Complex Pain Requires More Than Guesswork

At Manhattan Pain Medicine, we help patients with complex, persistent, or unexplained pain move beyond trial-and-error care. Our diagnosis-first approach looks deeper to understand what is generating the pain, how it developed, and what path forward makes sense.

Pain Is Complex. Care Must Be Precise.

There is rarely one simple explanation for complex pain. Symptoms may involve joints, nerves, muscles, inflammation, connective tissue, the autonomic nervous system, prior injury, medical trauma, or the way the body has learned to protect itself over time.

At Manhattan Pain Medicine, we do not begin with a one-size-fits-all treatment plan. We begin with Discovery. Our team listens carefully, reviews the full history, examines how the body moves and responds, and builds a clinical hypothesis before recommending the next step.

But precision does not mean losing sight of the person. We treat the patient behind the pain: their story, their function, their fears, their goals, and the life they are trying to return to.

The goal is not only to reduce pain, but to understand it, and to help each patient move forward with greater clarity, confidence, and support.

Pain Is Complex. Care Must Be Precise.
ZONES OF EXPERTISE

Expertise Built for Complex Pain

Manhattan Pain Medicine’s Zones of Expertise reflect the focused clinical experience, pattern recognition, and collaborative care our team has developed in treating complex pain. Each zone gives patients a clearer starting point while helping our team evaluate overlapping symptoms, identify underlying drivers, and guide care with greater precision.

Explore the Zones of Expertise by clicking or tapping on a circle.

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HOW WE WORK WITH YOU

A Thoughtful, Personalized Path Through Pain

Care at Manhattan Pain Medicine typically unfolds through three connected phases: Discovery, Treatment, and Maintenance. Each phase is designed to bring more clarity, improve comfort and function, and support long-term progress.

Discovery

We begin by understanding the full pain pattern. Discovery may include history review, physical examination, imaging review, dynamic assessment, symptom tracking, medication trials, or diagnostic blocks to help identify what is generating the pain and what should be addressed first.

Treatment

Treatment is guided by what Discovery reveals. We may combine targeted procedures, regenerative medicine, rheumatologic care, rehabilitation, pain psychology, medication strategy, or coordinated specialty referrals, depending on what is driving the symptoms.

Maintenance

Maintenance focuses on keeping progress stable. Patients build body literacy, learn how to recognize flare patterns, protect functional gains, and move forward with a plan that is no longer based on trial and error.

Why the First Step Matters

Many patients come to Manhattan Pain Medicine after years of partial answers, repeated treatments, or symptoms that do not fit neatly into one diagnosis. The first step is to slow the process down enough to understand what the body is trying to communicate.

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MEET THE TEAM

Care That’s Personal. Expertise That’s Shared.

Complex pain requires more than one perspective. Our physicians and clinical team work within a shared framework, bringing together interventional pain medicine, rheumatology, rehabilitation, pain psychology, regenerative medicine, and trusted partners when needed.

A Team Built Around Complex Pain

At Manhattan Pain Medicine, providers collaborate across specialties to understand the full pattern behind the pain. The goal is not to pass patients from one silo to another, but to bring the right perspectives together around the same clinical question.

Meet Our Team

PATIENT STORIES

Real Patients. Real Progress.

Hear from patients who came to Manhattan Pain Medicine looking for answers, clarity, and a more thoughtful path forward.
  • Michael O.

    5 star review

    These guys are the best. I've been going here for over 6 years and their familiarity with my Schwannomatosis (most ppl have never even heard of it - its rather rare) and their ability to diagnose my CRPS quickly and accurately and then treat it like I was merely getting a flu shot is just incredible...

    Google

  • John A.

    5 star review

    Highly recommended for those who need Pain Management. Everyone at Manhattan Pain Medicine is extremely nice and helpful. I have had very good interactions with both Dr. Siefferman and Dr. Louis. All of the staff is very responsive. 5 stars.

    Google

  • Rakhee K.

    5 star review

    The providers at Manhattan Pain Medicine are exceptional. I wish I had found them 30 years ago!

    Google

  • Annie R.

    5 star review

    I genuinely can’t say enough good things about the team at Manhattan Pain Medicine. I have MCAS, EDS, and an inflammatory autoimmune disease, and I’ve basically been searching for answers since I was a kid. I had years of unexplained inflammation markers, chronic pain, and allergic reactions despite...

    Google

  • Karine S.

    5 star review

    I have a complex medical history and have seen a lot of doctors over the years. Dr. Mikaberidze and Dr. Siefferman each took the time to really listen and understand everything I had been dealing with. I also appreciated how they work together and communicated about my care. I left with a plan that...

    Google

  • Edwin F-S.

    5 star review

    Sharing my gratitude for the pleasant experience last week during my visit, the medical team provided great care and also treated my session as a learning experience, I left my session with a wealth of knowledge. A big thank you to the kind, and professional staff who welcomed me to the office as a...

    Google

  • Madaline. M

    5 star review

    I cannot say enough good things about Manhattan Pain Medicine. From the moment I walked in, I felt truly cared for and taken seriously. Dr. Nino Mikaberidze, Director of Rheumatology, is exceptional — knowledgeable, compassionate, and incredibly thorough. She takes the time to listen, explains every...

    Google

  • Lauren W.

    5 star review

    Dr Siefferman is the most thorough, patient doctor I have even been to. Currently I travel from miami to nyc to see him because his bed side manner and desire to help is incomparable.

    ZocDoc

  • Dana S.

    5 star review

    This practice is wonderful. I have been a patient of Dr. Siefferman’s since 2019 and he’s extremely helpful and kind. He has brought in a Rheumatologist who is also great. They handle very complex pain issues and always try to find new ways to help me.

    Google

  • Frans M.

    5 star review

    Dr. Siefferman is an incredible doctor! He is extremely diligent and knowledgeable. It feels like you are his only patient. He invests a lot of time and effort into your injuries and concerns. I did not find these wonderful qualities with other pain specialists before, who were always rushed and som...

    ZocDoc

  • Gregory S.

    5 star review

    Dr. Siefferman is a doctor who combines the old world bedside manner of doctors from my childhood (60 years ago) with a sta te of the art embrace of modern technology. It is always a pleasure to have an appointment with him...always has options and solutions to my medical issues. He is truly the doc...

    ZocDoc

  • Judith R.

    5 star review

    Dr. Siefferman is a genius. He is very informed and listens attentively.

    ZocDoc

  • Joshua M.

    5 star review

    Dr. Siefferman and his entire team continue to be efficient, dedicated, and driven by precision and a genuine desire to give fantastic care. Will always recommend.

    ZocDoc

  • Michael W. S

    5 star review

    Doctor Siefferman is fantastic. Have been seeing him for 5 years. Couldn’t recommend more.

    ZocDoc

  • Stephanie G.

    5 star review

    Dr. Siefferman is the ONLY doctor who has ever been able to diagnose my pain and treat it. He is hands down the best

    ZocDoc

OUR CLINICAL FOCUS

Some of the Conditions We Commonly Treat

Pain shows up in many different ways, and no two patients experience it the same way. Manhattan Pain Medicine treats a wide range of pain conditions, from localized musculoskeletal pain to complex, long-term pain patterns with more than one contributing factor.

Insights & Research

Explore MPM Insights and Research, including patient-friendly articles, clinical perspectives, and research from our team to help explain how we understand complex pain, evaluate care options, and guide the path to treatment

Understanding Insurance Before You Begin

Before care begins, our team helps patients understand the practical side of treatment, including insurance verification, out-of-network benefits, cost-share estimates, self-pay options, and billing questions. We believe patients should have as much clarity as possible before moving forward.

Insurance & Billing

Pain Care That Starts With Understanding

When pain is complex, the first step should not be another generic treatment. Manhattan Pain Medicine looks deeper to understand what is driving the pain, why it has persisted, and what path forward makes sense for you.

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