The Pain Management Department at Joshi Hospital is dedicated to diagnosing, treating, and relieving chronic pain through evidence-based, minimally invasive, and holistic approaches. Pain can significantly affect daily activities, emotional wellbeing, and overall quality of life. The department provides comprehensive care tailored to individual needs, ensuring patients find long-term relief and improved functionality.

Comprehensive Evaluation & Diagnosis

Effective pain relief begins with understanding the root cause. At Joshi Hospital, every patient undergoes a detailed evaluation that includes:

• Thorough clinical assessment
• Pain history and functional impact analysis
• Neurological and musculoskeletal examination
• Diagnostic imaging such as X-ray, CT, MRI, and ultrasound
• Blood tests and nerve conduction studies when required

This multidisciplinary diagnostic approach helps identify the exact source of pain, enabling targeted and effective treatment.

Chronic Pain Management

Chronic pain often lasts for months or years and requires specialised care. The department manages a wide range of chronic pain conditions, including:

• Low back pain
• Neck pain
• Sciatica
• Joint pain (knee, shoulder, hip)
• Neuropathic pain/Nerve pain
• Arthritis-related pain
• Myofascial pain syndrome/Muscle pain
• Fibromyalgia
• Post-surgical or post-traumatic pain
• Trigeminal Neuralgia
• Past Herpetic Neuralgia/Schingle’s pain 
• Migraine and Headache
• Cancer Pain 
• Sports Injuries

Patient-centric treatment plans ensure long-term symptom control and improved mobility.

Interventional Pain Procedures

Minimally invasive procedures play a key role in reducing pain without major surgery. Joshi Hospital offers a range of interventional pain therapies performed under sterile, controlled conditions with imaging guidance for accuracy. These include:

• • Epidural Steroid MIPSI (Minimal Invasive Pain & Spine Intervention) for spinal pain
  • Facet Joint MIPSI for back and neck issues
  • Nerve Root MIPSI 
  • Radiofrequency Ablation (RFA) for long-lasting nerve pain relief
  • Sacroiliac Joint MIPSI
  • Trigger Point MIPSI for muscle pain
  • Sympathetic Nerve Blocks

• Systemic Densitisation

• Regenerative Treatment

• Neurolytic MIPSI

• Intrathecal Pump

• Spinal cord stimulator

These procedures help reduce inflammation, block pain signals, and provide sustained relief.

Headache & Migraine Management

Headaches and migraines can be extremely debilitating. The department offers comprehensive care for:

• Chronic migraines
• Tension headaches
• Cluster headaches
• Cervicogenic headaches
• Medication-overuse headaches

Treatment options include lifestyle modification, preventive medications, nerve blocks, and targeted therapies to reduce frequency and severity.

Cancer Pain Management

Cancer-related pain can arise from the disease itself or from treatments such as surgery, chemotherapy, or radiation. The Pain Management Department provides specialised care for:

• Bone pain
• Nerve pain
• Visceral pain
• Post-surgical pain

Techniques such as nerve blocks, infusion therapies, advanced analgesics, and supportive care help maintain comfort and enhance quality of life for cancer patients.

Joint & Musculoskeletal Pain Management

Pain originating from muscles, bones, or joints can significantly limit mobility. The department manages:

• Osteoarthritis
• Tendonitis
• Bursitis
• Frozen shoulder
• Tennis and golfer’s elbow
• Ligament injuries

Treatment includes medications, injections, physiotherapy, and regenerative therapies as required.

Rehabilitation & Physiotherapy Integration

Pain management often works best when combined with physical rehabilitation. Joshi Hospital’s Physiotherapy Department collaborates closely with pain specialists to provide:

• Strengthening exercises
• Posture correction
• Manual therapy
• Stretching programs
• Chronic pain coping strategies
• Ergonomic guidance

This integrated approach ensures long-term pain control and prevents recurrence.

Holistic & Lifestyle-Based Pain Relief

In addition to medical treatments, the department emphasises lifestyle and wellness approaches such as:

• Weight management
• Dietary modifications
• Stress management techniques
• Sleep hygiene counselling
• Activity modification and ergonomics

Patients receive education and guidance to better manage their condition and maintain a pain-free lifestyle.