Expert Pain Management & Hormone Therapy in New York City

Interventional Pain Management

We offer targeted, minimally invasive procedures to relieve chronic and acute pain. Treatments include nerve blocks, joint injections, and fluoroscopy-guided procedures to pinpoint and treat pain at its source.

Sports and Spine Injury Treatment

Specialized care for athletes and active individuals recovering from sports-related injuries. We focus on spine health, muscle recovery, and joint stability to enhance mobility and prevent further injury.

Chronic and Acute Pain Management

Personalized treatment plans designed to address both sudden (acute) and long-term (chronic) pain conditions. We use a combination of medical therapies, lifestyle modifications, and advanced procedures to improve quality of life.

Regenerative Medicine

Harnessing the body’s natural healing abilities, regenerative medicine includes therapies like stem cell treatments and platelet-rich plasma (PRP) injections to promote tissue repair and reduce inflammation.

IV Therapy

Intravenous (IV) therapy delivers essential vitamins, nutrients, and hydration directly into the bloodstream for fast absorption. We offer customized IV treatments for energy, recovery, immune support, and overall wellness.

Hormone Replacement Therapy

Patients experiencing hormone imbalances, such as menopause, low testosterone, erectile dysfunction, vaginal dryness, sleep issues, weight gain, muscle aches, and mood swings, can benefit from bioidentical hormone replacement therapy. Tailored to individual needs, BHRT is available in various delivery methods.

Thyroid Hormone Therapy

Around 12% of the U.S. population experiences thyroid dysfunction, yet 60% remain undiagnosed due to symptoms resembling stress, aging, or depression. Untreated thyroid issues can increase the risk of other diseases, like diabetes and heart disease. Symptoms such as fatigue, sleep troubles, weight gain, mood swings, and anxiety may indicate thyroid imbalance. Proper treatment begins with accurate lab testing of hormones like TSH, T3, T4, reverse T3, and cortisol to effectively manage thyroid function and monitor progress.

Estrogen Hormone Therapy

As women age, estrogen levels naturally decline, especially around middle age. This drop can lead to symptoms like hot flashes, night sweats, low libido, weight gain, and mood swings. While commonly associated with menopause, low estrogen can occur earlier. If you’re experiencing symptoms, it’s essential to have your hormone levels evaluated by an expert who understands hormone imbalance. Even if your levels appear “normal,” they may not be optimal for you. Estrogen pellet therapy, a bioidentical hormone treatment, may help alleviate symptoms and restore balance using high-quality ingredients.

Testosterone Hormone Therapy

Testosterone is crucial for both men and women, impacting sexual health, brain function, and weight management. As levels decline with age, you may experience symptoms like brain fog, low libido, difficulty building muscle, and weight gain. Testosterone therapy helps restore optimal levels, improving focus, energy, and overall health. It also supports a reduced risk of cardiovascular issues, including stroke and heart attack. Available in injections, creams, and pellets, testosterone pellet therapy is considered the most effective treatment option.

Pellet Therapy

Pellet therapy is one of the oldest and most advanced forms of hormone therapy, now regarded as the most effective and preferred delivery method. Available for estradiol and testosterone, the hormone is compounded into a small pellet and inserted under the skin, typically above the buttocks. This method eliminates the need for pills, creams, or patches and provides the most natural dosing structure. Pellet therapy mimics the body’s natural hormone release, offering steady, consistent levels. Your doctor will customize the treatment based on lab results, symptoms, and individual needs for optimal results.

Creams and Gels

Hormone creams are a topical form of therapy available for cyclical progesterone, testosterone, and estrogen. Custom-compounded creams or gels are applied to specific areas of the body, such as the testicles for men or the vagina for women, as directed by a physician. While these creams offer some benefits, there are risks, especially regarding transference to a spouse, partner, family members, or pets after application. It’s important to follow the prescribed guidelines to minimize these risks.

Patches

Hormone patches offer a convenient delivery method for estrogen therapy. Similar to a band-aid, the patch adheres to the skin, releasing a prescribed dose of hormones over a set period. While this method ensures accurate dosing, the visibility of the patch and the potential for it to fall off may discourage some patients from choosing this option.

Pills

Pills are a common form of hormone therapy, compounded to your prescribed dose and taken orally at specified intervals. While they are well-studied and often used for thyroid disorders and cyclical progesterone therapy, oral hormone therapy carries higher-risk side effects, particularly for estrogen and testosterone treatments.

Injections

Hormone replacement therapy injections are commonly used for testosterone or estrogen therapy and come in two types: intramuscular and subcutaneous. Intramuscular injections deliver hormones deep into muscle tissue for quicker absorption, while subcutaneous injections are administered just beneath the skin for slower absorption. Injections are often less preferred than pellets due to the pain associated with the injection and the intensity of hormone delivery. Pellets provide a more stable, steady dose, reducing side effects throughout the dosing cycle.