Downtown Pain Physicians

Back Pain Treatment Specialists in Brooklyn & Manhattan, NY

  • Downtown Pain Physicians Accolades

Our pain management doctors use conservative and injection-based treatments, such as nerve blocks, epidural steroid injections, nerve ablation, and other types of procedures to treat patients with chronic back pain. Injections provide immediate back pain relief that can last for several months. Alternative treatments, such as acupuncture, biofeedback therapy, laser therapy, massages, or electrical nerve stimulation, can make a big difference for chronic back pain patients. Your Brooklyn back pain specialists at Downtown Pain Physicians can help you to decide whether alternative treatments can benefit you. As experts in pain management and pain control, our physicians offer comprehensive treatments that focus on your specific level of pain. Visit our pain management clinic in Downtown Brooklyn and Lower Manhattan to get the back pain under control.

Back Pain Management in NYC (Lower Manhattan & Downtown Brooklyn)

The lower back supports the weight of the upper body, providing support, movement, and protection of body tissue. Anytime we are standing, bending, extending, or rotating the waist the lower back is providing support. A problem in any part of your spine can cause back pain. Any part of your lower back – muscles, bones, joints, tendons, ligaments, or nerves – can cause lower back problems. Lower back pain is very common.

Lower Back Pain


Back pain symptoms may include feelings of muscle ache, stabbing or shooting pain, stiff or limited flexibility in the back, inability to stand with proper posture, and radiating the pain down one or both legs. While lower back pain is extremely common, the symptoms and severity of lower back pain vary greatly.

Finding the root cause of pain is our main goal. Back pain can take on a wide variety of characteristics a simple lower back muscle strain might be excruciating enough to necessitate an emergency room visit (acute back pain), while a degenerating disc might cause only mild, intermittent discomfort (chronic back pain). For some people, chronic back pain is simply an annoyance. For others, it can be both excruciating and disabling.

Back pain can result from injury to a muscle or ligament, or from a more serious injury such as a vertebral fracture, ruptured disk, or arthritis. Call us to speak with a back pain doctor and find out about your options for treatment of your pain condition.

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Possible causes of lower back pain include:


Identifying the symptoms, along with an accurate diagnosis of the root cause of the pain, is the first step in obtaining effective pain relief. Board Certified Specialists at Downtown Pain Physicians pain centers can help identify the cause of your low back pain and offer effective non-surgical treatments.

We have a team of experienced specialists who diagnose the root cause of the problem through the latest techniques and employ safe, pain-free & nonsurgical therapies, accordingly. Our advanced and affordable therapies help our patients lead a pain-free healthy life. In addition, we use multidisciplinary approaches which help patients get back to their normal life without any pain.


  • ★★★★★


    Best medical practice I have in my entire life received the best treatment for multiple injuries I received causing pain and he has also provided the best treatment to my son as well. Dr. Raval takes his time always returns my calls and has treated my son and I as his own family. The staff are all amazing and professional. I would give them more than a 5 Star. So grateful they exist.

  • ★★★★★


    Dr. Raval was extremely professional, thorough, and kind. He explained everything he was doing as he did it and really helped to put my mind at ease. He also recommended a physical therapist for further treatment. Great doctor, great visit. Highly recommended.

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Chronic Back Pain

Chronic back pain is typically related to age, however, it can also occur after a prior injury. Some of the most common causes include spinal stenosis, arthritis of the spine, disc issues, such as a herniated disc or a bulging disc, or due to myofascial pain syndrome, which is unexplained muscle pain and tenderness.

There are also cases, where it is difficult to tell what the cause of the chronic back pain is. In cases where your doctor has already searched for a reason behind the pain, it is recommended to ask for a second opinion from a back pain specialist at Downtown Pain Physicians. It is very important that the decisions that are made are not rushed. In cases where the pain is unknown or cannot be treated, it is recommended to speak to your doctor about the possibility of reducing flare-ups or finding nonsurgical treatments that can make the pain more tolerable.

There are different options for nonsurgical treatments.

Physical therapy is one way that is known to help many patients. At the same time, it is recommended to exercise, as this can also help to manage symptoms and improve chronic back pain. In general, physical therapy for chronic back pain includes restraining the posture, testing the limit of pain tolerance, aerobic exercises, stretching exercises, flexibility exercises, or core strengthening.

Mindfulness and meditation. Chronic back pain is something that puts a strain on both the physical and mental state. It can lead to frustration, depression, and irritability, which can be managed with the help of yoga, tai chi, meditation, and other relaxation techniques.

Diet. There are diets that are known to be highly inflammatory, especially diets that are high in trans fats, processed foods, and refined sugars. It is important that you speak to your back pain doctor about whether it might be your diet that is increasing chronic back pain. It is important that you maintain a healthy weight, as this can reduce the pressure that is being put on the spine and therefore the pain that you experience.

Listen to your body. When you suffer from chronic pain it is important to adapt, by listening to your body and pacing yourself. It is important that you don’t overdo it, such as when mowing the lawn or when going to get groceries. There are many activities that can worsen your pain and it can help to avoid such activities.

Injection-based treatments. There are also many injection-based treatments, such as nerve blocks, epidural steroid injections, nerve ablation, and other types of procedures, which can help chronic back patients.

Alternative treatments. Alternative treatments, such as acupuncture, biofeedback therapy, laser therapy, massages, or electrical nerve stimulation can make a big difference for chronic back pain patients. Our back pain specialist in Brooklyn can help you to decide whether alternative treatments can benefit you as well.

Medications. Other ways in which chronic back pain can be treated are with the use of analgesics, anti-inflammatory drugs, muscle relaxants, and other types of medications. However, such medications can also lead to side effects and are in most cases not intended for long-time use. In general, such treatment options shouldn’t be seen as a long-term solution for treating chronic back pain. There are many medications that are addictive and don’t even treat the underlying condition, but rather help to deal with the symptoms.

Stem cell therapy. In the stem cell procedure, facet joint syndrome was targeted, which is in common cases the reason behind lower back pain. There are however also many other types of factors that can lead to back pain, such as inflammation and cancerous tumors. A physician can best provide the most accurate assessment possible. There are different things that can lead to back pain and there are also many cases where the reason is not known at all. Those who suffer from back pain do their best to find ways out, in which they can treat their condition. When it comes to stem cells, it is also important to know that there are still not enough studies, before being able to determine whether it really is an effective way of treating back pain. Clinical trial studies so far used cells, which were injected into the space that is found between the bones. This was able to help with the pain and inflammation that is connected to facet joint syndrome. This is also something that is believed to lead to an approved therapy, as there are a concept and a clinical trial that show that it does work. However, it is still unknown whether this approach will also work for other types of back pain.


What Risk Factors Contribute to Chronic Back Pain?

  • aging – age causes a reduction in bone strength, muscle elasticity, and tone.
  • Obesity – being overweight adds pressure to the lower back
  • pregnancy – the additional weight during pregnancy can strain the lower back
  • Stress and anxiety – cause tension throughout the body
  • Improper lifting- always lift heavy objects with your legs and not your back

What Should I Do at Home When My Back Hurts?

  • Healthy stretching
  • Over-the-counter painkillers such as ibuprofen.
  • Apply heat or ice to the location of the acute back pain
  • Sleep on your back with a pillow under your knees or on your side with a pillow between your legs
  • Relax and try to reduce anxiety and tension

What Are Some Causes of Acute Lower Back Pain?

Acute back pain can be caused by injuries from sports or auto accidents. Also lifting heavy objects or rapid twisting of the spine may tear the muscle.

When Does Acute Low Back Pain Become Chronic?

When you feel back pain for 3 months or more it is considered chronic back pain.

When Should I See a Doctor for Back Pain?

  • If you have a fever that is accompanied by back it can be a sign of infection
  • Weakness or numbness in the hips, legs, or arms
  • Inability to control your bladder or bowel movements
  • After a traumatic fall or trip for example down a step
  • When back pain interferes with sleep
  • Ongoing pain for more than 6 weeks

Do you have any questions about Back Pain Management? Would you like to schedule an appointment with the best pain doctors? Please contact our center for a consultation with our back pain doctors located in Downtown Brooklyn or Lower Manhattan.

Page Updated on Jul 7, 2022 by Dr. Raj Raval, MD (Pain Management Doctor) of Downtown Pain Physicians Of Brooklyn
  • Dr. Raj Raval, M.D.

    1. Board Certified
    2. Interventional Pain & Musculoskeletal Medicine Specialist
  • Education & training

    1. SUNY Health Science Center
    2. Rutgers University Fellowship
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  • Dr. Rodion Erenburg, MD

    1. Board Certified
    2. Interventional Pain & Musculoskeletal Medicine Specialist
  • Education & training

    1. SUNY Health Science Center
    2. Rutgers University Fellowship
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