Richard Kowal DC, CDN

Chiropractor and Nutritionist on the Upper West Side, New York, NY

Does it feel as though someone is constantly twisting your arm or leg? Are you experiencing severe, debilitating pain that only affects one limb? You may have complex regional pain syndrome (CRPS), which is a chronic pain condition that can be difficult to diagnose and treat. But there’s hope. At his chiropractic practice located on the Upper West Side of Manhattan, Dr. Richard Kowal offers innovative treatment for those suffering from CRPS. To learn more, contact the office in New York City by phone or online today.


What is complex regional pain syndrome (CRPS)?

CRPS is a chronic pain condition that usually only affects one limb (arm or leg) after an injury. It can also develop as a result of an otherwise successful surgery. It’s theorized that the pain develops due to an injury or malfunction in your peripheral or central nervous system.

What are CRPS symptoms?

CRPS symptoms differ from person to person. But this chronic pain condition can cause severe, debilitating pain that affects your quality of life. 

Symptoms of CRPS may include:

  • Chronic or sometimes constant pain in the affected limb
  • Burning, tingling, or numbness in the arm, hand, leg, or foot
  • The sensation that someone is squeezing the affected limb
  • Hypersensitivity in the affected limb
  • Skin may appear shiny or thin
  • Change in hair growth
  • Affected limb can feel colder than other parts of the body
  • Joint stiffness
  • Poor muscle control
  • Swelling in the affected limb

You may also experience an increase in sensitivity in the area and feel severe pain when touched. 

What can I expect during a CRPS evaluation?

Dr. Kowal is an experienced chiropractor who specializes in neuropathic pain conditions. You can expect a compassionate and thorough evaluation when you come in to see him looking for help with your pain.

During your exam, he reviews your symptoms and asks when they started. He also conducts a physical exam, being very careful around the areas where you feel most of your pain.


How does Dr. Kowal treat CRPS?

Dr. Kowal offers an innovative non-surgical treatment to help those suffering from CRPS symptoms. He uses the FDA-approved Stimpod NMS460, which uses Transcutaneous Pulsed Radio Frequency (TPRF) energy to treat chronic neuropathic pain. TPRF is thought to improve cellular activity in the affected nerves, which may help to restore more normal functioning. 

The Stimpod NMS460 is proving to be a beneficial treatment for nerve-related problems like CRPS. Dr. Kowal is one of just a few offices in Manhattan that uses this innovative therapy to treat nerve damage.  

Contact the office or Dr. Richard Kowal by phone or online today to learn more about the innovative therapy.

Fees & Insurance


Will you file a claim with my insurance company or is that my responsibility?

Yes. If we are under contract with your insurance company, we will collect the co-payment at the time of your visit and submit the claim for you. 


What are the rates if you are out of network with my insurance plan?

If we do not currently participate in your health insurance plan and you have out of network benefits we will file a claim directly with your insurance company.  You can expect your out of pocket expense to be $65.for regular office visits.


Medicare: Please call to speak with us personally so we can review your specific Medicare benefits and give you an exact answer regarding finances.


We never perform any service without discussing it, and its cost with you beforehand, and receiving your approval. We are very respectful around finances, and no one ever receives a bill from “out of nowhere” from us!

Give a call to discuss your specific health concerns with Dr. Kowal and he’ll be able to clarify what finances, evaluative services and/or care would look like for you personally.


Some of the plans and providers we accept

Oxford Health
United Healthcare