Chronic Pain

Chronic pain is pain that persists for more than three months. It may be caused by an ongoing mechanism such as arthritis, persistent nerve root compression, nerve root injury or other ongoing processes. In some cases, the exact cause of the pain cannot be identified and can be associated with changes that have taken place within the nervous system itself. Treatment for chronic pain is based on results of diagnostic tests and previous treatments. Chronic pain patients are managed with medications, injections, chiropractic care, physical therapy, psychological intervention, education, chronic pain management program and/or spinal cord stimulation.

What Are The Symptoms

After and an injury or illness pain should subside, however with chronic pain the impact can last months and even years. The cause of the pain can either be arthritis or an injury that did not heal properly. Certain injuries are more prone to later develop chronic pain symptoms then others. It’s important that if you’re experiencing pain you seek medical advice from a doctor to prevent additional complications in your healing.

Chronic pain related to the spine may arise in the back or legs, and in the neck or arms. Sensations of aching, numbness, burning or tingling may be felt. If you’re experiencing these symptoms it’s time to seek help.

Treatment Options


Microdiscectomy, also known as microdecompression, is one of the most common minimally invasive spinal surgeries. The process is to remove the part of the disc that’s putting pressure on your nerve that is causing you pain.

A microdiscectomy is typically performed for a herniated lumbar disc and it is more effective for treating leg pain, rather than back pain.

Patients normally feel relief from leg pain almost immediately after a microdiscectomy spine surgery. It may take weeks or months for the nerve root to fully heal and any numbness or weakness to get better.

Endoscopic Discectomy

This minimally-invasive procedure is performed through a small tubular device. It is designed to relieve pain caused by herniated discs pressing on nerve roots.

After the disc protrusion is confirmed, an endoscope (small camera) is inserted allowing the surgeon to view the herniated disc. Instruments are used to remove degenerative and extruded portions of the disc nucleus. The disc wall defect is treated with a laser and radio frequency probe. The forearm and nerves are inspected to confirm successful decompression.

It is performed under local anesthesia or mild sedation, allowing the patient to leave the hospital the same day. Since general anesthesia is not needed, those risks can be avoided.

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Percutaneous Disectomy

This minimally invasive procedure uses a small needle and a canula device to reduce a herniated disc, quickly relieving pain in most patients.

This process removes small portions of the disc nucleus.The empty space created allows the disc to reabsorb the herniation, the herniated part of the disc.

This procedure is a great alternative to open back surgery for herniated discs and allows to reduce the prolonged recovery and complications related to open surgery.

The procedure may be performed on an outpatient basis. X-ray images are used to guide the placement of the cannula.

Epidural Steroid Injection (ESI)

The epidural space is between the dural sac (a membrane encasing the spinal cord, spinal fluid and nerve roots) and the vertebral wall. An epidural steroid injection (ESI) is an injection that delivers long-acting steroids directly into the epidural space. The steroids help to reduce pain by reducing inflammation around the nerves.

Sometimes an anesthetic or saline is also used to help “flush out” inflammatory agents that may be irritating a nerve.

Epidural steroid injections are typically used to treat pain radiating from the lower back into the legs or from the neck into the arms. The diagnoses most often considered for ESI are herniated disc, stenosis, nerve root compression and, in some cases, spondylolisthesis.

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Chiropractic approach to healing involves the whole body. Pain relief can be obtained quickly and effectively, and drug-free.

We help our patients avoid surgery and risks associated with surgery including infections, bleeding, prolonged recovery, and risks of anesthesia.

We offer a safe and affordable alternative. We believe that by working to keep the spinal cord correctly aligned, we can maintain the health of the nerves and immune systems and your overall well-being.

Chronic back pain is pain that is ongoing for more than three months. Many chronic back pain patients have had symptoms for years. Typically, we associate pain with an injury and the injured tissue heals over time and the pain goes away. This is a typical characteristic of acute pain. Chronic back pain is different. Chronic back pain persists and may vary in intensity. It may be caused by an ongoing mechanism such as arthritis, persistent nerve root compression, nerve root injury or other ongoing processes. In some cases, the exact cause of the pain cannot be identified and can be associated with changes that have taken place within the nervous system itself.

The diagnostic evaluation of chronic back pain patients often needs to be fairly extensive. A thorough history will be reviewed with your doctor, including when the pain started; treatments received and their effectiveness; any surgery performed; changes in the type, severity and location of pain; and review of previous diagnostic tests. A physical exam will be performed. Imaging may be done including X-rays, MRI or CT. Other tests such as myelography,discography, EMG or injections may also be done. The diagnostic workup will vary based on your history and the tests already performed.

The treatment plan for chronic back pain patients is typically based on the results of the diagnostic workup and what interventions have already been tried. However, considering the variation in treatments from one center to another, some treatments may be attempted again using a different delivery technique. This may include the way an injection is performed or the components of a physical therapy program.

Chronic back pain patients are managed with medications, injections, chiropractic care, physical therapy, psychological support, education,chronic pain management program and/or surgery. Chronic back pain management programs generally require the patient to participate in care for several hours a day for a period of usually 4-6 weeks. Surgery, such as fusion or decompression, may be undertaken if there is a structural basis for the pain. Surgery to implant a spinal cord simulator to control pain may be considered. It is important to discuss treatment options with your doctor in deciding which treatment, if any, may be best for you.

Seek medical attention if your neck or back pain travels down your arm or leg, or if it’s accompanied by numbness, tingling or weakness.

You may notice other weakness in certain muscles until your doctor examines you.

See a doctor immediately if you develop these symptoms.

If you experience problems with bowel and bladder function, numbness in the saddle area (around the anus), and weakness in one or both legs. This syndrome needs urgent treatment to preserve the nerves.

If you experience any of the following, see a doctor today:

  • Back pain from a fall or injury
  • Weakness or numbness in one or both legs
  • Back pain accompanied by fever without flu-like aches
  • Pain that continues to interrupt sleep after three nights
  • Back pain that remains after six weeks of home treatment

To Confirm and Send

At our clinic, we properly determine the root cause of your pain.

Our specialists exclusively make use of new techniques for evaluating pain.

Immediate Appointments Available.

We are a Pain Management Center in Manhattan, NY. We provided a one-on-one experience, using state of the art equipment, and proven techniques that reduce pain quickly and enable a return to normal function. With our services, we aim to ensure complete well-being of patients with a holistic approach.

At our clinic, we properly determine the cause of discomfort, plan strategies and suggest therapies, accordingly. Our main aim is to ensure the complete well-being and health of patients; therefore we use several holistic treatments that stimulate the ability of the body to repair the damaged area.

Our holistic treatments are extensively utilized in the form of an alternate to pain medications and surgeries in various musculoskeletal conditions, as it focuses on permanently treating the root cause of the pain. Our holistic treatments include: Prolotherapy, PRP (Platelet Rich Plasma), Sarapin Therapy, Zeel Therapy, and Stem Cell Therapy.

Immediate Appointments Available. Call Us Today.