Pain Management Doctors in Huntington NY

Non-Surgical Pain Relief at Orthopedic Spine Care of Long Island

If you’ve been living with chronic back pain, sciatica, neck pain, or another spine-related condition, surgery is rarely the first step — and for most patients, it isn’t necessary at all. Interventional pain management uses image-guided injections, nerve blocks, and minimally invasive procedures to find and treat the source of your pain without an operation.

At Orthopedic Spine Care of Long Island in Huntington Station, our interventional pain program is led by Dr. Waqaas A. Quraishi, a double board-certified physician in pain medicine and physical medicine & rehabilitation. He works alongside our orthopedic spine surgeons so that every patient gets the right level of care — conservative when possible, surgical only when truly indicated.

Call 631-847-0200 to schedule an evaluation, or request an appointment online.

What Is Interventional Pain Management?

Interventional pain medicine is a subspecialty focused on diagnosing and treating chronic pain through targeted, minimally invasive procedures. Most procedures are performed in an outpatient setting using fluoroscopic (X-ray) guidance to deliver medication directly to the structure causing pain — a specific nerve, joint, or disc.

The goal is twofold:

  1. Identify the source of pain. A diagnostic nerve block can tell us whether a suspected nerve or joint is actually generating your symptoms. This information shapes everything that follows.
  2. Provide lasting relief. Once the source is confirmed, therapeutic injections or procedures can reduce inflammation, interrupt pain signals, or, in some cases, address the underlying problem altogether.

For many patients, this is enough to return to work, exercise, and daily life without surgery. For others, it provides meaningful relief while a longer-term plan — including physical therapy or, in select cases, surgery — is put in place.

Meet Dr. Waqaas A. Quraishi

Dr. Quraishi is the interventional pain physician at Orthopedic Spine Care of Long Island. His credentials are a key reason patients across Long Island are referred here for non-surgical pain care:

  • Board Certified in Pain Medicine
  • Board Certified in Physical Medicine & Rehabilitation
  • Fellowship in Interventional Pain Medicine — Department of Pain Medicine and Palliative Care at Beth Israel Medical Center, New York City, one of the country’s most established interventional pain programs
  • Residency in Physical Medicine and Rehabilitation at Long Island Jewish Medical Center, where he was elected Academic Chief Resident
  • Active teaching role — Dr. Quraishi continues to lecture and teach residents at LIJ
  • Special clinical interests — neuromodulation (including spinal cord stimulation), intrathecal medication therapies, and complex chronic pain syndromes

He is an active member of the North American Spine Society, the American Pain Society, and the American Academy of Physical Medicine and Rehabilitation.

Learn more about Dr. Quraishi →

Dr. Waqaas A Quraishi, Pain Management Specialist

Conditions We Treat

Interventional pain management at OSCLI is appropriate for a wide range of conditions. The most common include:

  • Chronic low back pain from any underlying cause
  • Sciatica and other forms of lumbar radiculopathy
  • Neck pain and cervical radiculopathy (pain radiating into the arm)
  • Lumbar and cervical herniated discs
  • Spinal stenosis — lumbar or cervical
  • Foraminal stenosis and pinched nerves
  • Facet joint syndrome and spinal arthritis
  • Sacroiliac joint dysfunction
  • Post-laminectomy syndrome (chronic pain after spine surgery)
  • Complex Regional Pain Syndrome (CRPS)
  • Neuropathic pain of various causes
  • Compression fractures of the spine
  • Chronic joint pain in the knees, hips, shoulders, and ankles

Procedures We Perform

Epidural Steroid Injections (ESI)

A targeted injection of anti-inflammatory steroid medication into the epidural space around the spinal nerves. ESIs are highly effective for radiating pain from a herniated disc or spinal stenosis. Many patients experience meaningful relief within days, with effects often lasting several months.
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Medial Branch Blocks & Radiofrequency Ablation (RFA)

For patients with chronic facet-mediated pain, a medial branch block first confirms which nerves are carrying the pain signal. If the block provides good relief, radiofrequency ablation can then use heat energy to interrupt those pain signals for 9 to 12 months or longer. RFA is one of the most durable options available for chronic facet joint pain.
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Trigger Point Injections

For muscular pain caused by tight, painful knots (“trigger points”) in the back, neck, or shoulder muscles. The injection releases the muscle and breaks the pain cycle.
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Selective Nerve Root Blocks

A precisely targeted injection that both diagnoses and treats pain coming from a specific spinal nerve root. Useful when imaging shows multiple potential pain sources and we need to confirm which nerve is responsible.
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Sacroiliac (SI) Joint Injections

The SI joint, where the spine meets the pelvis, is an underdiagnosed source of lower back pain — often mistaken for sciatica or hip pain. SI joint injections both diagnose and treat this condition.
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Sympathetic Nerve Blocks

Used for complex pain conditions including Complex Regional Pain Syndrome (CRPS) and certain neuropathic pain syndromes that don’t respond to standard treatment.
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Joint Injections (Knee, Shoulder, Hip, Ankle)

Beyond spine-related pain, we also perform image-guided injections for arthritis and inflammation in larger joints — useful when joint pain is limiting your activity but joint replacement isn’t yet warranted.
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Facet Joint Injections

The facet joints are small joints connecting the bones of the spine. When they become arthritic, they can produce significant back or neck pain. Facet injections deliver steroid medication directly into or around the joint to reduce inflammation.
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Selective Nerve Root Blocks

A precisely targeted injection that both diagnoses and treats pain coming from a specific spinal nerve root. Useful when imaging shows multiple potential pain sources and we need to confirm which nerve is responsible.
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Spinal Cord Stimulation (SCS)

For patients with severe chronic pain that hasn’t responded to other treatments — including failed back surgery syndrome and certain neuropathic pain conditions — a spinal cord stimulator delivers low-level electrical pulses that interrupt pain signals before they reach the brain. Dr. Quraishi has a special clinical interest in neuromodulation and manages every step of the SCS process, from trial through implant.
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How We Approach Your Care

Step 1: Diagnostic evaluation. Your visit begins with a thorough conversation about your pain, when it started, what makes it better or worse, and how it’s affecting your life. A focused physical exam follows.

Step 2: Imaging when needed. Our office has X-ray, MRI, and CT scanners on site, so most diagnostic imaging can be completed without a separate trip to a radiology facility — often the same day as your evaluation.

Step 3: A treatment plan that matches your situation. Some patients benefit from a single injection. Others need a structured plan combining injections, physical therapy, and medication management. A smaller group ultimately benefits from minimally invasive surgery, in which case Dr. Quraishi coordinates directly with our orthopedic spine surgeons, Dr. Schwartz and Dr. Alongi.

Step 4: Ongoing reassessment. Interventional pain care is rarely a one-time fix. We track how you respond to each step and adjust the plan accordingly.

Frequently Asked Questions About Pain Management

Pain management treats pain without surgery, using injections, medications, and minimally invasive procedures. Spine surgery is reserved for structural problems that can’t be solved any other way — significant nerve compression, progressive weakness, spinal instability, or pain that hasn’t responded to thorough conservative care. At OSCLI, both disciplines work together so patients aren’t pushed toward surgery prematurely.

Most patients describe the discomfort as similar to a routine lab draw or vaccination. The skin and deeper tissue are numbed before the needle is advanced, and mild sedation is available for patients who want it. The procedure itself typically takes 10–20 minutes, with most of that time spent on positioning and imaging.

It depends on the procedure and the underlying condition. Epidural steroid injections often provide relief lasting weeks to months. Radiofrequency ablation typically lasts 9–12 months and sometimes longer. Spinal cord stimulators, when successful, can provide ongoing relief for years. Your provider will discuss realistic expectations for your specific treatment.

Sometimes. Some conditions resolve with a single injection; others benefit from a series — typically two to three injections spaced several weeks apart. We avoid open-ended injection schedules; if a patient isn’t responding meaningfully after a reasonable trial, we revisit the diagnosis rather than continuing the same treatment.

Our focus is on procedural and interventional treatment rather than long-term opioid management. When medication is part of a treatment plan, we typically use non-opioid options — anti-inflammatories, nerve pain medications, muscle relaxants, and short-term medications during acute flares. Patients on existing long-term opioid therapy should remain with their primary prescriber for that medication.

It depends on your insurance plan. Many plans allow you to schedule directly; some HMOs require a referral from your primary care physician. When you call to schedule, our staff can verify your plan’s requirements.

Schedule Your Consultation

If chronic pain is keeping you from sleeping, working, or enjoying the activities that matter to you, you have options beyond medication and beyond surgery. Our team has been providing interventional pain management to patients across Long Island since 1999, and we’d be glad to help you understand what’s causing your pain and what can be done about it.

Orthopedic Spine Care of Long Island 206 East Jericho Turnpike Huntington Station, NY 11746 Phone: 631-847-0200

Patient Portal for Orthopedic Spine Care of Long IslandOrthopedic Spine Care of Long Island

206 E Jericho Turnpike Huntington Station, NY 11746

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