Marvin Moy

Four Interventional Pain Management Techniques

Licensed to practice medicine in the states of New York and New Jersey, Marvin Moy MD specializes in physical, rehabilitation, and orthopedic medicine. Marvin Moy Md serves as a physician and medical director at Medical Now P.C. where he performs interventional pain management procedures to patients.

Rehabilitation doctors use interventional pain management procedures to help patients with chronic pain, such as neck pain, lower back pain, muscle and/or bone pain, and headaches. There are different kinds of techniques used in interventional pain management:

1. Injection sends powerful medicines, such as opioids or steroids into the nerves to block the nerves and relieve the pain. Some of the most common types of these injections include epidural steroid injections, single nerve root blocks, facet joint injections, and sacroiliac joint injections.

2. Radiofrequency rhizotomy uses a needle with an electrode at the tip to temporarily shut off the nerve’s function to send pain messages to the brain. Accordingly, radiofrequency rhizotomy provides between 6 and 12 months of relief, during which time, the patient is advised to under physical therapy.

3. Intrathecal pump implants bring potent drugs straight into the source of pain. A small device called “pump” is implanted into the patient’s skin. The pump is calibrated to send specific amounts of medication on a consistent basis. The pumps are refilled every month.

4. Electrical stimulation also implants a stimulator under the patient’s skin. The stimulator sends electrical impulses into the source of pain. Electrical stimulation is used in certain kinds of conditions that affect the nerves or brain, such as epilepsy, Parkinson’s disease, and diabetic peripheral neuropathy.

Trigger Point Injection – An Overview

trigger point injection

Trigger points are highly sensitive knots of muscular fiber that form when the muscle does not relax. Often, trigger points irritate surrounding nerves and cause pain in another part of the body. Healthcare professionals use trigger point injections to treat pain caused by trigger points through the relaxation of affected muscles. Trigger point injection works for a variety of muscle groups, including those of the arms, neck, lower back, and legs, and are also used for treating tension headaches.

During the procedure, the health care professional locates trigger points below the patients skin and carefully insert a small needle through the skin into the muscle. With the needle, the healthcare professional administers drugs, which can include local anesthetic, corticosteroid, or botulinum toxin A. However, some patients may be allergic to any of these drugs. In this case, a technique involving no medication (dry needle technique) can be used.

Several points may be injected during one office visit. The procedure is usually completed within a few minutes.

Interventional Versus Non-Interventional Pain Management

A resident of New York City, New York, Marvin Moy, MD, earned his doctor of medicine from the University at Buffalo School of Medicine and Biomedical Science, and holds a New York State medical license. Marvin Moy, MD, is the medical director of Medical Now P.C. In this role, he focuses on physical and rehabilitative medicine, orthopedic surgery, and interventional and non-interventional pain management.

Interventional pain management is focused on blocking pain using specific invasive methods, including surgery, injected steroids, nerve blocks, and implanted devices that administer medication. Interventional strategies are typically used for patients that experience a high level of pain that reduces their quality of life.

Non-interventional pain management strategies are considered non-invasive and include physical therapy, drug-free electrical stimulation such as transcutaneous electrical nerve stimulation (TENS), and H-wave. A rehabilitative device, H-wave helps to reduce pain by enhancing blood and lymphatic flow, which in turn reduces the transmission of pain signaling between nerves. Medications such as muscle relaxants and pain relievers are also non-interventional strategies, though they are not without the risk of side effects.

Non-invasive Pain Management Techniques

Marvin Moy, MD is a physiatrist based in New York City with many years of experience treating patients in the areas of physical and rehabilitative medicine as well as orthopedic surgery. As the medical director of Medical Now P.C. in New York, Marvin Moy, MD specializes in interventional and non-interventional pain management techniques.

Non-interventional pain management involves non-invasive procedures that help people cope with chronic and acute pain. It includes such methods as physical therapy and exercise, which can be hugely beneficial for some patients when administered by a medical professional.

Behavioral modification can also be an important part of pain management. Relaxation techniques and coping tools benefit patients with specific types of pain associated with muscle damage and nerve disorders.

Superficial heating and cooling are also used. This involves using tools such as hot or cold compresses, ultrasound, and diathermy. It’s most often used in combination with physical therapy to achieve pain relief.

Electrotherapy is a relative newcomer to the field but low voltage electrical stimulation has seen some success in pain management as well.

MIT and Oldendorff Partner Rethink Naval Architecture from Ground Up

Serving as a physician director with Medical Now, PC, Marvin Moy, MD provides surgical treatments such as the spine, shoulder, hand, and knee arthroscopies. With a background in commercial fishing, Marvin Moy, MD, has an extensive interest in oceanography, as well as boat building and naval architecture.

Naval architecture is one that is continuously evolving to integrate leading-edge technological advancements. As reported in Maritime Executive, the Massachusetts Institute of Technology’s (MIT) Center for Bits and Atoms (CBA) recently reached a research agreement Oldendorff Carriers to create next-generation vessels that meet IMO 2030/50 requirements.

With CBA having already worked extensively with the automotive and aerospace industries, the aim is to better integrate form and function. An initial focus will be on increasing hydrodynamic efficiency, with related research areas including hydrodynamic cloaking, morphing structures, and moving boundary layers.

With alternative energy sources another area of focus, creating new efficiencies will extend to a bottom-up rethink of how materials are constructed, Other ways of decreasing environmental footprint include “automated lifecycle assembly and disassembly.” The result is likely to surpass the current state-of-the-art, which includes $3 billion invested by Oldendorff over the past six years to create a fleet of 90 “eco vessels” built in Japan, Korea, and China.

About Marvin Moy

Having led Medical Now, PC, for the past decade, Marvin Moy, MD, provides coordinated rehab and physical medicine solutions, as well as orthopedic surgery care that addresses shoulder, spine, hand, and knee injuries. Offering arthroscopies and flouroscopic guided procedures, Marvin Moy, MD, is knowledgeable of interventional, as well as psychiatric and non-interventional pain management approaches.

An MD graduate of the State University of New York at Buffalo, Dr. Moy completed extensive training at St. Vincent’s Medical Center, which included surgical and rehabilitation medicine for military combat injuries. He also worked with patients who had suffered from strokes and cerebral vascular accidents in rehabilitative treatment capacities.

Dr. Moy’s interests in the health care field extend to medical device design and biotech innovations, and he follows developments in 3-D organ printing. Active as a commercial fisherman for many years, he owns and operates a seagoing vessel in East Moriches. Dr. Moy is also interested in oceanography and underwater archeology, and he has undertaken marine surveys and bathymetric studies.

Marvin Moy : Website