Pain Management in Midtown NYC

Pain management clinic in Midtown Manhattan. Modal Pain offers interventional procedures, IV therapy, physical therapy, and wellness services with Dr. Movshis.

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Our clinic at 369 Lexington Avenue, between 40th and 41st Streets, is a short walk from Grand Central Terminal and the 4, 5, 6, 7 and S trains. Dr. Alex Movshis runs a practice built on interventional pain medicine: minimally invasive procedures aimed at the structure most likely producing the pain, which can reduce how much medication you need.

Full-Spectrum Care Under One Roof

Treatments run from diagnostic nerve blocks and epidural injections to radiofrequency ablation, ultrasound-guided joint procedures, and Botox for chronic migraine and cervical dystonia. Physical therapy and rehabilitation are coordinated with the procedures. The practice also offers a separate, physician-supervised IV therapy menu, including NAD+, immune support, GLP-1 support and athletic recovery IVs.

Designed for the Working Professional

Same-week scheduling, appointments from 9 AM to 7 PM weekdays, and most procedures completed in under 40 minutes. You see Dr. Movshis himself at every visit. Whether you work in a nearby office tower or commute through Midtown, we’re here to fit specialist care into your routine.

Pain Management Services Available in Midtown NYC

Headaches & Migraines

Treatment for tension headaches, migraines, and other headache disorders.

Learn More About Headaches & Migraines

Back Pain

Low and mid-back pain come from a short list of structures, each with its own procedure. The exam sorts them on the first visit.

Learn More About Back Pain

Neck Pain

Four neck problems can produce the same ache and need different procedures. A careful exam at the first visit sorts out which one is most likely.

Learn More About Neck Pain

Cervical Dystonia (Spasmodic Torticollis)

Diagnosis and EMG-guided botulinum toxin treatment for cervical dystonia — the head pull, tilt, tremor, and neck pain that get treated as a stiff neck for years.

Learn More About Cervical Dystonia (Spasmodic Torticollis)

Sciatica

Advanced treatment for sciatic nerve pain and lower extremity radiculopathy.

Learn More About Sciatica

Shoulder Pain

Five shoulder problems can look alike from the outside and need different procedures. A careful history and exam of the shoulder and the neck sorts them out.

Learn More About Shoulder Pain

Sports Medicine & Soft Tissue Injuries

Diagnosis, guided injections and rehab for sports injuries and soft tissue pain in runners, lifters and other active people.

Learn More About Sports Medicine & Soft Tissue Injuries

Joint Pain

Effective joint pain management for arthritis and degenerative joint conditions.

Learn More About Joint Pain

Facial & Cranial Nerve Pain

Diagnostic and interventional care for trigeminal neuralgia, post-herpetic neuralgia, occipital neuralgia, and atypical facial pain — image-guided, evidence-graded.

Learn More About Facial & Cranial Nerve Pain

Muscle Spasms & Myofascial Pain

Treatment for muscle spasms, tight muscle knots, and myofascial pain.

Learn More About Muscle Spasms & Myofascial Pain

Post-Surgical and Iatrogenic Nerve Pain

Diagnostic and interventional care for chronic nerve pain after hernia repair, C-section, mastectomy, thoracotomy, hip surgery, and other procedures — image-guided diagnostic blocks and coordinated surgical referral.

Learn More About Post-Surgical and Iatrogenic Nerve Pain

Medical Weight Loss for Pain Patients

Physician-supervised GLP-1 weight loss for patients whose knee, hip or back pain is made worse by excess weight.

Learn More About Medical Weight Loss for Pain Patients

Peripheral Nerve Entrapment

Diagnostic and interventional care for peripheral nerve entrapments most commonly missed by conventional imaging — image-guided diagnostic blocks as the key test, with structured surgical referral when needed.

Learn More About Peripheral Nerve Entrapment

Jaw Pain & TMJ Disorders

Treatment for jaw pain, TMJ disorders, and masseter muscle pain.

Learn More About Jaw Pain & TMJ Disorders

Post-Mastectomy Pain Syndrome

Intercostobrachial neuralgia and chronic chest-wall pain after mastectomy — diagnostic blocks, image-guided care, and coordinated surgical referral from a board-certified pain physician.

Learn More About Post-Mastectomy Pain Syndrome

Post-Thoracotomy Pain Syndrome

Chronic chest-wall pain after thoracotomy or VATS — diagnostic intercostal blocks, image-guided care, and coordinated referral from a board-certified pain physician.

Learn More About Post-Thoracotomy Pain Syndrome

Frozen Shoulder (Adhesive Capsulitis)

Diagnosis and ultrasound-guided treatment of frozen shoulder — the capsule that thickens and contracts until the arm will not go behind your back, and the night pain that comes with it.

Learn More About Frozen Shoulder (Adhesive Capsulitis)

Knee Bursitis

Image-guided diagnosis and treatment of prepatellar, infrapatellar, pes anserine, and other knee bursitis.

Learn More About Knee Bursitis

Herniated Disc

Non-surgical, image-guided herniated disc care — epidural steroid injections and nerve blocks coordinated with physical therapy.

Learn More About Herniated Disc

Piriformis Syndrome

Diagnosis and image-guided treatment of piriformis syndrome and deep gluteal sciatic nerve entrapment.

Learn More About Piriformis Syndrome

Cervical Stenosis

A narrowed neck can pinch a nerve root or press on the spinal cord. The exam tells the two apart, and they are treated very differently.

Learn More About Cervical Stenosis

Spinal Stenosis

Image-guided, non-opioid care for lumbar spinal stenosis and the shrinking walking distance of neurogenic claudication.

Learn More About Spinal Stenosis

Tennis Elbow (Lateral Epicondylitis)

Diagnosis and treatment of tennis elbow (lateral epicondylitis), from strengthening to cortisone and PRP, and when to refer for tenotomy, with what the trials actually show.

Learn More About Tennis Elbow (Lateral Epicondylitis)

Plantar Fasciitis

The plantar fasciitis injection decision, made under ultrasound in Midtown Manhattan: when PRP beats cortisone, when neither is the right call, the heel-pain mimics a pain physician checks first, and what runners should do in the weeks before a marathon.

Learn More About Plantar Fasciitis

Radiculopathy

Precise diagnosis and image-guided, non-opioid treatment for cervical and lumbar pinched nerves.

Learn More About Radiculopathy

Complex Regional Pain Syndrome (CRPS)

Budapest-criteria diagnosis and image-guided sympathetic nerve blocks coordinated with graded rehabilitation for CRPS.

Learn More About Complex Regional Pain Syndrome (CRPS)

Hip Bursitis (Greater Trochanteric Pain Syndrome)

Modern, image-guided diagnosis and treatment of hip bursitis and greater trochanteric pain syndrome (GTPS) — including the gluteus medius and minimus tendinopathy that drives most cases.

Learn More About Hip Bursitis (Greater Trochanteric Pain Syndrome)

Shoulder Bursitis (Subacromial Bursitis & Rotator Cuff Tendinopathy)

Modern, image-guided diagnosis and treatment of shoulder bursitis, subacromial bursitis, and the rotator cuff tendinopathy that drives most cases.

Learn More About Shoulder Bursitis (Subacromial Bursitis & Rotator Cuff Tendinopathy)

SI Joint Pain (Sacroiliac Joint Dysfunction)

Image-guided diagnosis and treatment of sacroiliac joint pain, one of the most commonly missed causes of low back, buttock, and groin pain.

Learn More About SI Joint Pain (Sacroiliac Joint Dysfunction)

Hip Osteoarthritis (Hip Arthritis)

Image-guided diagnosis and non-surgical treatment of hip osteoarthritis, with honest evidence for each option and a clear path to surgery when it is the right answer.

Learn More About Hip Osteoarthritis (Hip Arthritis)

Hip Labral Tear & Femoroacetabular Impingement (FAI)

Image-guided diagnosis and non-surgical treatment of hip labral tear and femoroacetabular impingement — the structured alternative to early hip arthroscopy.

Learn More About Hip Labral Tear & Femoroacetabular Impingement (FAI)

Meralgia Paresthetica

Modern, image-guided diagnosis and non-surgical treatment of meralgia paresthetica — the most commonly missed entrapment neuropathy in adults.

Learn More About Meralgia Paresthetica

Knee Arthritis (Knee Osteoarthritis)

Most painful arthritic knees are treated without surgery. What each option does, for how long, and how strong the evidence behind it is.

Learn More About Knee Arthritis (Knee Osteoarthritis)

Morton's Neuroma

Burning between the third and fourth toes is usually a scarred nerve, not a tumor. The exam usually makes the diagnosis, ultrasound settles doubtful cases, and treatment starts with the shoe.

Learn More About Morton's Neuroma

IT Band Syndrome (Iliotibial Band Syndrome)

Outside-of-knee pain that arrives at the same point in every run. The compression mechanism behind IT band syndrome, how it is told apart from a meniscus or nerve problem, and an evidence-graded plan for runners, including the weeks before a race.

Learn More About IT Band Syndrome (Iliotibial Band Syndrome)

Proximal Hamstring Tendinopathy (High Hamstring Pain)

Deep sit-bone pain that hates hard chairs, hills, and speed work. How proximal hamstring tendinopathy is diagnosed, why stretching it backfires, and what the injection evidence really shows.

Learn More About Proximal Hamstring Tendinopathy (High Hamstring Pain)

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Why Choose Modal Pain Management NYC?

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.

★★★★★

5 out of 5 based on 89 reviews

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"From the day one, it was very clear I was in the hands of someone who truly cares. Dr. Movshis diagnosed my lumbar disc herniation with nerve compression to the details way…"
★★★★★
Dpak N5 months ago

"Dr. Alex is an amazing doctor. Helped me with my back pain. His office is a one stop shop for all pain needs."
★★★★★
Lea Kazazi7 months ago

"I’m so grateful to Dr. Alex for helping me recover from my hip pain. He was always professional, knowledgeable, and attentive, and took the time to listen to my concerns and…"
★★★★★
Yuka Mito2 months ago