Richard Kowal DC, CDN

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


Pain can fall into two categories, Nociceptive Pain and Neuropathic Pain.  Nociceptive pain is caused by actual tissue damage such as a herniated disc, a broken bone or any part of us that’s been injured or damaged.

Neuropathic Pain is caused by damage or disease that specifically affects the nervous system.  It may have started out as the first kind of pain but it now exists just in the nerve itself. There may not be an obvious source of pain and it can even occur spontaneously. People often describe neuropathic pain as ‘burning, tingling or shooting pain’.

Dr. Kowal uses a therapy called Transcutaneous Pulsed Radiofrequency (or TPRF) to specifically treat neuropathic pain. 


What is Transcutaneous Pulsed Radiofrequency (TPRF)?

TPRF is a non-surgical treatment for nerves.  Using the FDA Approved Stimpod NMS 460, this therapy is proving to be a breakthrough treatment for nerve related problems such as ‘foot drop’, diabetic neuropathy, CRPS, phantom limb pain, and many other peripheral neuropathies which cause pain and/or weakness in the limbs. It can also be used to treat the neuropathic pain that may be part of shoulder, hip or knee arthritis.

We are one of just a few offices in Manhattan treating with the Stimpod NMS 460 at this time.

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