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Same-day appointments available · 281 Broadway, Lower Manhattan · Most insurance accepted
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Chronic Back Pain · New York City

Back pain treatment in New York City

Chronic back pain that hasn't responded to physical therapy or medication? If you're searching for a back pain doctor near you in NYC, Hudson Medical's board-certified pain specialists treat the structural cause — not just the pain signal. Most patients avoid surgery entirely.

  • Same-day appointments at 281 Broadway
  • Most major insurance accepted
  • Fluoroscopy and ultrasound-guided procedures
  • Board-certified pain specialists
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Our back pain care is right for you
if you have:

Pain that won't quit
Back pain that hasn't improved with physical therapy, rest, or over-the-counter medication
Radiating pain or tingling
Radiating pain into the leg, hip, or foot — especially with numbness or tingling
It's affecting daily life
Pain that limits your ability to work, sleep, exercise, or live normally
Want to avoid surgery
A desire to avoid surgery and explore what minimally invasive options can achieve
Sound familiar? Same-day appointments, no referral required.
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Why back pain persists

Most back pain treatment stops short of the actual problem

Back pain is the leading cause of disability in the United States — yet most patients cycle through physical therapy, anti-inflammatories, and rest without lasting relief. Standard care treats the symptom. Interventional pain management targets the exact structural source.

  • Physical therapy strengthens muscles but can't fix disc, nerve, or facet damage
  • NSAIDs and opioids reduce pain perception without treating the underlying cause
  • Many patients are told surgery is their only option — often it isn't
  • Image-guided injections reach structures medication and PT simply cannot

Our approach: fluoroscopic and ultrasound guidance delivers treatment precisely to the disc, nerve, or joint driving your pain, with an accuracy physical therapy and oral medication can’t match.

Symptoms & causes

What's really driving your back pain?

The same symptoms can have completely different structural causes. Finding the specific driver is the difference between treatment that works and treatment that doesn’t.

How we treat back pain

Interventional treatments at Hudson Medical

Minimally invasive procedures targeting the exact source of back pain, at our Lower Manhattan clinic.

Fluoroscopy-guided

Epidural steroid injections

Anti-inflammatory medication delivered into the epidural space. Highly effective for disc herniation and nerve root compression.

Relief within 3–7 days
Diagnostic + therapeutic

Nerve blocks

Targeted injections to specific nerves — medial branch blocks, selective nerve root blocks — that interrupt pain signals and confirm the pain source.

Relief often within 24–48 hours
6–18 months relief

Radiofrequency ablation (RFA)

Heat energy disrupting nerve signals from facet joints — providing lasting pain relief for 6 to 18 months. The gold standard for confirmed facet-mediated back pain.

Performed under image guidance at 281 Broadway
Regenerative

PRP therapy

Platelet-Rich Plasma using your own growth factors to support disc and joint healing — regenerative approach for degenerative disc disease and facet degeneration.

Performed under image guidance at 281 Broadway
Image-guided

SI joint injections

Targeted treatment for sacroiliac joint dysfunction — a frequently missed source of lower back and buttock pain. Diagnostic and therapeutic in a single procedure.

Performed under image guidance at 281 Broadway
Advanced

Spinal cord stimulation

For chronic, treatment-resistant back pain. Modulates pain signals before they reach the brain. We evaluate appropriate candidates and coordinate referrals when indicated.

Performed under image guidance at 281 Broadway

Not sure which is right for you?

Your first visit pinpoints the source, then your specialist recommends a plan. No referral required.

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Trusted in New York
4.7 out of 5
Based on 993+ Google reviews
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Top Doctors®
“
Severe pain in my neck, back, shoulder and thigh… Treatment first focused mainly on the issues in my lumbar spine causing sciatica-like pain and are 100% resolved.
M Mike S. Google review
What to expect at Hudson Medical

Our back pain protocol

A precision approach — identifying the exact structure causing your pain before recommending any treatment. No guesswork. No generic protocols. No rushed appointments.

Book your consultation

Same-day appointments at 281 Broadway in Lower Manhattan. No referral required.

45–60 minute first visit

Full history, physical exam, and review of any prior MRI, X-ray, or CT results.

Precise structural diagnosis

We identify the exact disc, joint, nerve, or muscle driving your pain before recommending anything.

Image-guided treatment

All injections performed under fluoroscopic or ultrasound guidance for precise, targeted delivery.
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Common questions

Frequently asked questions

Questions we hear most from patients searching for back pain treatment in New York City — Manhattan, Brooklyn, Queens, and the Bronx.

Ready to talk to someone?

Call or book online. Same-day appointments available.

Can back pain be treated without surgery?
Yes — the vast majority of chronic back pain patients can be treated effectively without surgery. Interventional techniques including epidural injections, nerve blocks, PRP, and radiofrequency ablation provide significant and lasting relief for most patients. At Hudson Medical in New York City, we pursue the most conservative effective approach first. Surgery is a last resort, not a first option.
What type of doctor treats back pain in NYC?
Pain management specialists treat chronic back pain using interventional techniques — epidural injections, nerve blocks, and radiofrequency ablation — that most orthopedists and primary care physicians don't perform. Hudson Medical at 281 Broadway in Lower Manhattan coordinates closely with referring physicians throughout Manhattan, Brooklyn, Queens, and the Bronx. No referral is required.
Is back pain treatment covered by insurance?
Most major insurance plans cover diagnostic evaluations, epidural injections, nerve blocks, and radiofrequency ablation for chronic back pain. Coverage for PRP varies by plan. Hudson Medical verifies your specific insurance coverage before your appointment — no surprises.
How long does back pain treatment take to work?
Epidural steroid injections typically provide relief within 3 to 7 days. Nerve blocks can provide relief within 24 to 48 hours. Radiofrequency ablation takes 2 to 3 weeks to reach full effect and can last 6 to 18 months. PRP therapy shows results over 4 to 8 weeks. We set clear timelines at your first appointment.
Do I need an MRI before my first appointment?
No — you do not need prior imaging before your first appointment at Hudson Medical. If you have prior MRI, X-ray, or CT scan results, bring them — they help us move faster. If imaging is needed we will order it as part of your evaluation.
What is the difference between a pain specialist and an orthopedic surgeon for back pain?
Orthopedic surgeons evaluate whether surgery is appropriate. Pain management specialists focus on treating back pain without surgery using minimally invasive interventional techniques. For the majority of back pain patients, interventional pain management produces excellent outcomes and avoids surgical risk entirely.
Where is Hudson Medical located in NYC?
Hudson Medical is at 281 Broadway, New York, NY 10007 in Lower Manhattan — accessible by subway from Manhattan, Brooklyn, Queens, the Bronx, and surrounding areas. Same-day appointments are frequently available. No referral required.

Ready to see a specialist?

Same-day appointments at 281 Broadway, Lower Manhattan. Board-certified pain specialists. Most major insurance accepted.

Book appointment →