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Treatment Services

At ITAV we use a multimodal approach to management of pain. We know that pain is challenging to the patient and we know that the patient would not be in our clinic seeking help unless that pain has significantly impacted their way life. With this in mind we seek various ways to manage the pain knowing well that time and research has taught us that chronic relief and improved function is seen by using various techniques and not just one modality. To this end we incorporate use of the following modalities:

Treatment Services

Medications Including but not limited to:

  • The whole gamut of 'nerve pain medications' or anti-neuropathics such as lyrica, gabapentin, etc.

  • Anti-inflammatory medications - either oral, transdermal ( skin) or gels- this includes medications like meloxicam, diclofenac etc.

  • Opioid medications where applicable 

  • Muscle relaxants such as tizanidine etc

  • Other numerous medications used in pain management

Joint Injections


  • Sacro-Iliac joint injection

  • Trochanteric bursa injection

  • Knee injections

  • Hip injections

  • Shoulder injections

  • Injections of other painful joints in upper and lower extremities

  • Lumbar facet joint injecitons

  • Cervical facet joint injecitons

Therapy & Adjuvants


  • Physical therapy 

  • Occupational therapy

  • Accupuncture referral

  • Chiropractic care referral

  • Massage therapy

  • Smoking cessation

  • Establishment a home exercise program

  • TENS unit, Theracane etc


Medical Marijuana


The Compassionate Care Act in the state of New York has made Medical Marijuana accessible to many deserving patients and I have seen first and foremost patients who had tried various other modalities without relief e.g. from chronic pain get some relief with use of medical Marijuana. It is not a cure-all, no medication is but it is added modalities we can use.

Cancer Pain Care


At ITAV we provide the latest in management of cancer pain to ensure that those with cancer do not go through the journey  in pain.


Advanced Techniques


  • Spinal cord stimulator trial

  • Discogram

  • Radiofrequency ablation


Epidural Steroid Injections & Trigger Point Injections


  • Trigger point injections

  • Lumbar epidural steroid injections

  • Transforaminal epidural steroid injections

  • Cervical epidural steorid injections

  • Caudal epidural steroid injecitons


Nerve Blocks


  • Lumbar medial branch blocks

  • Thoracic medial branch blocks

  • Cervical medial branch blocks

  • Occipital nerve blocks

  • Injections for pain after hernia surgery ( ilioinguinal nerve blocks)

  • Lumba sympathetic nerve blocks

  • Peripheral nerve blocks such as sciatic, popliteal nerve blocks

Behavioral Techniques


  • Biofeedback

  • Yoga

  • Meditation

  • Stress management and Coping mechanisms

  • Tai Chi

What we offer



ITAV Pain Management Practice of New York
1181 Old Country Road, Suite 1
Nassau County

Plainview, NY 11803
Phone: 516-253-4748
Fax: 518-240-1205

Office Hours

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