Back Pain Treatment in Mumbai — Pain Clinic of India
- No surgery required for many conditions
- Same-day procedures
- International training & advanced techniques
Back pain with or without leg pain is one of the commonest complaints patients visit hospital.
The good news is that, most back pain is preventable and treatable.
Surgery is rarely needed in back pain treatment. When back pain does not subside within 3 months, it becomes chronic back pain. It may be mild nagging pain or severe pain. Most common causes for your back pain may be facet joint pain or herniated intervertebral disc (slipped disc).
Causes of lower back pain
- A. Bulging or herniated (slipped disc)
- B. Sciatica — pain in legs due to pinched nerves in spine
- C. Facet joint arthritis with spinal ligament degeneration — it can lead to narrowing of the space around the spinal cord called spinal canal stenosis. This can cause back & leg pain.
- D. Osteoporosis can cause vertebra fracture & can cause back pain. It's common in old age.
- E. Rare causes — spine cancer, infection, cauda equina syndrome.
Red flag signs — contact your physician immediately if you have
- Constant unrelieved pain,
- Pain going in legs specially below knee, causing weakness & numbness, or
- Loss of bowel / bladder control,
- Pain following fall or trauma,
- Pain associated with abdominal pain, or
- Back pain with fever or associated with unexpected weight loss.
Lower back pain symptoms
Symptoms vary with the cause; a detailed list appears below on this page. If you notice any red flag features above, seek urgent medical care.
Special investigations in pain clinics
Diagnostic / therapeutic injections in the spine can help establish the cause of your pain. Examples include:
- Selective nerve root or transforaminal epidural steroid injections,
- Facet joint or medial branch block — if positive, often treated with radiofrequency ablation (RFA),
- Provocative discography, and when positive, options such as percutaneous Disc FX discectomy, Dekompressor / ozone discectomy, or percutaneous endoscopic transforaminal discectomy (see our procedures hub).
Pain physicians at PCI are pioneers in these advanced minimally invasive techniques, with a large volume of procedures performed since 2001.
Lower Back Pain Testimonial
"Since december I started to feel the pain in my lower back. Initially for the pain I took medications from my family doctor. In May month the pain got worse, I was unable to stand, sit and even sleep properly. On doctor's advice I got my MRI scan done. the doctor told me that I have reduced gap (herniated disc) in my vertebrae. The doctor recommend me to consult Pain specialist at padma spine and pain center (Goa Branch of Pain Clinic Of India Pvt. Ltd.) and show the MRI reports to them. The Dr. Vicky Nevagi Pain management specialist from Pain clinic of India advised me to go for minimally invasive endoscopy treatment. First they started the treatment with medications and physiotherapy for back pain. They gave me a test injection to know if pain gets relieved, after the injections I got relief from unusual sensations in legs and back pain. I decided to go for endoscopy as I wanted permanent cure. Endoscopic stitchless discectomy operation has been performed by the specialists at Pain clinic and after the operation I could lift my leg as usual without any discomfort. There was great relief in my leg and back. After 1.5 months they told me to get physiotherapy treatment. I got the treatment over two weeks and I felt very great. The improvement is almost beyond belief. Thanks Dr. Nevagi and staff at Pain clinic of India !!"
— Ridhi Mahale, Age 27, Pain Clinic Of India (Goa Branch) Patient
What is lower back pain?
Lower back pain (also called lumbar pain or lumbago) refers to pain, stiffness, or discomfort in the area between the lower rib cage and the buttock creases. It can range from a mild, dull ache to severe, debilitating pain that affects every aspect of daily life. Back pain may be acute (lasting less than 6 weeks), sub-acute (6-12 weeks), or chronic (persisting beyond 12 weeks).
The lumbar spine bears the majority of the body's weight and is subject to significant mechanical stress during everyday activities like bending, lifting, and sitting. This makes it particularly vulnerable to injury and degeneration, especially as we age.
Common Causes of Back Pain
Understanding the root cause of your back pain is essential for effective treatment. At Pain Clinic of India, our specialists perform thorough evaluations to identify the specific pain generator.
Disc Herniation (Slip Disc)
A herniated or bulging disc occurs when the soft inner material of a spinal disc pushes through a tear in the outer layer. This can compress nearby nerves, causing pain that radiates to the legs (sciatica). Disc herniations are one of the most common causes of back pain in working-age adults in Mumbai.
Facet Joint Arthritis
The facet joints are small joints at the back of each vertebra that guide spinal movement. Over time, these joints can develop arthritis, causing localized back pain that typically worsens with extension and twisting movements. Facet joint pain is a leading cause of chronic back pain, especially in patients over 50.
Degenerative Disc Disease
As we age, the spinal discs naturally lose hydration and height, leading to pain, stiffness, and reduced mobility. While the name suggests a progressive condition, many patients can be effectively managed with interventional pain treatments without surgery.
Muscle Strain and Ligament Sprain
Acute back pain often results from muscle or ligament injuries due to heavy lifting, sudden movements, or poor posture. While these typically resolve with conservative care, recurrent episodes may indicate an underlying structural problem.
Back Pain Treatment Options at Pain Clinic of India
At PCI, we follow a comprehensive, step-wise approach to back pain management. Our goal is to provide maximum pain relief with the least invasive methods possible.
Epidural Steroid Injections
Epidural injections deliver anti-inflammatory medication directly to the source of pain around the spinal nerves. Performed under fluoroscopic (X-ray) guidance for precision, these injections are highly effective for disc-related back pain and sciatica. Most patients experience 60-80% pain reduction.
Radiofrequency Ablation (RFA)
For facet joint-related back pain, radiofrequency ablation uses controlled heat to disrupt pain signals from the affected nerves. This procedure provides long-lasting relief — typically 6-18 months — and can be repeated if needed. It is one of the most evidence-based treatments for chronic mechanical back pain.
Facet Joint Injections
These injections serve both diagnostic and therapeutic purposes. By injecting local anesthetic and steroid into specific facet joints, we can confirm whether they are the source of pain and provide relief simultaneously.
Nucleoplasty
For contained disc herniations, nucleoplasty uses radiofrequency energy to decompress the disc from within, reducing pressure on the nerves. This minimally invasive procedure is performed through a needle, avoiding the need for open surgery.
Why Choose Pain Clinic of India for Back Pain?
Led by Dr. Kailash Kothari with 30+ years of experience, Pain Clinic of India has been at the forefront of back pain treatment in Mumbai. Here is why thousands of patients trust us:
- Pioneer expertise: Dr. Kailash Kothari established India's first dedicated pain clinic in 2001 and brings 30+ years of experience — he has personally treated over 50,000 patients
- Image-guided precision: All procedures are performed under fluoroscopy or ultrasound guidance for maximum accuracy and safety
- Minimally invasive approach: We prioritize non-surgical treatments that offer faster recovery and fewer risks than traditional surgery
- Multiple locations: Convenient centers in Mumbai (Chembur, Parel, Mulund) and Goa
- Evidence-based care: Treatment protocols based on the latest international guidelines and research
- Fellowship-trained team: Our doctors are trained specifically in interventional pain management
Patient Success Stories — Back Pain
Over the years, Pain Clinic of India has helped thousands of patients with back pain return to normal, active lives. From young professionals with disc problems to elderly patients with degenerative spine conditions, our comprehensive approach has consistently delivered excellent outcomes.
Book a Back Pain Consultation in Mumbai
If you are suffering from acute or chronic back pain that has not responded to medications or physiotherapy, it may be time to consult a pain specialist. At Pain Clinic of India, we can help you understand the cause of your pain and recommend the most appropriate treatment plan.
Call +91-7303142400 or +91-9320027500 to schedule your consultation at any of our Mumbai or Goa locations.