Pain Management – Symptoms, Causes

Pain Management – Symptoms, Causes

Introduction: Why Chronic Pain Needs a New Approach

Over 50 million Americans suffer from chronic pain, often with little relief from conventional treatments. At Patients Medical in New York City, we understand that pain is more than a symptom—it’s a signal from the body asking for attention, balance, and healing.

Our integrative pain management program blends conventional medicine, osteopathy, functional testing, acupuncture, nutrition, and holistic therapies to treat pain at its root cause, not just its surface.

We don’t just manage your pain—we help you heal from it.

What Is Chronic Pain?

Chronic pain is defined as pain lasting longer than 3 months, often persisting after the original injury or condition has healed. Unlike acute pain, which is protective, chronic pain disrupts daily life—impacting sleep, mood, mobility, digestion, and even immune health.

Types of chronic pain we treat include:

  • Back and neck pain
  • Migraines and headaches
  • Joint and muscle pain
  • Fibromyalgia
  • Neuropathy and nerve pain
  • TMJ and facial tension
  • Pelvic or abdominal pain
  • Post-surgical or injury-related pain

Common Symptoms of Chronic Pain

Pain can manifest in more than one system of the body. You may notice:

If your pain persists despite rest or medication, it’s time to investigate why.

Root Causes: Why Do You Have Chronic Pain?

Conventional medicine often overlooks the underlying drivers of chronic pain. At Patients Medical, our functional approach explores:

  • Inflammation: Often hidden in the gut, joints, or nervous system
  • Leaky gut: Leads to systemic inflammation and immune overactivation
  • Toxin buildup: Heavy metals, mold, or chemical exposure disrupt healing
  • Chronic stress: Dysregulates cortisol and pain perception
  • Hormonal imbalance: Especially thyroid, estrogen, and cortisol
  • Mitochondrial dysfunction: Reduces energy production in muscles and nerves
  • Injury or postural misalignment: Creates chronic structural tension
  • Nutrient deficiencies: Especially magnesium, B12, and omega-3s

Pain is rarely caused by just one thing—it’s the sum of imbalances over time.

Root Causes: Why Do You Have Chronic Pain

Diagnostic Testing We Use

To understand what’s fueling your pain, we use advanced diagnostic tools, including:

Inflammatory markers (CRP, homocysteine, cytokines)

Gut microbiome and leaky gut panels

Food sensitivity and histamine intolerance testing

Comprehensive hormone panels (thyroid, adrenal, sex hormones)

Toxicity screening (heavy metals, mold, pesticides)

Mitochondrial function and nutrient status

Functional neurological and postural analysis

Imaging (when needed) like X-ray or MRI

This root cause testing allows us to create highly personalized treatment plans for pain reversal.

Integrative Treatments for Chronic Pain

Nutritional Therapy

We use food as medicine to reduce inflammation, restore cellular health, and support musculoskeletal recovery.

  • Anti-inflammatory and elimination diets
  • Omega-3 and collagen-rich foods
  • Mitochondria-supporting nutrients
  • Intermittent fasting (if appropriate)
Pain Management
IV Vitamin Therapy

IV Vitamin Therapy

Customized nutrient infusions include:

  • Magnesium for muscle relaxation
  • B-complex for nerve support
  • Alpha-lipoic acid for neuropathy
  • Glutathione for detoxification

Herbal & Nutraceutical Support

Evidence-based pain-relieving supplements include:

  • Turmeric (curcumin)
  • Boswellia
  • Magnesium glycinate
  • CBD and hemp extracts
  • CoQ10 and acetyl-L-carnitine

All prescribed under physician supervision.

Osteopathic & Manual Therapies

Osteopathic & Manual Therapies

Our DOs and practitioners use:

  • Myofascial release and trigger point therapy
  • Craniosacral therapy
  • Visceral manipulation
  • Chiropractic or physical alignment referrals

Acupuncture & Energy Medicine

These therapies work with the body’s meridian and nervous systems to balance pain perception and improve function.

Mind-Body Healing

We integrate:

  • Stress reduction and vagal nerve activation
  • Guided breathwork and meditation
  • Somatic therapies to release emotional pain stored in the body
Acupuncture & Energy Medicine

Real Case Study: Susan’s Return to Life After Fibromyalgia

Susan, 49, came to us after years of being told her pain was “in her head.” She had a fibromyalgia diagnosis, constant muscle aches, migraines, and couldn’t sleep through the night.

Our testing revealed:

  • Leaky gut with food sensitivities
  • Low cortisol and estrogen
  • Mitochondrial dysfunction

We implemented a comprehensive 12-week plan:

  • Gut healing protocol and anti-inflammatory diet
  • IV magnesium and glutathione
  • Gentle osteopathic care
  • Herbal adrenal and mitochondrial support

By week 8, Susan’s sleep had normalized. By week 12, her pain scores dropped by 70%—and she had her energy and joy back.

Real Case Study: Susan’s Return to Life After Fibromyalgia

Testimonials

Meet Our Doctors

Rashmi Gulati, MD

Medical Director of Patients Medical

Stuart Weg, MD

A holistic pain management physician

Dr. Emine Cosar, MD

Consult Dr. Emine Cosar, MD. For Gynecology

Frequently Asked Questions

 In many cases, yes. By addressing root causes—like inflammation, hormone imbalance, or gut issues—we help patients resolve pain holistically.

Some patients taper off medications under supervision. Others use integrative care alongside prescriptions for best results.

 We combine diagnostics, functional medicine, hands-on therapies, and holistic treatments in a personalized care plan.

 We focus on non-opioid, root-cause solutions—but if you’re on medications, we work with your prescribing doctor.

 Yes. Conditions like rheumatoid arthritis, fibromyalgia, or lupus respond well to our anti-inflammatory approach.

 Absolutely. We offer IV therapy, nerve-supporting nutrients, and energy therapies for conditions like sciatica, shingles, and diabetic neuropathy.

 Yes. It’s been shown to reduce inflammation, increase endorphins, and rebalance the nervous system.

 We’re an out-of-network provider but provide superbills for reimbursement. Many lab tests may be covered.

 It varies. Some conditions improve in weeks, others may require a few months of progressive care.

 Yes, we tailor our pain solutions for every age group, from teens with scoliosis to seniors with arthritis.

Begin Your Journey with Patients Medical

Patients Medical specializes in gently helping the patient identify the root cause of their medical issues and then assist them to recover from their problems to help them move forward to good health.

Request your consultation today!

To schedule an in person on Tele-medicine appointment, please call our office at (212) 794-8800 or email us at info@PatientsMedical.com We look forward to hearing from you

Our medical center in New York City.

Patients Medical PC
1148 Fifth Avenue, Suite 1B New York, NY 10128

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