Doctor Bella Zimilevich, MD of Mill Basin, Brooklyn (NY)

Interventional Procedures

Pain Management Injections & PM&R Interventional Procedures

“Interventional pain management procedures are designed to diagnose and treat pain at its source using minimally invasive techniques. These treatments can help reduce inflammation, relieve nerve irritation, and improve function without the need for surgery. As a physician trained in Physical Medicine & Rehabilitation (PM&R), I use targeted, evidence-based procedures to help patients in Brooklyn find lasting relief and return to daily activities.”

-Dr. Anatoly Pisman, MD

What are Pain Management Injections and Physical Medicine & Rehabilitation Procedures?

Pain management injections and PM&R interventional procedures are non-surgical treatments that target specific sources of pain in the spine, joints, muscles, or nerves.

These procedures are commonly used throughout NYC for patients seeking relief from back pain, neck pain, and nerve-related conditions without surgery.

They include treatments such as

Common Conditions Treated

These procedures are widely used to treat conditions that cause persistent or activity-limiting pain, especially when conservative treatments have not provided enough relief.

Patients commonly seek these treatments for chronic back pain, neck pain, joint pain, and nerve-related conditions such as radiculopathy and other forms of nerve pain and pinched nerves. They are also used for muscle-related pain and inflammation that affects mobility and daily function.

Types of Pain Management Procedures

There are several types of interventional treatments available, each designed to target a specific source of pain:

Common procedures include:

  • Epidural steroid injections to relieve nerve inflammation and radiating pain
  • Facet joint injections for arthritis-related spine pain
  • Trigger point injections for muscle tightness and chronic pain
  • Platelet-rich plasma (PRP) therapy to support healing and tissue repair
  • EMG/NCV testing to diagnose nerve-related conditions

When to Consider These Treatments

Interventional procedures are typically considered when pain persists despite conservative treatments such as physical therapy, medications, or activity modification. These treatments are used to target the source of pain directly, reduce inflammation, and improve function without the need for surgery.

These treatments can provide targeted relief, reduce inflammation, and help avoid or delay surgery. They may also help confirm the exact source of pain, allowing for more precise treatment.

What to Expect During a Procedure

Most procedures are performed in an outpatient setting and take a short amount of time. Imaging guidance, such as fluoroscopy or ultrasound, is often used to ensure precise placement and safety.

Patients usually return home the same day with minimal downtime. Some experience immediate relief, while others notice gradual improvement over several days.

Benefits of Pain Management Injections

Interventional procedures are a popular choice in NYC for patients seeking effective, non-surgical relief:

Key benefits:

  • Minimally invasive with low risk
  • Targeted treatment at the source of pain
  • Reduced reliance on medications
  • Improved mobility and quality of life

What to Expect at Your Visit

During your visit, your symptoms, medical history, and prior treatments will be reviewed in detail. A physical examination and any necessary imaging or diagnostic testing will help identify the source of your pain. Based on your evaluation, a personalized treatment plan will be created, which may include one or more interventional procedures tailored to your needs.