Dr. Rajneesh is fellowship-trained in interventional pain procedures as well as medical management. Which approach is appropriate depends entirely on your diagnosis, and is decided with you.
None of the procedures below is a default. Each exists to address a specific, identified cause of pain, and each is considered only after an evaluation has established what that cause is.
For many patients, the plan begins with medical management and physical therapy. Interventional procedures are used where they are clinically indicated — sometimes to treat pain, and sometimes to confirm precisely where it is coming from.
An established preventive treatment for chronic migraine — headache on 15 or more days a month — in patients who meet the clinical criteria for it.
Small injections are given at fixed points across the head, neck and shoulders. The aim is to reduce how often migraines occur, rather than to stop an attack already underway. Suitability is assessed against established criteria and, in most cases, insurance requires that preventive medications have been tried first.
Targeted injections of local anaesthetic, sometimes with a steroid, placed at a specific nerve — including occipital and other peripheral nerve blocks.
A nerve block serves two purposes. It can relieve pain directly, and it can confirm a diagnosis: if blocking a particular nerve removes the pain, that nerve is confirmed as the source. This information then guides longer-term treatment.
For spinal pain and radiculopathy, where an inflamed nerve root produces pain travelling into the arm or leg.
Anti-inflammatory medication is placed in the epidural space near the affected nerve root, under image guidance. The aim is to reduce inflammation around the nerve so that pain settles and rehabilitation becomes possible.
For pain arising from the small facet joints of the spine — often felt as localised neck or low back ache with stiffness.
Medial branch blocks anaesthetise the small nerves supplying a facet joint. If they reliably relieve the pain, the joint is confirmed as the source, and longer-lasting options such as radiofrequency ablation may then be considered.
For myofascial pain — tight, tender bands within a muscle that produce pain both locally and referred elsewhere.
A small injection is placed directly into the trigger point to release the taut band and interrupt the pain cycle. Typically combined with stretching or physical therapy so the benefit is maintained.
For shoulder, knee and other joint pain contributing to a broader chronic pain problem.
Anti-inflammatory medication is placed into the joint or bursa to reduce pain and restore movement, usually so that physical therapy can progress.
Preventive and symptomatic medication for migraine, neuropathic pain and chronic pain conditions.
Many patients are managed without any procedure at all. Where medication is used, the goal is the smallest effective regimen, reviewed regularly rather than continued indefinitely by default.
This page describes procedures Dr. Rajneesh performs. It is general information, not medical advice, and it is not a recommendation for your particular case. Whether any of these is appropriate for you can only be determined after a clinical evaluation. Risks, benefits and alternatives are discussed with you before anything is agreed.
A consultation establishes the cause first. The treatment plan follows from it.