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Pain and sports medicine

Virtual pain and spine consults

Dr. Nessim sees patients by telehealth for spine, joint, and sports pain. The visit is a real consult. We go through your history, look at the imaging you already have, and make a plan. If you need an injection or a procedure, we will tell you that. If you do not, we will tell you that too. He is licensed in New York, Connecticut, and Florida, and telehealth is available in those states when the visit is clinically appropriate.

Who this is for

This is for someone who has neck pain, back pain, sciatica, a joint injury, or a tendon problem, and wants a physician who actually does this work to look at it before they commit to a procedure, a long course of physical therapy, or another round of imaging. It is also for people in Connecticut who will eventually be seen in Westport, and for people in New York or Florida who want the same kind of visit now.

Pain and sports medicine visits do not require membership. The Westport clinic is planned to open in July 2027. Telehealth is how we start before those doors are open, and it stays useful after they are, for follow-up and for patients who are not local.

What we can do on a video visit

A lot of interventional spine care is decision making. The needle work still happens in a procedure room, under image guidance. The decision about whether you need that needle, and which one, can often start on a screen.

  • A focused history of the pain, what makes it better or worse, and what you have already tried
  • Review of MRI, CT, or x-ray you can share, so we are not guessing from a radiology one-liner
  • A working diagnosis: disc and nerve, facet joints, a tendon, a joint, or something that still needs an in-person exam
  • A plan, which may include physical therapy, medications when appropriate, further imaging, or an in-person procedure such as a medial branch block, an epidural steroid injection, or PRP
  • Clear next steps, including whether you should be seen in person before anyone treats you

What we cannot do on a video visit

We cannot place an epidural, a medial branch block, or PRP over Zoom. Those procedures need fluoroscopy or ultrasound and a proper room. We also cannot replace an exam for every problem. If the story and the imaging do not line up, or if there is weakness, a gait change, fever, or a red-flag history, we will tell you to be seen in person or in an emergency setting. The point of the virtual visit is to get that call right, not to stretch telehealth past what it can do.

Licensure

Dr. Adam Nessim is licensed in New York, Connecticut, and Florida. Telehealth for pain and sports medicine is offered to patients located in those states at the time of the visit. If you are somewhere else, we will not pretend the license covers it. New Jersey licensure is not listed here as active.

How the visit works

You request a pain and sports medicine call. We confirm you are in a licensed state, that this is the right pathway (pain, not the longevity and GLP-1 visit), and that we have a way to see your imaging. The visit is video. Afterward you get a plan in plain language: what we think is going on, what to do now, and whether you need an in-person procedure when Westport is open or at a facility we can use sooner.

Questions people actually ask

Can you treat my back pain over telehealth?

We can evaluate it, review imaging, and make a plan. We cannot inject the spine on a video visit. A lot of people leave the consult knowing they need physical therapy, a specific injection, or more imaging, which is the useful part.

Do I need to be in Connecticut?

You need to be in New York, Connecticut, or Florida at the time of the visit. Connecticut patients who will use the Westport clinic when it opens are a natural fit. New York and Florida patients can be seen the same way when the problem is appropriate for telehealth.

Is this the same as the virtual longevity visit?

No. That page is for physician-led virtual longevity care, including metabolic health and GLP-1s, and lives at virtual care. This page is for spine, joint, and sports pain. Pick the one that matches why you are calling.

Does insurance cover a virtual pain consult?

Some pain and sports visits have an insurance pathway. Coverage depends on the plan, the state, and the visit type. We confirm that when we schedule. This page does not list a price and does not promise coverage.

When can I actually get an injection?

Injections are in person. The Westport location is planned for July 2027. If you need something sooner, we will say so and talk through what is realistic rather than making you wait on a calendar that does not fit the problem.

Related care

Request a pain and sports medicine call

Dr. Adam Nessim is the interventional spine physician at Westport Longevity, Pain and Performance. Licensed in New York, Connecticut, and Florida. These pages do not diagnose and do not replace a visit. Pain and sports medicine visits do not require membership. The Westport location is planned to open in July 2027.