Common questions about pain treatment in Bangalore

Find the source of the pain, then treat that source with a clinic injection, block, or infusion. You are typically able to go home the same day.

Koramangala and J.P. Nagar. Prior appointment is preferred. You can book from this website.

No. Book Koramangala or J.P. Nagar directly. Bring MRI or X-ray reports and a list of tablets you have tried.

Not always. The first visit is conversation and examination. Treatment is chosen after the source is identified.

Sciatica and slip disc, frozen shoulder, chest pain after a normal ECG, neck pain from desk work, knee pain, fibromyalgia, migraine, and heel pain on the first morning step.

No. Care is described as non-surgical and minimally invasive at Koramangala and J.P. Nagar.

Not automatically. A bulge on a scan and the pain you feel are not always the same thing. Ozone discolysis and transforaminal epidural injections are listed as non-surgical options after examination.

The procedure is described as 15 to 20 minutes, with going home in about 30 minutes. Ozone may take 3 to 4 weeks to shrink the disc.

Hydrodilatation and ultrasound-guided injections are listed when stretching has stalled. The visit is a clinic procedure, not an operation.

Many people go home the same day. How quickly the arm lifts again depends on how stuck the joint was.

Both are treated here. Frozen shoulder is a tight capsule. Rotator cuff pain is often in the tendons that lift the arm. Examination sorts those out.

The frozen shoulder page. Hydrodilatation and ultrasound-guided injections are listed there.

Yes. Looking down and long sitting feed trapezius knots and cervical spondylosis. The visit sorts a muscle knot from a neck joint.

Trigger point injection, or RF / PRF and medial branch blocks for the small joints of the neck, after the source is confirmed.

Nerve blocks and Botox protocols for migraine and tension headaches, after the pattern is mapped in clinic.

No. A normal scan does not mean the headaches are minor. Bring the reports anyway.

A spur on X-ray is not always the reason. The fascia or a nerve can be the source. Start with the heel pain page.

PRP injections and tibial nerve blocks.

That pattern is common with fascia and heel pain. A spur on film is only one finding. PRP and tibial nerve blocks are listed when simple care has stalled.

PRP and ozone injections are listed for selected arthritis and meniscus-related pain. Replacement remains the right path for some people.

Use the dedicated page for knee pain after surgery.

No. This page is about widespread pain and sleep. Ketamine infusions are one listed option for selected, difficult cases, in a medically monitored setting.

A trigger point is a firm knot that hurts when pressed. Examination can confirm it. A small diagnostic block is used if the source is still unclear.

No. The knot is the trigger point. A repeating regional pattern is myofascial pain syndrome. The visit sorts which one fits.

That can be myofascial pain syndrome: a regional pattern from several trigger points, not only one knot, and not the same as fibromyalgia.

No. Care starts with posture, desk setup, and dry needling of identified points. An injection is only considered when a point is confirmed and conservative care has stalled.

Yes. Gym, running, and racquet injuries sit in the same group. PRP and prolotherapy are listed, with accurate placement by a pain physician.

No. They are clinic procedures: ozone, diagnostic block, PRP, prolotherapy, RF / PRF, targeted injections, medications, and infusions. You are typically able to go home the same day.

A diagnostic block places a small amount of numbing medicine at a suspected source. If the pain goes away, that structure is confirmed.

It answers a different question. A scan shows structure. A block tests whether that structure is causing the pain you feel.

The repaired structure can be fine and another tissue can still produce pain. PRP and ozone may still apply once that source is found.

Around 10 minutes. Local anaesthetic and a glucose solution are injected around injured tissues.

Yes. Remaining awake means a shock-like feeling can be reported at once. Going home is described as about 30 minutes after a 15 to 20 minute procedure.

Yes. A sample is processed to concentrate platelets, then placed at the pain site. Preparation takes about 30 minutes.

Not from a webpage. The aim is fewer medicines where possible, chosen after the source is found. That is not a guarantee of no side effects.

Radiofrequency and pulsed radiofrequency, listed for severe nerve pain including neck pain and spondylitis. It is a clinic needle procedure, not open surgery.

The medicine is placed at the pain source, often with ultrasound, not as a general injection in the muscle.

No. Dr. Nitish Mandal is a Consultant Pain Physician in Bangalore. Ketamine infusion therapy may be considered for selected difficult-to-treat chronic pain, with a separate pathway for selected treatment-resistant depression.

Selected, refractory cases of fibromyalgia, neuropathic pain, and CRPS, and selected treatment-resistant depression. Evidence is not equally strong for every condition. A first visit is required before an infusion is recommended.

An infusion generally lasts approximately one hour, with the doctor monitoring throughout. Going home is decided after the session.

That can be costochondritis: inflammation or irritation at the rib-breastbone junction. A normal ECG does not prove the diagnosis. The chest wall still needs to be examined.

Treatment depends on the pain generator. In selected cases that can include activity change, physiotherapy, or a targeted ultrasound-guided injection. Not every case needs an injection.

2010: MD, BJMC, Ahmedabad. 2012: FIPM, Daradia, Kolkata. 2019: TIPM, Nashville Pain Center.

As a pain-medicine consultant at Fortis and Reliv. Clinics now are in Koramangala and J.P. Nagar.

Ozone nucleolysis, PRP therapy, ganglion blocks, and interventional pain management. The motto is Minimum Medicines, Maximum Relief.

Patient-information articles on chest pain with a normal ECG, sciatica, frozen shoulder, heel pain, laptop neck, and simple pain-relief rules.

Koramangala: Sulochana Building, 365, 1st Floor, 1st Cross Rd, 3rd Block, near Santhosapuram 1st Cross Road, tel 7624997990. J.P. Nagar: 1st Floor, #15, Bannerghatta Rd, above MG showroom and below Cult Gym, tel 9980804636.

Koramangala: all days, 10 AM to 2 PM. J.P. Nagar: Monday to Saturday, 4 PM to 6 PM. Prior appointment is preferred.

Cashless insurance is not currently available. The practice is working toward insurance coverage. Bills and prescriptions may be submitted to an insurer for reimbursement where applicable.

Share your details, then choose a date and time. Reception may still confirm the request.

Koramangala: all days, 10 AM to 2 PM. J.P. Nagar: Monday to Saturday, 4 PM to 6 PM. Prior appointment is preferred.

Email teamdrnitish@gmail.com, or WhatsApp +91 80502 87888. A WhatsApp option is also shown after a successful request.

This is the confidential pain assessment. Fill it while you wait, or before the visit. It is not the clinic medical file.

Use the same 10-digit mobile number you used if you booked online. Reception matches the two forms by that number.

Yes. Prior appointment is preferred at both clinics.

Conversation and physical examination first, then a plan after the pain source is identified.