Important Alerts
Office and Urgent Care Closures

The Croton-on-Hudson lab is temporarily closed until further notice.

As of November 20,  the Urgent Care in Carmel has moved to 100 Independent Way, Brewster NY.

Updates

Effective February 24, 2025, Pediatrics – Bedford Hills office will be relocating to Pediatrics – Mount Kisco.

Effective February 24, 2025, Dr. Gaurang Trivedi will be relocating his practice to 110 South Bedford Road Mount Kisco, NY 10549.

As of January 21,2025, Dr. Ammar Haikal  has relocated his practice to 191 Lefante Way, Suite C, Bayonne, NJ 07002.

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COVID-19 Information and Updates
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Diagnosing chronic vs. acute pain

Chronic pain is complex and by medical definition persists without a break for 12 weeks or longer. Such pain can be extremely difficult because it can impact your well-being, mood, ability to do your job and perform normal daily tasks (i.e. getting out of bed and getting dressed).

Acute pain typically lasts up to six weeks and can happen for any number of reasons. It can be due to physical damage to your body such as a cut, infection or musculoskeletal injury (e.g. ankle sprain). Sometimes, pain can occur for seemingly no reason at all. In the case of lower back pain, up to 90% of cases of acute pain are “non-specific” pain. This means the source of pain could not be identified in a medical exam.

Conditions that can cause chronic pain

  • Headache
  • Arthritis
  • Cancer
  • Nerve pain
  • Back pain
  • Fibromyalgia pain
  • Lower back pain
  • Sciatic pain
  • Neck pain
  • Neuropathic pain
  • Pain due to reflex sympathetic dystrophy

Treatment

Whether you’re experiencing chronic or acute discomfort, our expert pain management specialists offer a wide variety of treatments to help you continue doing the things you love

Clinic and office treatments

  • Spinal injections such as fluoroscopically guided epidural steroid injections and facet joint injections for treatment of lower back pain, sciatic pain and neck pain.
  • Radio frequency ablation of spinal nerves is often used to treat chronic back pain, which offers patients many months or even years of pain relief.
  • Nerve blocking through fluoroscopic or ultrasound guidance is often used to treat reflex sympathetic dystrophy pain.
  • Morphine pump can be used for a selective group of patients who are being referred for implantation of a spinal catheter for direct delivery of pain medication.
  • Dorsal column stimulator is an electrical catheter that can be inserted into the spinal canal to reduce pain sensations for selective pain syndromes caused by damaged nerves.
  • Physical therapy, acupuncture and surgical treatment options are available through a referral within the group.

Medication-assisted treatment

Chronic pain can also be treated by a variety of pain medications, such as anti-inflammatory medications, muscle relaxants, opioid analgesic when appropriate and many other medications.

Medical care and help

If you’re experiencing either chronic or acute pain, it’s important to get help as soon as possible.

To find a pain management specialist near you, visit our Providers page.

If you are experiencing a medical emergency, call 911 immediately.