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Interventional pain management is a modern way of treating spine pain using precise, image-guided injections and procedures instead of big surgery. Rather than only taking painkillers for months, the doctor finds the exact structure causing the pain, like a pressed nerve, an inflamed joint or a damaged disc, and places medicine or treatment right at that spot. These procedures are done through a thin needle under live X-ray guidance, usually as a day care procedure, with no cuts or stitches.
At SpineArc, interventional pain management is a key step in Dr. Tanmay Avhad’s approach to spine care. His practice follows a pain generator guided method, which means the goal is to first find the real source of pain and then treat it as precisely as possible. For many patients, these procedures give good relief and help them avoid or delay surgery. For others, they help confirm the exact pain source, so that if surgery is needed, it is planned the right way.
Interventional pain procedures are performed for patients with back pain, neck pain, leg pain or arm pain that does not improve with medicines, rest and physiotherapy. They are commonly used for slipped disc, sciatica, spinal stenosis, facet joint pain, sacroiliac joint dysfunction, piriformis syndrome, discogenic pain, tailbone pain and pain after earlier spine surgery. These procedures serve two purposes. They are diagnostic, as they help confirm which nerve or joint is causing the pain, and they are therapeutic, as they reduce inflammation and pain so the patient can move better and do physiotherapy. They are also a safer option for elderly patients and those with diabetes, heart or lung problems who may not be fit for surgery.
The procedure is done in an operation theatre or procedure room under local anaesthesia, and the patient stays awake and comfortable. The patient lies on a table, and the skin over the area is cleaned and numbed. Using a C-arm (live X-ray machine), Dr. Tanmay guides a thin needle to the exact target, like a nerve root, a facet joint or the SI joint. A small amount of contrast dye is used to confirm the correct position, and then the medicine, usually a local anaesthetic with or without a steroid, is injected. Common procedures include selective nerve root blocks (SNRB), lateral recess blocks, cervical and lumbar epidural injections, facet joint injections, SI joint injections, piriformis injections and ganglion impar blocks. Most procedures take about 15 to 30 minutes and leave only a small needle mark, with no cut or stitches.
Interventional pain procedures are day care procedures, and most patients go home within a few hours on the same day. Some patients feel relief soon after the injection due to the numbing medicine, while the full effect of the steroid usually starts in 2 to 7 days. Patients are advised to rest for the rest of the day and avoid driving on the day of the procedure. Most people return to normal daily activities and desk work within 1 to 2 days. Physiotherapy and exercises are usually started soon after, as the reduced pain makes it easier to strengthen the spine and prevent pain from coming back.
Get precise, image-guided spine pain treatment in Mumbai from Dr. Tanmay Avhad at 4 hospitals across the city. Available 6 days a week, book your consultation today.
Everything you need to know about interventional pain management in Mumbai, answered simply by Dr. Tanmay Avhad.
It is a way of treating spine pain with precise, image-guided injections that target the exact nerve or joint causing the pain, without the need for big surgery.
Most patients feel only mild discomfort. The skin is numbed first, and the procedure is done under local anaesthesia, so it is usually well tolerated.
Relief varies from patient to patient. Some get relief for weeks or months, and many get long term relief when injections are combined with physiotherapy and lifestyle changes.
In many patients, yes. Injections can calm the nerve or joint and allow natural healing. If pain continues, they also help confirm the exact pain source for better surgery planning.
When given in the right dose, under image guidance and by a trained specialist, spine injections are generally safe. Diabetic patients may see a short rise in blood sugar, which is monitored.
You can call +91 79779 26003 or +91 99203 97922, send a WhatsApp message, or fill the form on this website. Our team will call you to confirm your time and hospital.
Dr. Tanmay consults at 6 hospitals in Mumbai:
SpineArc is the spine practice of
Dr. Tanmay Avhad, a Gold Medalist Orthopaedic Spine Surgeon in Mumbai. The practice focuses on advanced, precise and minimally invasive spine care, from image-guided pain procedures to uniportal full endoscopic spine surgery, with the right treatment chosen for every patient.
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