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One practice, three offices.

The Future of Pain,
Regenerative &
Longevity Medicine

Most people seek healthcare only after symptoms develop. At New York Spine & Sport, we believe the future of medicine lies in not only providing pain relief but identifying dysfunction before it becomes chronic pain & disease.

Dr. Sireen Gopal, MD President & Founder Board Certified in Physical Medicine & Rehabilitation and Pain Medicine
Dr. Sireen Gopal, MD
Dr. Sireen Gopal, MD President & Founder

Physician. Innovator. Longevity & Regenerative Medicine Advocate.

Meet Dr Sireen Gopal, MD – President & Founder

Helping Patients Live Longer, Move Better, and Stay Stronger.

“For more than two decades, I have dedicated my career to helping people overcome pain, restore function, and reclaim their lives”

After being quadruple board-certified physician in Physical Medicine & Rehabilitation, Pain Medicine, Neuromuscular Medicine, and Anti-Aging & Regenerative Medicine, I have managed thousands of patients suffering and avoided needless surgery for pain emanating from spine disorders, joint arthritis, sports injuries, nerve conditions, chronic pain syndromes, and complex musculoskeletal problems.

In the last decade, one question has continually challenged everything and evolved my thinking about what I thought I knew about medicine:

Why do two patients with the exact same MRI have completely different experiences of pain?

And why do many patients continue to struggle despite physical therapy, medications, injections, or even surgery?

The answers to those questions transformed the direction of my career.

Looking Beyond the MRI

Early in my training and clinical practice, I realized that structural findings alone rarely explained a patient's symptoms.

Some individuals with severe arthritis functioned remarkably well.

Others with relatively minor imaging abnormalities experienced significant pain and disability.

The traditional medical model often focused on identifying a structural diagnosis and treating it locally.

But over time, I began to recognize that chronic pain frequently existed within a larger biological context.

Patients suffering from persistent pain often shared common underlying patterns:

  • Chronic systemic inflammation
  • Insulin resistance and metabolic dysfunction
  • Poor sleep quality
  • Hormonal imbalances
  • Mitochondrial dysfunction
  • Stress-related nervous system dysregulation
  • Sedentary lifestyle patterns
  • Loss of muscle mass and resilience

Pain was not simply a problem of joints, discs, tendons, or nerves.

Pain was often a reflection of the body's overall health.

Discovering the Connection Between Pain and Aging

As I continued to practice regenerative medicine, functional medicine, and longevity science, a fascinating pattern emerged.

Many of the biological mechanisms driving chronic pain were the same mechanisms driving accelerated aging.

  • Chronic Inflammation contributes to osteoarthritis.
  • Chronic Inflammation contributes to cardiovascular disease.
  • Chronic Inflammation contributes to neurodegeneration.
  • Chronic Inflammation contributes to metabolic disease.

Likewise, mitochondrial dysfunction affects both energy production and tissue repair.

The same cellular systems influencing how we age also influence how we heal.

This realization fundamentally changed how I approached medicine.

My focus shifted from simply treating symptoms toward identifying the biological drivers that influence both pain and long-term health.

A New Model of Healthcare

Today, our philosophy is simple:

The future of medicine is not disease management. The future of medicine is biological optimization.

Instead of waiting for disease to develop, we can identify dysfunction years before symptoms appear.

Instead of simply suppressing symptoms, we can address the factors contributing to chronic systemic inflammation, metabolic dysfunction, hormonal imbalance, poor recovery, and accelerated aging.

At Vitality Medicine of New York, www.vitalitymedny.com, our longevity programs are built around two foundational principles:

  1. Reducing cellular inflammation
  2. Optimizing mitochondrial health

These systems influence energy production, recovery, resilience, cognitive function, cardiovascular health, and overall healthspan.

Our evaluations incorporate root cause evaluations, advanced biomarker testing, metabolic assessment, functional genomic insights, body composition analysis, health coaching, supplementation, performance VO2 max & lifestyle evaluation, and preventive imaging to create truly personalized care plans.

Practice What You Preach

My passion for longevity medicine is not purely academic.

Like many patients, I have experienced my own health challenges.

Personal struggles with gut health, sports-related injuries, meniscal pain, and recovery led me to explore regenerative medicine and root-cause healthcare from a patient perspective.

Those experiences reinforced my belief that true healing often requires looking beyond conventional medical models.

They also strengthened my commitment to living the principles I recommend.

I remain an active skier, tennis player, soccer enthusiast, and lifelong advocate of movement as medicine.

Because longevity is not simply about living longer.

It is about maintaining the ability to do the things you love for as long as possible.

Beyond Medicine: The Power of Human Connection

One of the most overlooked drivers of health and longevity is meaningful human connection.

Research consistently demonstrates that strong social relationships influence health outcomes, resilience, happiness, and longevity.

This belief inspired the co-founding of MoaiNYC.com, a community dedicated to creating lifelong friendships, supportive social networks, and meaningful human experiences.

Health is not merely biological.

It is physical, emotional, psychological, and social.

True longevity requires nurturing all of those dimensions.

Our Mission

Our mission is straightforward – “Adding life to years”

  • To help patients extend both lifespan and healthspan.
  • To help them remain active, independent, cognitively sharp, physically strong, and emotionally fulfilled.
  • To identify disease before it develops.
  • To help people age with purpose, vitality, and resilience.

Whether you are seeking relief from chronic pain, looking to avoid surgery, optimizing athletic performance, improving metabolic health, or pursuing a proactive longevity strategy, my goal is to help you build a healthier future.

Because the goal is not simply to add years to life.

More about Dr Sireen Gopal – President & Founder

Treatments & Services

8 care areas, 54 treatments and procedures

Selected treatments and procedures

Choose a care area to scan the complete treatment and procedure inventory.

Treatments & Services
Diagnostics and image guidance 3 services
  • EMG / NCS
  • Musculoskeletal Ultrasound
  • Ultrasound-Guided Procedures
Assessment and rehabilitation 9 services
  • Physical Therapy
  • Clinical History and Physical Examination
  • Imaging Review and Diagnostic Referrals
  • Acupuncture
  • Therapeutic Massage
  • Ergonomics and Injury Prevention
  • Psychological Screening
  • Weight Management
  • Shockwave Therapy
Office-based and joint procedures 5 services
  • Trigger Point Therapy
  • Joint and Bursa Injections
  • Tendon Care
  • Peripheral Nerve Blocks
  • Fluoroscopically Guided Hip Injection
Lumbar and spine procedures 13 services
  • Interventional Pain Procedures
  • Diagnostic Medial Branch Blocks
  • Discography
  • Epidural Steroid Injections
  • Facet Joint Injections
  • Intradiscal Electrothermal Therapy
  • Kyphoplasty (Balloon Vertebroplasty)
  • Lumbar Sympathetic Block
  • Nerve Root Blocks
  • Percutaneous Discectomy
  • Radiofrequency Ablation / Neurotomy
  • Sacroiliac Joint Injection
  • Lumbar Transforaminal Epidural Steroid Injection
Cervical and thoracic procedures 9 services
  • Cervical Facet Radiofrequency
  • Cervical Medial Branch Blocks
  • Cervical Nerve Root Blocks
  • Cervical Epidural Steroid Injection
  • Stellate Ganglion / Sympathetic Blocks
  • Thoracic Medial Branch Blocks
  • Thoracic Epidural Steroid Injection
  • Thoracic Radiofrequency Neurotomy
  • Intercostal Nerve Blocks
Abdominal, pelvic and cranial nerve blocks 9 services
  • Celiac Plexus / Splanchnic Block
  • Celiac Plexus Neurolysis
  • Ganglion Impar Block
  • Hypogastric Plexus Block
  • Pudendal Nerve Block
  • Gasserian Ganglion Block
  • Occipital Nerve Blocks
  • Trigeminal Nerve Block
  • Epidural Blood Patch
Orthobiologic options 3 services
  • PRP
  • Bone Marrow Aspirate Concentrate (BMAC)
  • Orthobiologics
Neuromodulation and procedural support 3 services
  • Spinal Cord Stimulator Trials and Implantation
  • Stimulator Programming and Management
  • Conscious Sedation

Personalized care designed to help you move better, feel better, and age better.

What patients say

Dr. Gopal is extremely attentive with great bedside manners and listened to my concerns. Very pleased with my initial visit and feel confident for future treatments with Dr. Gopal.

Luis I. Zocdoc, Jan 19, 2018

Very professional and knowledgeable staff and very patient and kind, I will be returning.

Flavellar S. Harris Birdeye

I am glad I found this office it is close to my job so after working the 3 shift in the morning all I have to do is walk 3 blocks, and I am here. Very clean office, the staff is friendly.

Joseph J. Zocdoc, Sep 4, 2016

The team took time to understand my history and goals. The personalized plan made all the difference in my recovery journey.

Michael T. Google, Mar 12, 2023

Professional from start to finish. Dr. Gopal explained every step clearly and the results exceeded my expectations.

Sarah L. Healthgrades, Jul 5, 2023

I was hesitant about interventional options, but the careful approach and expertise here put me at ease. Highly recommend.

Robert K. Zocdoc, Nov 18, 2022

Scheduling was simple and the visit started on time. The team explained the plan in plain language before anything else.

Elena M. Google, Feb 8, 2024

I was seen promptly and my questions were answered without being rushed. The office is easy to find and the staff is consistent.

James P. Birdeye, Jun 21, 2023

Follow-up was clear. I knew who to call and what the next appointment was for. That made the process much easier.

Nadia R. Zocdoc, Oct 3, 2023

Three New York locations

One practice, three offices.

Choose the location that works best for you. Each address opens in your preferred maps application for turn-by-turn directions.

Horizontal map showing North Yonkers, North Bronx, and Manhattan office locationsVertical map showing North Yonkers, North Bronx, and Manhattan office locations
1 North Yonkers 2 North Bronx 3 Manhattan
North Yonkers North Bronx Manhattan

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A practical next step

Start with the right team.

For general appointment questions, contact the practice team. Existing patients should use the Patient Portal rather than send health information through a general email.