Spine & Medical Care Background

Back Pain Treatment in Patna

CLINICAL OVERVIEW

Understanding Chronic & Acute Back Pain

Lower Back Pain (Lumbago) is one of the leading causes of physical disability, workplace absenteeism, and reduced quality of life worldwide. The lumbar spine (L1 to S1) supports most of the body's upper weight while permitting twisting, bending, and flexion.

The lumbar column is a complex biomechanical structure comprising 5 vertebrae, shock-absorbing intervertebral discs, facet joints, spinal nerves, ligaments, and deep paraspinal muscles. When any of these components degenerates, tears, inflames, or compresses adjoining nerve roots, severe localized or radiating back pain ensues.

Rather than masking pain with temporary painkillers or jumping directly into risky open spine surgeries, Interventional Pain Medicine pinpoints the precise anatomical pain generator using C-arm fluoroscopy and ultrasound, neutralizing pain right at its source.

Lumbar Spine Anatomy and Back Pain Generator
Lumbar Spine Biomechanics
L1–S1 Disc, Facet Joint & Spinal Nerve Root Network
ROOT CAUSES

What is Causing Your Back Pain?

Effective treatment requires identifying the exact anatomical origin of your back pain.

Herniated / Slip Disc

Tear in the disc's outer annulus fibrosus causes the inner gel nucleus to protrude, compressing the spinal canal or the exiting nerve roots.

Facet Joint Arthritis

Wear and tear of the cartilage in the small joints connecting adjacent vertebrae. Causes localized stiffness that worsens upon bending backward or twisting.

Lumbar Spondylosis

Age-related degenerative changes in the spine including disc space narrowing, osteophytes (bone spurs), and spinal ligament thickening.

SI Joint Dysfunction

Inflammation or hypermobility in the joints connecting the spine to the pelvis. Frequently mimics sciatica or lumbar disc pain in the buttock and thigh.

Spinal Stenosis

Narrowing of the central spinal canal or neuroforamen, producing claudication, heaviness, and cramping in legs while walking or standing upright.

Myofascial Spasms

Persistent contraction of the quadratus lumborum, piriformis, or paraspinal muscles due to postural stress, heavy lifting, or underlying spinal instability.

ACCURATE ASSESSMENT

Our Diagnostic Protocol

We combine hands-on clinical neurological examination with high-resolution radiology to identify the pain source.

1

Clinical Examination

SLR test, Patrick's FABER test, facet loading maneuvers, and localized neurological motor/sensory evaluations.

2

Dynamic X-Rays

Flexion and extension views to detect subtle spondylolisthesis (vertebral slipping), scoliosis, or dynamic spinal instability.

3

High-Field MRI Spine

Detailed visualization of intervertebral discs, nerve root compression, theca impingement, and bone marrow edema.

4

Diagnostic Test Block

Targeted local anesthetic wash on the suspected medial branch or nerve root to verify the primary pain generator with certainty.

SPECIALIZED PROCEDURES

Non-Surgical Treatments for Back Pain

Daycare, stitchless, and precision-guided pain procedures performed by Dr. Shrutika Bhagat.

Epidural Steroid Injection
Targeted Nerve Relief

Transforaminal Epidural Injection

Targeted delivery of anti-inflammatory medications directly into the epidural space under C-arm fluoroscopy to calm inflamed spinal nerve roots.

Radiofrequency Ablation for Back Pain
12–24 Months Relief

Radiofrequency Ablation (RFA)

Thermal neurotomy using high-frequency waves to desensitize the sensory medial branch nerves transmitting facet arthritis pain, providing long-lasting relief.

Keyhole Spine Endoscopy
7–8mm Keyhole

Endoscopic Discectomy

Stitchless removal of extruded disc fragments through a 7-8mm tube under local anesthesia, completely sparing back muscles and bone architecture.

SI Joint Injections
Buttock & Pelvic Pain

SI Joint Injections & RFA

Ultrasound/Fluoroscopy-guided therapeutic steroid injections or lateral branch radiofrequency denervation to resolve severe pelvic-spine junction pain.

Vertebroplasty Spine Fracture
Osteoporosis Fracture

Percutaneous Vertebroplasty

Injecting medical-grade bone cement into collapsed osteoporotic vertebrae under local anesthesia for immediate stabilization and pain relief.

Platelet Rich Plasma Spine Therapy
Natural Disc Repair

Spine PRP & Prolotherapy

Autologous platelet-rich plasma enriched with growth factors injected into damaged lumbar ligaments and annular tears to stimulate tissue healing.

Traditional Open Surgery vs. Interventional Spine Care

Why patients choose modern interventional pain procedures and keyhole spine endoscopy over open spinal fusion.

Clinical Parameter Interventional Pain / Endoscopy Traditional Open Spine Surgery
Incision Size Needle puncture or 7–8mm Keyhole 75–120mm Open Cut
Anesthesia Type Local Anesthesia (Conscious Sedation) Full General Anesthesia
Muscle & Bone Cutting Zero (Natural Anatomical Window) Extensive Muscle Stripping & Laminectomy
Hospital Stay Same-Day Discharge (2–4 Hours) 3 to 7 Days Hospitalization
Metal Implants / Screws None (Zero Hardware) Pedicle Screws, Rods & Cages
Recovery Timeline Resume Normal Life in 2–5 Days 6 to 12 Weeks Strict Bedrest
Dr. Shrutika Bhagat - Interventional Pain & Spine Endoscopy Specialist in Patna
Fellowship-Trained Spine Specialist

Dr. Shrutika Bhagat

MBBS, MD, FIRA, FIAPM | Interventional Pain & Spine Endoscopy

Dr. Shrutika Bhagat brings super-specialized training in full-endoscopic spine surgery and image-guided interventional pain management, having successfully treated thousands of patients with severe back pain, disc prolapse, sciatica, nerve compression, and joint arthritis in Patna.

FREQUENTLY ASKED QUESTIONS

Back Pain FAQs

Clear answers to common questions about back pain diagnosis, injections, and non-surgical procedures.

You should consult a pain medicine specialist if your back pain lasts more than 2 weeks, radiates down into your legs or buttocks, is accompanied by numbness/tingling, or prevents you from sitting, bending, and sleeping comfortably.
No. Over 90% of back pain and disc bulge cases can be resolved without major open surgery. Advanced image-guided nerve blocks, facet radiofrequency ablation, and stitchless keyhole endoscopy provide complete pain relief without cutting bones or inserting metal rods.
Radiofrequency ablation of facet medial branch nerves typically delivers 12 to 24 months of substantial pain relief. It can be safely repeated if nerve fibers slowly regenerate in the future.
Interventional injections are performed under local anesthesia with continuous live C-Arm fluoroscopic imaging and contrast dye verification. They are virtually painless (similar to a minor dental injection) with near-zero complication rates when performed by an experienced specialist.
Yes. All interventional spine procedures and endoscopic discectomies are daycare treatments. Patients stand up and walk within 1 to 2 hours after the procedure and are comfortably discharged home the very same day.
CTA Background Pattern
CTA Background
BEGIN YOUR RECOVERY TODAY

Don't Let Chronic Pain Control Your Life.

Take the first step toward understanding your pain and exploring modern, evidence-based minimally invasive relief with Dr. Shrutika Bhagat.

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