Skip to main content
Home Services
Migraine Cervicogenic headache Occipital neuralgia Tension-type headache All headaches
Cervical facet pain Cervical herniated disc Cervical stenosis Cervical radiculopathy Whiplash All neck
Thoracic Facet Arthritis Thoracic herniated disc Thoracic radiculopathy Thoracic myofascial pain All mid back
Facet arthritis Sciatica Herniated disc Spinal stenosis SI joint pain All low back
Hip osteoarthritis Hip bursitis Labral / FAI All hip
Knee osteoarthritis Meniscus MCL injury ACL injury Patellofemoral Pes anserine bursitis Baker's cyst Patellar tendinopathy All knee
Rotator cuff Frozen shoulder AC joint Shoulder osteoarthritis All shoulder
Tennis elbow Golfer's elbow Elbow osteoarthritis All elbow
Carpal tunnel De Quervain Wrist OA / TFCC All wrist / hand
Ankle sprain Achilles tendinopathy Plantar fasciitis All ankle / foot
All conditions
Physical therapy
About
Book a consult Refer a patient
Areas of care

Care built around longevity, pain & performance.

Westport Pain & Performance brings proactive health optimization, interventional spine and musculoskeletal care, regenerative medicine, and rehabilitation into one coordinated practice for people in Westport and across Fairfield County, Connecticut.

The Westport office is planned to open July 1, 2027. The areas below describe our planned scope of care; specific services and scheduling will be confirmed as opening plans are finalized. Telehealth is available now—contact the practice to confirm current visit options.

Longevity Spine & pain Regenerative Physical therapy Virtual care
Two ways into the practice

Start with the problem you want to solve.

You do not need to diagnose yourself or choose a procedure before speaking with us. Start with the care path that best matches your goals.

01 · Longevity, health & performance

Proactive, physician-led care for long-term health and performance.

For prevention, metabolic health, hormone evaluation, body composition, recovery, fitness, and people looking for a more deliberate approach to staying well.

Self-pay / membership Ask about availability
Book a consult
02 · Spine, pain & sports medicine

Focused evaluation for back, neck, joint, nerve and sports-related problems.

For spine pain, radicular symptoms, joint and musculoskeletal problems, sports injuries, and image-guided interventional treatment when appropriate.

Planned in-person care Confirm insurance before scheduling
Book a consult
Longevity, health & performance
Self-pay / membershipAsk about availability

Longevity, metabolic & hormone care

A data-informed approach to prevention, symptoms, metabolic health, hormonal health, recovery, body composition, and performance, with individualized monitoring and realistic priorities.

Start with a physician-led telehealth longevity assessment to review your health, goals and next steps.

Comprehensive longevity planningRisk-factor review, laboratory interpretation, body composition, prevention priorities, and a practical plan for long-term health.
Testosterone evaluation & treatmentAssessment and management of testosterone deficiency based on symptoms, laboratory review, treatment selection, and monitoring.
Female hormone careIndividualized management through perimenopause and menopause, including estrogen, progesterone, and testosterone when clinically appropriate.
Thyroid evaluationInterpretation of thyroid testing in clinical context rather than relying on a single flagged value.
Metabolic health & body compositionPhysician-led strategies for weight, insulin resistance, cardiometabolic risk, nutrition, and lean-mass preservation.
Recovery & performanceEvaluation of sleep, training load, recovery, fitness, body composition, and other factors that affect function and resilience.
Sexual healthEvaluation and treatment options for sexual health concerns in men and women.
Selected peptide protocolsPhysician-directed discussion and monitoring when appropriate, with clear explanation of evidence, uncertainty, and alternatives.
Spine, pain & sports medicine
Confirm insurance before schedulingPlanned in-person care

Interventional spine, pain & musculoskeletal medicine

Planned care includes evaluation and treatment of spine, joint, nerve, and sports-related conditions with fluoroscopy or ultrasound guidance when clinically appropriate. Meet founder Adam Nessim, MD and learn about his training and approach.

Medial branch blocksDiagnostic injections targeting the medial branch nerves that supply the facet joints.
Radiofrequency ablationSelected treatment of pain-conducting nerves for longer-lasting relief of facet-mediated pain.
Epidural steroid injectionsCervical, thoracic, and lumbar approaches for selected cases of radicular pain and spinal stenosis.
Facet & sacroiliac joint injectionsTargeted diagnostic and therapeutic procedures for joint-mediated neck, back, buttock, and pelvic pain.
Ultrasound-guided joint injectionsShoulder, knee, hip, elbow, wrist, ankle, and other musculoskeletal procedures with imaging guidance when appropriate.
Peripheral nerve blocksTargeted nerve procedures for selected acute and chronic pain conditions.
Trigger point injectionsTreatment for active myofascial trigger points contributing to local or referred pain.
Neuromodulation consultationEvaluation and coordination for selected patients considering spinal cord stimulation or related therapies.
Regenerative medicine
Self-payPlanned in-person care

Regenerative medicine

Biologic and regenerative options considered within a clear diagnosis, realistic evidence discussion, and coordinated rehabilitation plan.

PRP joint injectionsPlatelet-rich plasma for selected cases of osteoarthritis, tendinopathy, and ligament injury.
PRP spine proceduresTargeted approaches for selected spinal structures and chronic spinal pain after appropriate evaluation.
ProlotherapyDextrose-based injections considered for selected ligament and tendon conditions.
BMAC consultationEvaluation and informed discussion for patients considering bone marrow aspirate concentrate or related biologic therapies.
ViscosupplementationHyaluronic-acid injections for selected cases of knee or hip osteoarthritis.
Emerging biologic optionsDiscussion of treatments such as A2M, including the limitations and uncertainty of current evidence.
Concierge physical therapy
Self-pay / membershipPlanned in-person care

One-on-one rehabilitation & performance care

Individualized physical therapy coordinated with physicians who understand the diagnosis, imaging, procedures, and performance goals.

Musculoskeletal rehabilitationPrograms for spine, joint, and soft-tissue conditions based on diagnosis and functional goals.
Post-surgical rehabilitationStructured, physician-coordinated recovery after orthopedic and spinal procedures.
Spine & back rehabilitationTargeted exercise and manual therapy for cervical, thoracic, and lumbar conditions.
Sports injury rehabilitationReturn-to-sport planning for acute and chronic athletic injuries.
Manual therapy & dry needlingHands-on treatment and selected adjuncts to improve mobility, pain, and neuromuscular function.
Performance & resilienceStrength, mobility, movement, and injury-risk work for active and high-performance patients.
Virtual care
Telehealth available nowEligibility confirmed before scheduling

Ask about an available virtual visit

Westport Pain & Performance offers telehealth. Our team will confirm which services and clinicians are available, whether your location is eligible, and whether an in-person visit is needed.

Current visit optionsAsk the team which available service fits the general reason for your inquiry.
Location and clinicianEligibility depends on your location during the visit and the treating clinician’s license.
Scheduling detailsConfirm fees, insurance arrangements, and any preparation before scheduling.

Explore the telehealth longevity assessment

Not sure where to start?

Choose the care path, not the treatment.

You do not need to select a procedure or diagnose yourself before speaking with the practice. Start with the type of care that best matches your goals.

Longevity consult Spine & pain consult