Long Island’s leading specialists in pain treatment and management.


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Pain Management

It begins with a better understanding of the patient.

Pain can take many forms, and the sources of a patient’s pain can come from many different factors. The iMsk & Spine Group doesn’t just seek to simply mask pain, but rather get a better understanding of the factors involved to help a patient minimize pain in the long run.

There is never a way to guarantee complete freedom from pain, but we know that care needs to evolve and adjust according to a patient’s progress. Keeping careful diagnostics of changes and management can often allow The iMsk & Spine Group physicians to help their patients get ahead of pain before it begins.

In the end, it’s all about lifestyle. While we have a broad array of procedures and many years of varied experience within the practice, we still understand that every treatment will have a unique quality because it attaches to your unique lifestyle. Seeking the best balance of medical care with each person’s lifestyle is what guides our process.

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Learn about our specializations.

The iMsk & Spine Group offers a wide range of treatments in pain management. Obviously, each patient will require their own protocols of management based on their unique need.

However, obviously there are treatments that we provide frequently. Below you will find descriptions of some of our most common, to help familiarize yourself with general practices we provide in pain management.

BOTOX® Injections for Chronic Migraine

If you have the frequent, severe headache condition known as "chronic migraine," your doctor may want you to try injections of BOTOX® in your head and neck. The injections can help stop migraines before they start.


A disocgram is the everyday term for the result of a "discography." Discography helps your doctor find painful spinal discs. It can show the source of pain in your back. The process uses a type of X-ray device called a "fluoroscope" to assist in guiding needles which investigate painful areas of the spine to generate images.

Lumbar Discogram
Thoracic Discogram

Epidural Steroid Injections • Caudal, Cervical, Lumbar, Thoracic

Epidural steroid injections are outpatient procedures consisting of an injection of a steroid-anesthetic medication, in order to reduce swelling and inflammation of irritated  nerves. The injection takes only a few minutes to complete.

There are several types of epidural steroid injection procedures, correlating to the source of pain or area of disorder. Common variations of this simple procedure include caudal, cervical, lumbar and thoracic injection points.

Caudal Epidural Steroid Injection
Cervical Epidural Steroid Injection
Lumbar Epidural Steroid Injection
Thoracic Epidural Steroid Injection

Facet Joint Injections • Cervical, Lumbar, Thoracic

The facet joints, found on both sides of the back of the spine, can become painfully irritated or inflamed.  A facet joint injection may help diagnose the source of a patient's pain. It can also relieve pain and inflammation. The location of injection corresponds to the diagnostic region of your disorder: cervical, lumbar, thoracic, etc.

Genicular Nerve Block

This outpatient procedure is an injection of anesthetic to the genicular nerves. These are the sensory nerves that transmit pain signals from the knee to the brain. Anesthetizing these nerves can disrupt the pain signals caused by degeneration of the knee. A genicular nerve block can provide temporary pain relief. It may help determine if a patient is a candidate for nerve ablation, which can provide long-term pain relief.

Hip Joint Injection

If you have pain in your hip, your doctor may inject medicine into your hip joint. It can help your doctor find where your pain is coming from. It can also make your hip feel better.

Lumbar Sympathetic Block

This procedure is an injection that numbs branches of nerves in your lower back. It helps doctors find and treat a number of problems linked to these nerves. Usually, a series of injections is needed to treat a problem.

Medial Branch Block • Cervical, Lumbar, Thoracic

This is an injection of numbing medicine. It bathes the medial branch nerves, which attach to the facet joints of your spine. These nerves hurt when facet joints are injured or diseased. The injection helps find the source of your pain. And it may relieve your pain for a brief time.

Medial Branch Block
Cervical Medial Branch Block

Radiofrequency Ablation (RFA) for Pain

This simple procedure treats chronic pain. It involves heating part of a nerve to block its pain signals. Radiofrequency ablation can give you long-term pain relief.

Sacroiliac Joint Steroid Injection

This injection procedure is performed to relieve pain caused by arthritis in the sacroiliac joint where the spine and hip bone meet. The steroid medication can reduce swelling and inflammation in the joint.

Spinal Cord Stimulation (Percutaneous Lead Placement)

This outpatient procedure is an injection performed to relieve pain in the uSpinal cord stimulation (also called SCS) uses electrical impulses to relieve chronic pain of the back, arms and legs. It is believed that electrical pulses prevent pain signals from being received by the brain. SCS candidates include people who suffer from neuropathic pain and for whom conservative treatments have failed.pper back.

Stellate Ganglion Block

A stellate ganglion nerve block is an injection that numbs branches of nerves in your neck. This helps doctors find and treat a number of problems linked to the nerves.  Treatment may require a series of injections.

Transforaminal Epidural Steroid Injections • Cervical, Thoracic, Lumbar

This outpatient procedure is an injection of a steroid-anesthetic medication. The medication can reduce swelling and inflammation of irritated spinal nerves.

The injection site correlates to the area of pain or disorder. The cervical injection is performed to relieve neck, shoulder and arm pain related to compression of a nerve root in the cervical spine.  The lumbar injection is performed to relieve pain in the lower back and pain that radiates from the back to the legs. The injection takes only a few minutes to complete. The thoracic procedure relieves pain in the upper back, ribs, and abdomen caused by a pinched nerve (or nerves) in the thoracic spine.

Cervical Transforaminal Epidural Steroid Injection
Lumbar Transforaminal Epidural Steroid Injection
Thoracic Transforaminal Epidural Steroid Injection

Rehabilitation Medicine

Care of a patient often means planning for care over the course of time.

There are many reasons people may require rehabilitation care. After a surgery, while a broken bone is healing, as care for a neurological disorder, and many other conditions require consistent rehabilitation services.

The iMsk & Spine Group’s on-site rehabilitation care addresses all types of orthopedic rehabilitation. Our physicians oversee treatment and our specialists are equipped with both the expertise and experience to ensure optimal rehabilitation for patients requiring these services.

Physical Therapy

Progress towards reduced pain requires professional guidance.

Often, pain can be managed by working with he source of the pain, and apprehending it before it is felt. This is one of the primary jobs of physical therapy, and The iMsk & Spine Group’s on-site team is among the most knowledgeable in the field.

Physical therapy can be required to help build functionalists and strength while a patient heals from injury, after surgery, or to improve movement capacities due a loss of function or ability. Our physicians oversee the PT team, ensuring that the therapy is correctly aligned with the needs of the patient. Our facility is thoroughly equipped and adjacent to our physicians offices, ensuring that physical therapy prescriptions properly address patient needs.

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The iMsk & Spine Group offers complete, on-site physical therapy services across an extensive array of treatment needs. Because our physical therapy team works on-site with your physician treatment can be aligned to your specific needs. Take a moment to familiarize yourself with how physical therapy is a common portion of patient care.

Diagnostic Services

Gaining a better understanding means giving better care for pain.

Pain can arise from many sources, and often arises due to a combination of a few sources. This means careful diagnosis is essential to treatment. The iMsk & Spine Group’s practice, therefore, isn’t only about care and treatment, but also focused on better diagnosis and understanding of the sources of patient pain.

With state of the art equipment regularly updated and combined experience that spans decades, The  iMsk & Spine  Group’s ability to understand pain and it’s sources is unrivaled. Making sure disorders are properly diagnosed, and also citing possible indicators which may have been overlooked, is why so many patients trust our care for it’s insight and accuracy.