
What Do Pain Management Doctors Do

What Do Pain Management Doctors Do?
Pain is more than an occasional inconvenience—it can affect your work, sleep, and quality of life. If you’re struggling with persistent pain, a pain management doctor may be your key to relief. At Empire Minimally Invasive Spine & Pain, our specialists in Plainview, NY, New Hyde Park, NY, and across New Jersey, focus on diagnosing the root causes of pain and providing individualized, minimally invasive treatments designed to restore function and improve daily living.
Pain management doctors do much more than prescribe medications. Their work includes:
- Comprehensive Evaluation – Reviewing medical history, conducting physical exams, and interpreting imaging results to pinpoint the cause of pain.
- Personalized Treatment Planning – Creating a tailored approach combining conservative care, medications, and interventional procedures.
- Interventional Procedures – Using minimally invasive techniques such as:
- Epidural steroid injections
- Radiofrequency ablation
- Spinal cord stimulator implants
- Endoscopic discectomy
- PRP and stem cell injections
- Medication Management – Prescribing pain medications safely while minimizing side effects.
- Monitoring Progress – Adjusting treatment plans based on patient response and long-term goals.
At Empire Spine & Pain, our board-certified specialists emphasize minimally invasive solutions, helping patients avoid major surgery whenever possible.

The Role of a Pain Management Doctor
A pain management doctor, also called an interventional pain specialist, evaluates, diagnoses, and treats acute or chronic pain. They work with patients experiencing:
- Back pain from herniated discs, lumbar strain, or sciatica
- Neck pain and cervical spine disorders
- Joint pain from arthritis, bursitis, or injuries
- Muscle and nerve pain, including neuropathy and fibromyalgia
- Post-surgical or cancer-related pain
Unlike general practitioners, pain specialists use a combination of clinical evaluation, imaging studies, and interventional procedures to target the source of discomfort—not just the symptoms.
Pain Management Options
Depending on your diagnosis, treatment options may include:
- Non-surgical interventions like physical therapy, acupuncture, or chiropractic care
- Injection therapies for joint, nerve, or spinal pain
- Regenerative medicine including PRP and stem cell therapy
- Surgical options only when necessary, such as endoscopic discectomy or orthopedic surgeries
Each plan is personalized, aiming to relieve pain, restore mobility, and prevent recurrence.
When Should You See a Pain Management Specialist?
Consider visiting a pain management doctor if you experience:
- Pain lasting longer than 3–6 months
- Pain interfering with sleep, work, or daily activities
- Nerve-related symptoms like tingling, numbness, or weakness
- Chronic post-surgical or cancer-related pain
Early evaluation can prevent long-term complications and improve recovery outcomes.

Advantages of Visiting Empire Minimally Invasive Spine & Pain
- Board-Certified Specialists – Experts in interventional pain management and orthopedic care
- State-of-the-Art Treatments – Minimally invasive procedures with faster recovery
- Multiple Locations – Serving Plainview, New Hyde Park, Ronkonkoma, and Montville
- Patient-Centered Care – Conservative-first philosophy, avoiding unnecessary surgery
Our team includes physicians such as Dr. John Akhnoukh, Dr. Rachid Assina, Dr. Jeffrey Guttman, and PA Dylan O’Rourke, combining years of expertise to deliver lasting relief.
What to Expect During Your Appointment
- Initial Consultation – Discuss symptoms, review medical history, and perform a physical exam.
- Diagnostic Testing – Imaging, lab work, or nerve studies to identify the root cause.
- Treatment Planning – Outline options from medications to minimally invasive procedures.
- Follow-Up Care – Adjust treatments, track progress, and provide education for long-term pain control.
Types of Pain Treated by Specialists
Our doctors treat a wide range of conditions, including:
- Back & spinal nerve pain – Herniated discs, lumbar strain, sciatica
- Neck pain – Cervical radiculopathy, whiplash injuries
- Joint pain – Knee, shoulder, elbow, hip, and ankle disorders
- Muscle pain & fibromyalgia
- Peripheral nerve pain – Carpal tunnel, cubital tunnel syndrome
- Cancer and post-surgical pain
For a full list of treated conditions, visit our Pain Conditions page.
Take the First Step Toward Relief
If chronic pain is limiting your life, don’t wait. At Empire Minimally Invasive Spine & Pain, we combine advanced technology, individualized care, and board-certified expertise to help you regain comfort and mobility.

📞 Call 516-229-1443 or book your consultation online today.
Medicare, Workers Comp,
No Fault & Others.
We accept most major insurance plans across our New York and New Jersey offices. Select your state to see accepted plans.
Accepted at our New York Locations
Workers' Compensation
No-Fault (NY & NJ)
Lien Cases
Medicare
Empire BCBS
BCBS / Anthem
Cigna
Aetna
Empire NYSHIP
Oxford (PPO)
United Health Care
GHI / Emblem Health
Humana (PPO)
Magnacare (PPO)
Northwell Direct
1199 SEIU
Self Pay
Accepted at our New Jersey Locations
No-Fault (NJ)
Lien Cases
Horizon BCBS
Empire NYSHIP
BCBS / Anthem (PPO)
Cigna
Aetna (PPO)
GHI / Emblem (PPO)
Port Authority UHC
Verizon Plan
Carpenter & Trade Unions
Self Pay
Medicare and Medicaid are not accepted at our New Jersey locations. Not sure about your plan? Call us and we'll verify before your visit.
Not sure about your plan?
Call Us — 516-229-1443
Verify Your Coverage for FREE
Enter your information and our team will confirm your benefits before your visit.
✓ HIPAA Compliant
✓ No Obligation
✓ Same-Day Response
Your information is encrypted and secure. By submitting, you consent to receive communications regarding your appointment. You may opt out at any time.
Meet Our Pain Management & Orthopedic Specialists

Dr. Monica Misak
Interventional Pain Specialist

Dr. James Yu, D.O.
Board Certified Anesthesiologist
Board Certified Interventional
Pain Management Physician

Dylan J. O'Rourke
Certified Physician Assistant
Pain Conditions Affecting Daily Life
Improve your quality of life with our comprehensive approach to pain management
We are dedicated to finding individualized treatment options tailored to fit your needs. Our team is dedicated to helping you lead a productive and active life, free from pain and disruption.
We use an integrative approach to conduct a comprehensive evaluation and assess your condition.
Physical examination and review of your medical history. We assess the cause of your pain, determine its severity and duration, and help you develop an individualized treatment plan.
We provide a range of treatments and procedures to address your chronic pain. These include nerve blocks, injections, physical therapy, implantable therapies and more. We also offer health education to help you better manage your condition.






