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Comprehensive programmes
for long-term relief

Stressful daily life and increasingly sedentary lifestyles are seeing an alarming increase in pain disorders even among the younger age group.

Pain Medicine, or Algiatry, is a speciality within the field of Medicine that deals with the prevention of pain, and the evaluation, treatment, and rehabilitation of individuals in pain.

At Bhrungi, we have some of the best Pain Medicine Specialists who use a broad-based approach to address all pain disorders, ranging from pain as a symptom of disease to pain as the primary disease. Their area of expertise encompasses treating the patient, prescribing medication and rehabilitative services, performing pain relieving procedures, counseling patients and their families, leading a multidisciplinary team, and coordinating care with experts from other health care specialities. They have a single-minded objective – to provide high quality pain management to the patient and in the quickest, most efficient way possible, relieve him or her of the pain.

When a patient comes to us, our expert Pain Management team typically designs a comprehensive treatment plan after detailed evaluation that includes studying the medical history; reviewing previous lab, imaging, and electro-diagnostic tests; assessment of behavioural, occupational, and avocational issues; and physical examination of the patient.

Bhrungi’s pain management specialists are experts in providing the right treatment for adults and children suffering from a wide range of pain disorders. They patiently listen and understand the patient’s concerns before developing an individualised treatment plan to make sure he/she gets the right therapy.

The top-ranked pain management team at Bhrungi includes doctors who are highly qualified and experienced in anaesthesiology, physical medicine and rehabilitation and neurology. Some of them have subspecialty expertise in ultrasonography, fluoroscopy, facial pain, neuro stimulation, peripheral nerve stimulation and regenerative medicine.

To offer patients the best in pain care, our doctors work in seamless coordination with other specialists in Anaesthesiology, Neurology, Neurosurgery, Orthopaedic Surgery, Physiotherapy and Rehabilitation, Psychiatry and Psychology etc., to come up with a holistic treatment plan that will cater to the physical as well as mental well-being of the patient.

Bhrungi, which aims to become the top pain management centre in Hyderabad, offers advanced treatments, including interventional and injection therapies, medication evaluation and counselling, rehabilitation programmes, implantable pain management devices, and regenerative therapies, such as platelet-rich plasma and stem cell injections.

By combining the expertise of various specialists with access to a spectrum of treatment options, we ensure our patients receive the finest care for long-term pain relief.

Efficient treatment. Effective relief.

Low Back Pain

The pain in the lumbar region can range from a dull ache to a stabbing or shooting sensation making it difficult to move or stand up straight. The treatment can include muscle relaxants, narcotic pain medications, back braces and epidural steroid injections.

Cancer Pain

Cancer pain is caused by the growing tumour pressing against the nerves, bones or organs. Several treatment options are available depending on the severity of the pain, including nerve blocks and integrated therapies.

Cervical Spondylosis

This is a condition caused by wear and tear of spinal discs in the neck as a result of dehydrated discs, herniated discs, injury, ligament stiffness or overuse.

Postherpetic Neuralgia

A common complication of shingles, it affects nerve fibers and skin resulting in a burning pain even after the rash and blisters of shingles have gone.

Trigeminal Pain

A result of disruption in the functioning of the trigeminal nerve, it causes extreme pain in the facial area that can be triggered by things as simple as touching the face, chewing, speaking or brushing teeth.

Headache including Migraine

Migraine causes excruciating throbbing pain or a pulsing sensation in the head, along with nausea, vomiting and extreme sensitivity to light and sound.

Pelvic Pain

It occurs in both men and women but with a difference. It may be a symptom of infection or may arise from pain in the pelvic bone or in non-reproductive internal organs, such as the bladder or colon in men, while in women it may indicate a problem with one of the reproductive organs in the pelvic area.


This disorder is characterised by widespread body pain coupled with intense fatigue and stiff joints and muscles. The condition can be managed with physical therapy, lifestyle modification and chiropractic care.

Neck Pain

Neck pain can be a result of poor posture or due to an injury or from a fall, contact sports or whiplash. Treatments may include physical therapy, pain medication and corticosteroid injections.


Also known as tailbone pain, it occurs when the coccyx, located at the very bottom of the spinal column, is bruised or fractured.

Peripheral Neuropathy

Caused by damage to the peripheral nerves outside the brain and spinal cord, it leads to weakness, numbness and pain in the hands and feet. It can be result of diabetes, traumatic injuries, infections, metabolic problems, inherited causes and exposure to toxins.

Joint Pains

When pain in the joints such as shoulder, hip, elbow or knee is accompanied by swelling, redness or soreness, consult our doctor. It could be due to an injury or arthritis.

Complex Regional Pain Syndrome (CRPS)

The condition results in chronic pain in an arm or a leg, and usually develops after an injury, surgery, stroke or heart attack.

Ischaemic Pain

The condition is caused by blockage in the arteries in the legs due to build-up of plaque. It results in pain in the feet, toes, legs; poor circulation; and wounds that don’t heal.

Advanced procedures for pain relief

Medication & Lifestyle Counselling

Medication counselling involves providing vital information, advice and assistance to help patients with medications ensuring they take them as prescribed. Lifestyle counselling helps people make healthy choices and beneficial changes to prevent diseases and disorders.

Radiofrequency Ablation

A minimally invasive procedure that uses heat to destroy the nerve fibres that carry pain signals to the brain, it is used to treat chronic pain in the neck, back, and arthritic joints.

Percutaneous Discectomy

A minimally invasive procedure for treatment of some forms of back and neck pain by removing the herniated disc irritating the nerve, resulting in prompt pain relief.

Intrathecal Pump

It involves injecting a sugar or salt solution into a joint or other part of the body to repair body tissue and treat a range of conditions, such as arthritis, fibromyalgia, some headaches, sprains etc.


It involves injecting a sugar or salt solution into a joint or other part of the body to repair body tissue and treat a range of conditions, such as arthritis, fibromyalgia, some headaches, sprains etc.


Physiotherapy seeks to restore, maintain, and make the most of a patient’s mobility, function and well-being through physical rehabilitation, injury prevention, and health and fitness.


The procedure involves injecting bone cement into the backbone or vertebrae that have been damaged or broken due to osteoporosis. The cement hardens, thereby stabilising the fracture and supporting the spine.

Ozone Discectomy

The procedure involves injecting ozone in and around the disc to relieve back, leg or arm pain caused by a herniated or a prolapsed lumbar or cervical disc.

Neurolytic Blocks (Fluoroscopy Guided)

This procedure involves administering a nerve block injection to the nerves, guided by a fluoroscope for greater precision, to achieve long-term pain relief of areas in the torso.

Chemical Sympathectomy

Used to treat ischaemic leg pain, the procedure entails injecting medicinal fluid into the muscles on either side of the spine, which would relax the walls of the arteries and allow more blood flow to the legs, leading to pain relief.

Spinal Cord Stimulation

In this procedure, a device is implanted between the spinal cord and the vertebrae that sends low levels of electricity directly into the spinal cord to relieve pain. It is used to manage various types of pain such as back pain, post-surgical pain, heart pain, injuries to the spinal cord, nerve-related pain etc.

Platelet Rich Plasma (PRP) Therapy

This form of therapy uses a concentration of the patient’s platelets to accelerate the healing of injured tendons, ligaments, muscles and joints.

Botox Therapy

Botox injections relieve pain by relaxing the muscles and are useful in the treatment of chronic pain in neck and back, muscle spasms, arthritis, nerve pain, migraine and tension headaches.

Injection for Pain Relief

Pain management injections are safe, effective solutions for long-term relief and are used to treat a wide variety of orthopaedic, neurological conditions and injuries. Treatments may include epidural steroid injections, nerve blocks and joint injections.

Ozone Injections

This procedure involves injecting medical ozone gas into a damaged, weak or painful area of the body to relieve pain, repair, strengthen and regenerate structures such as the joints, cartilage, spinal discs, muscles, ligaments, tendons, meniscus and bursa.


Dr. Ramesh Gajula

MS (Ortho), MD FIPM, FIMISS (Korea)
Eular Certified Rheumatology (Europe)
Endoscopic Spine & Orthopaedic
Surgeon – Interventional Pain Physician