Conditions We Treat

Foot pain can come from joints, tendons, ligaments, nerves, inflammation, gout, arthritis, hypermobility, or chronic pain patterns. MPM evaluates the source of pain before recommending treatment.

Persistent Genital Arousal Disorder, or PGAD, can cause unwanted genital arousal sensations, tingling, throbbing, pressure, burning, sensitivity, pelvic discomfort, or genito-pelvic dysesthesia without sexual desire. A diagnosis-first evaluation helps determine whether symptoms may be related to pelvic nerve irritation, pudendal neuralgia, pelvic floor dysfunction, spine or sacral nerve issues, autonomic symptoms, medication history, musculoskeletal mechanics, or overlapping chronic pelvic pain conditions.

Pelvic dystonia can involve involuntary pelvic floor muscle overactivity, spasm, tightness, pressure, burning, deep aching, bowel symptoms, bladder symptoms, sexual pain, hip pain, SI joint pain, or low back pain. A diagnosis-first evaluation helps determine whether symptoms are driven by pelvic floor muscle dysfunction, nerve irritation, pelvic mechanics, endometriosis, fibroids, hypermobility, or overlapping chronic pain mechanisms.

Spondylosis refers to degenerative changes in the spine, including arthritis, disc changes, bone spurs, and stiffness. It may contribute to neck pain, back pain, nerve symptoms, or sciatica-like pain, but imaging findings must be matched carefully with the full clinical picture.

Spondylolisthesis happens when one vertebra slips out of alignment with the bone below it. It may contribute to lower back pain, leg pain, sciatica-like symptoms, numbness, tingling, weakness, or walking limitation, but imaging findings must be matched carefully with the full clinical picture.

Pudendal neuralgia can cause burning, stabbing, shooting, electric, genital, rectal, perineal, or sitting-related pelvic pain. Careful evaluation helps determine whether symptoms are coming from the pudendal nerve, pelvic floor muscles, spine, hip, SI joint, endometriosis, vascular compression, or overlapping chronic pain mechanisms.

Spinal stenosis is narrowing around the spinal canal or nerve passageways that can cause back pain, neck pain, arm pain, leg pain, numbness, tingling, weakness, walking limitation, or sciatica-like symptoms. Manhattan Pain Medicine uses a diagnosis-first approach to determine whether stenosis is the true pain generator or one part of a broader spine, joint, nerve, inflammatory, or chronic pain pattern.

Pelvic floor dysfunction can contribute to pelvic pain, constipation, urinary symptoms, sexual pain, hip pain, low back pain, SI joint pain, and tailbone-region pain.

Umbilical hernia pain can cause discomfort, pressure, or pain around the belly button, but similar symptoms may also come from abdominal wall nerve pain, ACNES, scar tissue, pelvic pain, or post-surgical nerve irritation.

Facet arthropathy can cause neck, mid-back, or lower back pain when the small joints in the spine become irritated, arthritic, inflamed, or overloaded. MPM provides diagnosis-first evaluation to determine whether facet joints are truly the pain generator or whether symptoms are coming from discs, nerves, muscles, the SI joint, inflammation, hypermobility, or another overlapping source.

Sports hernia, also called athletic pubalgia or core muscle injury, can cause chronic lower abdominal, groin, pelvic, hip-region, or adductor pain, especially with running, twisting, cutting, lifting, or core activity.

Cluneal neuralgia can cause lower back, upper buttock, hip-region, pelvic-region, or sciatica-like pain when one of the cluneal nerves becomes irritated or entrapped. MPM provides diagnosis-first evaluation to determine whether pain is coming from the cluneal nerves, SI joint, lumbar spine, hip, pelvic region, muscle tissue, or another overlapping pain generator.