Advanced Pain Treatments
Minimally invasive procedures, each matched to a specific diagnosis.
Book NowAt Modal Pain Management, every treatment starts with a diagnosis. Dr. Movshis performs each procedure himself, using fluoroscopy for spinal procedures and ultrasound for many nerve, joint and soft-tissue injections. The list runs from epidural steroid injections and nerve blocks to radiofrequency ablation, Botox and platelet-rich plasma (PRP). Each page below explains who the procedure is for, what the evidence shows, and where it is weak. The goal is less pain and better function without surgery, and when surgery is the better answer, a referral.
Headache & Migraine Injections
Headache and migraine injection therapy — PREEMPT Botox™, occipital and sphenopalatine nerve blocks, and trigger point injections, chosen by headache type.
Botox™ & Neuromodulator Therapy
Botox™, Dysport™, and Daxxify™ for cervical dystonia and muscle spasm, PREEMPT Botox™ for chronic migraine, and off-label masseter injections for TMJ-related jaw pain.
Joint & Soft Tissue Injections
Minimally invasive joint and soft tissue injections including corticosteroid, PRP, and viscosupplementation therapy.
Epidural Steroid Injections
Targeted spinal pain relief through epidural steroid injection therapy.
Medial Branch Block
Diagnostic nerve block that tests whether a facet joint is the likely source of your pain and, when positive, can qualify you for radiofrequency ablation.
Nerve Blocks
Precision nerve blocks to interrupt pain signals and provide lasting relief.
Radiofrequency Ablation
Radiofrequency treatment that quiets the small nerves carrying joint pain, with relief that lasts months in people who respond.
Genicular Nerve Block & Radiofrequency Ablation
Radiofrequency ablation of the small nerves that carry pain from an arthritic knee. What the trials show, who it fits, and what to expect.
SI Joint Radiofrequency Ablation
Image-guided lateral branch radiofrequency ablation of the L5 dorsal ramus and S1–S3 lateral branches — the repeatable option for sacroiliac joint pain traced by diagnostic blocks. In people who respond, relief often lasts about 6 to 12 months.
Trigger Point Injections
Injections into tender muscle knots, used to ease myofascial pain enough to start stretching and strengthening the muscle.
Muscle Tear & Soft Tissue Repair
Precision diagnosis and non-surgical treatment of partial and complete muscle tears — PRP, ultrasound-guided injections, and structured return-to-activity care.
Physical Therapy
Exercise-based physical therapy planned together with any injection or procedure, built on the trials that support it.
Sacroiliac (SI) Joint Injections
Image-guided sacroiliac joint injections: the reference-standard test for SI joint pain, and a treatment when the joint is the source. The SI joint causes an estimated 15–30% of chronic low back pain felt mainly below the lowest lumbar vertebra.
Hip Joint Injections
Image-guided intra-articular hip injections — diagnostic and therapeutic — for hip osteoarthritis, labral tears, and femoroacetabular impingement, performed under live fluoroscopic or ultrasound guidance.
Occipital Nerve Block
An occipital nerve block is a targeted injection of local anesthetic around the greater, lesser, or third occipital nerves to diagnose and treat occipital neuralgia, chronic migraine, cluster headache, and cervicogenic headache.
Platelet-Rich Plasma (PRP) Therapy
Autologous platelet-rich plasma (PRP), drawn from your own blood and concentrated in office, delivers growth factors directly into damaged tendons, ligaments, and joints — with evidence that varies by condition: more favorable trials for some tendon problems, and conflicting trials and guidelines for knee and hip arthritis.
Stellate Ganglion Block
A stellate ganglion block injects local anesthetic around the cervical sympathetic chain to quiet sympathetic 'fight-or-flight' signaling — used for complex regional pain syndrome, which insurers cover, and off-label for PTSD, long COVID and hot flashes.
Why Choose Modal Pain Management?
Mount Sinai Fellowship-Trained
Board-certified with fellowship training in interventional pain medicine at the Icahn School of Medicine at Mount Sinai.
In-Office Ultrasound & Fluoroscopy
Image-guided injections performed in-suite — no hospital referral, no waiting weeks for outside imaging.
Same-Site PT, Chiro & IV Therapy
Coordinated non-surgical care under one roof at 369 Lexington Avenue — physical therapy, chiropractic, and IV therapy all on site.
Non-Opioid by Design
Treatment plans built around interventional, regenerative, and rehabilitative care — not pills.