Pain Management

Pain Management

Pain is a complex entity and to help relieve pain there are many treatment options including mind-body techniques, medications, therapies, lifestyle changes, physiotherapy, chiropractic care, acupressure, acupuncture, electro-thermal therapy, nerve block injections, trigger point injections, spinal cord stimulation, spinal drug delivery, etc.

We manage

  • Acute Pain
  • Chronic Benign Pain
  • Cancer Pain

We manage the following common disorders:

  • Arthritis Pain
  • Pain after Surgery
  • Neck Pain
  • Headache
  • Neuralgia
  • Backache
  • Fibromyalgia
  • Cancer Pain
  • Neuropathy
  • Post Herpetic Pain
  • Sympathetic Dystrophy


Medical Pain Management

In medical pain management, medicines including painkillers, muscle relaxants and sedatives are used to treat pain. The treatment can last for about 3 to 6 weeks and sometimes the treatment might be longer than usual. In addition to medications physiotherapy, some exercises and some controlled activities might be recommended by the physician. Medical pain management is the cornerstone of pain management as it offers an opportunity for the tissues to heal on their own with supportive medications.


Pain management in physiotherapy is achieved by physical means like exercises, application of heat and cold, electrical stimulation, manipulation and traction. This mode of therapy is done in association with other conventional methods of pain management to restore mobility and normal function. Pain, falls, injuries, disabilities, recovery from orthopaedic, cardiovascular and neurological conditions can make your life functionally and physically debilitating, but you can achieve far greater levels of functionality and physical ability with profound independence, improved flexibility, enhanced fitness and regained strength with a well-structured physiotherapy & wellness program. There are various methods discussed under physiotherapy. Some of them have proven benefit, while others are undergoing trials. Before any modality of physiotherapy is thought of, certain factors have to be considered.

Heat Therapy: It is an age-old therapy as many people are quite aware of the fact that application of heat relieves pain.

Superficial Heat Therapy

  • Heat Pad
  • Hot Moist Packs
  • Infrared Radiation
  • Paraffin Wax

Deep Heat Therapy

(a) Medium Frequency Currents

  • Short Wave Diathermy
  • Microwave Diathermy

(b) Medium Frequency Currents

  • Interferential Therapy

(c) Low Frequency Currents

  • TENS (Electrothermal therapy)

Manipulative Therapy

  • Soft tissue techniques (massage)
  • Orthoses & supports
  • Passive mobilisation of joints
  • Cervical collars
  • Passive stretching of soft tissues
  • Lumbar supports
  • Auto-stretching of soft tissues


Neck and Back Exercises

Advanced Pain Management

  • Cryo-analgesia
  • Spinal Cord Stimulation
  • Deep Brain Stimulation
  • Intrathecal Drug Delivery System
  • Motor Cortex Stimulation
  • Peripheral Nerve Stimulation
  • Radiofrequency Denervation

Alternate Therapies

  • Stress management
  • Behavioural therapy
  • Hypnosis
  • Meditation
  • Acupuncture
  • Biofeedback
  • Interventions

Head & Neck

  1. Trigger point injection
  2. Sphenopalatine Ganglion Block
  3. Glossopharyngeal Nerve Block
  4. Atlanto-Occipital & Atlanto-Axial Injections
  5. Stellate Ganglion Block
  6. Cervical Transforaminal Epidural Injection
  7. Cervical Interlaminar Epidural Injection
  8. Cervical Facet Joint Injection
  9. Cervical Medial Branch Block
  10. Trigeminal Ganglion Block
  11. Occipital Nerve Block
  12. Botulinum Toxin Therapy

Chest Interventions

  1. Trigger Point Injection
  2. Thoracic Epidural Injection
  3. Intercostal Nerve Block
  4. Botulinum Toxin Therapy

Upper Abdominal Interventions

  1. Coeliac Plexus Block
  2. Lumbar Sympathetic Block
  3. Splanchnic Nerves Block

Lower Abdominal Interventions

  1. Superior hypogastric plexus block
  2. Ganglion Impair Block

Interventions Associated with Back

  1. Caudal Epidural Injection
  2. Lumbar Transforaminal Epidural Injection
  3. Lumbar Facet Joint Injection
  4. Lumbar Medial Branch Block
  5. Lumbar Interlaminar Epidural Injection
  6. Epidural Adhesiolysis (Racz’s Procedure)
  7. Spinal Endoscopy/Epiduroscopy
  8. Epidural Adhesiolysis (Endoscopy Assisted)
  9. Lumbar Discography
  10. Intradiscal Therapies

Disc Decompression Therapies

  • Nucleoplasty
    Laser Assisted Disc Decompression
  • Chemonucleolysis
  • Percutaneous Discectomy


  • Disctrode Therapy
    Intradiscal Electrothermy (IDET)
  • Sacroiliac Joint Injections
    Trigger Point Injection
    Botulinum Toxin Therapy

Interventions Associated with Upper Limb

  • Shoulder joint injections
  • Carpal Tunnel Injection

Interventions Associated with Lower Limb

  • Lateral cutaneous nerve block
  • Knee Joint Injections
  • Sole of Foot Injections


  • Traveling
  • Office
  • Day-to-day Activities