes us special. We believe we have one of the most comprehensive approaches to the diagnosis and treatment of neck pain you can find anywhere. We combine the best of our multiple disciplines to get faster pain relief that lasts. If you look at some of the comments our patients make, it looks like they agree with our approach!

The orthopedic pain management treatments at Manhattan Medicine are non-surgical interventions that, by design, solve the root cause of pain, rather than block it with pain killers.

Orthopedic pain management may include:

• Physical therapy

• Platelet-rich plasma (PRP) treatment

• Orthobiologic cellular therapy

• Botox® injections

• Orthopedic stem cell injections

• Osteopathic manipulation

• Spinal injections

• Nerve blocks

• Acupuncture

• Spinal decompression

• Chiropractic care

The specialists at Manhattan Medicine customize your orthopedic pain management plan to best meet your needs. Your specialist may use a combination of therapies to help you get the best relief.

Some patients are surprised when they get pain relief from a previously failed treatment after combining it with another therapy. 

For injections, the orthopedic pain management physicians use advanced real-time ultrasound and X-ray imaging to guide the treatments, making them more accurate and effective than traditional approaches. 

For long-term pain relief, you need to treat the underlying cause of your discomfort. To start orthopedic pain management at Manhattan Medicine, call the office or book an appointment online today.