Ashirvad Institute for Pain Management & Research
Millions Suffer in Silence
Most people know whom to consult for a heart problem, a broken bone, or an eye condition. However, very few people know that there are doctors who specialise exclusively in the diagnosis and treatment of pain.
As a result, millions of people continue to live with chronic pain, believing that pain is simply a part of ageing, an unavoidable consequence of injury, or something they must learn to tolerate.
The truth is different.
Persistent pain is not something you should simply “live with.” In many cases, effective treatment options are available, and significant relief is possible.
What Is Chronic Pain?
Pain is considered chronic when it persists for more than three months or continues long after the original injury or illness has healed.
Unlike acute pain, which serves as a warning signal, chronic pain can become a disease in itself. It affects not only the body but also sleep, mood, work performance, relationships, and overall quality of life.
Many patients suffering from chronic pain describe feeling exhausted, frustrated, anxious, and isolated because others cannot see or understand their pain.
Common Conditions We Treat
Pain physicians specialise in treating a wide range of painful conditions, including:
- Chronic back pain
- Neck pain
- Sciatica
- Slipped disc–related pain
- Knee pain due to arthritis
- Shoulder pain
- Frozen shoulder
- Joint pain
- Cancer-related pain
- Trigeminal neuralgia
- Post-herpetic neuralgia (pain after shingles)
- Neuropathic pain
- Complex Regional Pain Syndrome (CRPS)
- Chronic headaches and certain facial pain conditions
Many patients struggle with these conditions for years before learning that specialised treatment options exist.
Who Is a Pain Physician?
A pain physician is a doctor specially trained in evaluating, diagnosing, and treating chronic pain conditions.
Rather than simply prescribing painkillers, pain physicians aim to identify the source of pain and create a personalised treatment plan — to improve function, mobility, independence, and quality of life, not merely to mask symptoms.
How Chronic Pain Is Treated at Ashirvad
It starts with the right diagnosis, not just a prescription.
The reason so many patients arrive at Ashirvad after years of failed treatment is simple: their pain was never accurately located. Scans show structure — a bulging disc, a worn joint — but they often miss the muscles and nerves that are actually generating the pain. At Ashirvad we assess pain through a neuromyopathic lens, examining the muscle and nerve sources directly. This is why patients with “normal” reports, or with abnormal scans that don’t match their symptoms, frequently find an explanation here for the first time.
Ultrasound-Guided Dry Needling (USGDN)
A cornerstone of our practice. Chronic pain very often has a muscular component — tight, dysfunctional bands of muscle that pull on nerves and keep pain switched on. USGDN uses a fine needle, guided in real time by ultrasound, to release these precise points. Because we can see the needle and the target on screen throughout, treatment is accurate and structures such as nerves and vessels are avoided. Many patients who were told their pain was “in the joint” or “just arthritis” respond to this muscle-directed approach.
Image-Guided Nerve Blocks and Injections
Rather than injecting blindly, we deliver medication to the exact nerve or joint responsible, under ultrasound or fluoroscopy (live X-ray) guidance. This precision means smaller, better-targeted doses, greater safety, and a clearer answer about where the pain is coming from.
Pulsed Radiofrequency (PRF)
For nerve-related pain — burning, tingling, electric-shock sensations — PRF calms an overactive nerve using controlled energy pulses, without destroying or cutting it. It is a measured, repeatable option for neuropathic conditions, trigeminal neuralgia, and post-shingles pain.
Botulinum Toxin (BoNT-A)
Used where overactive or spastic muscle drives the pain — certain headaches, facial pain, and muscle-related chronic pain. It relaxes the specific muscles maintaining the pain cycle, often giving relief that lasts months.
Caudal and Spinal Interventions
For severe or refractory back, pelvic, and cancer-related pain, targeted epidural and spinal techniques deliver relief where oral medication has failed or caused too many side effects.
Regenerative Therapies (PRP / Prolotherapy)
For selected joint and degenerative conditions, treatments that support the body’s own healing — used where they genuinely fit, not as a blanket solution.
A personalised plan, not a one-size-fits-all protocol.
Most patients do best with a combination — for example, dry needling to address the muscular source, a targeted block for the nerve, and rehabilitation to hold the gains. The aim is always function and independence, not just masking symptoms.
“I’ve tried everything.” We hear this every week — and we routinely help.
A large share of the patients we treat have already seen multiple specialists, undergone scans and even surgery, and taken medication for years without lasting relief. Treating exactly these difficult, long-standing cases is the core of our work at Ashirvad. While no honest doctor can promise relief in every case, a great many patients who arrived without hope have gone on to experience meaningful, lasting improvement here.
When Should You See a Pain Specialist?
Consider consulting a pain physician if:
- Your pain has lasted longer than three months
- Pain interferes with work, sleep, or daily activities
- You rely regularly on pain medications
- Previous treatments have not provided adequate relief
- You have nerve-related pain such as burning, tingling, or electric shock–like sensations
- You wish to avoid unnecessary surgery or explore other treatment options
Early intervention often leads to better outcomes.
Pain Is Not a Normal Part of Life
Many people accept pain as an inevitable consequence of ageing or believe they must endure it because “nothing can be done.” This misconception prevents countless individuals from seeking help.
Chronic pain deserves proper medical evaluation, just like any other medical condition. If pain is limiting your life, affecting your sleep, reducing your ability to work, or preventing you from enjoying time with your family, it is worth seeking expert advice.
There Is Hope
Modern pain medicine has advanced tremendously over the last two decades. Today, a wide range of treatments can help reduce pain, restore function, and improve quality of life.
You do not have to suffer in silence. You do not have to accept chronic pain as your destiny.
The first step toward relief is knowing that help exists — and that specialised pain care may be able to make a meaningful difference in your life.
Take the Next Step
If you or a loved one has been living with persistent pain, consider consulting a pain specialist. An accurate diagnosis and individualised treatment plan can often open the door to a more active, comfortable, and fulfilling life.
