Pain Management & Interventional Pain Specialist in Bhubaneswar
Long-standing back, neck, knee or nerve pain can wear you down. At OARC, an interventional pain specialist works alongside rheumatologists, so the cause of your pain is found before treatment begins.
Pain is a symptom, not a diagnosis. The same back pain can come from a strained muscle, a worn spinal joint, a trapped nerve or an inflammatory disease such as ankylosing spondylitis. Each needs a different treatment.
Find the cause first
Before any pain procedure, it helps to know whether your pain is mainly mechanical or nerve-related, or inflammatory. Inflammatory arthritis needs disease-modifying treatment from a rheumatologist; pain-relief procedures alone do not stop the inflammation that damages joints.
| Feature | Mechanical or nerve pain (pain specialist may help) | Inflammatory pain (see a rheumatologist first) |
|---|---|---|
| How it started | After strain, lifting or injury, or slowly with age | Slowly, without injury; sometimes after a viral fever |
| Morning stiffness | Short, under 30 minutes | Long, often over 30 minutes |
| Activity and rest | Worse with activity, better with rest | Better with movement, worse with rest |
| Typical pattern | Back or neck pain, sciatica, pain in one worn joint | Swollen joints, several joints, back pain in a young adult, heel pain |
| Other symptoms | Tingling or numbness along a nerve | Tiredness, fever, rash, psoriasis, red eye, dry eyes |
Not sure which applies to you? Read our guides on back pain that is worse at rest, knee pain and swelling, or browse all symptom guides.
What is interventional pain management?
Interventional pain management is a medical specialty that focuses on assessing and treating persistent pain. Alongside medicines, exercise and physiotherapy, a pain specialist may use targeted procedures, often guided by imaging, aimed at the specific nerve, joint or spinal structure thought to be causing the pain.
The aim is to reduce pain and help you move and function better, so you can take part in exercise and daily life. Procedures are usually one part of a wider plan, not a stand-alone cure. Not everyone is suitable for a procedure, results vary from person to person, and every procedure carries some risks, which your doctor will explain before you decide.
Pain problems a pain specialist may assess
- Long-standing low back pain and neck pain
- Sciatica and other nerve-root pain that spreads into the leg or arm
- Pain from the small joints of the spine (facet joints)
- Knee and other joint pain from osteoarthritis that has not settled with first-line treatment
- Nerve pain, for example after shingles or from diabetes
Procedures offered at OARC
Your doctor will explain whether any procedure is suitable for you, what it involves, the possible benefits and risks, and the alternatives.
How our pain specialist and rheumatologists work together
- Assessment. A specialist takes your history and examines you. If there are signs of inflammatory arthritis, you will see a rheumatologist first.
- Tests where needed. Blood tests at our in-house lab, Immunix Labs (working with NABL-accredited partner labs) and imaging help confirm the cause.
- A plan for the cause. Inflammatory disease is treated with medicines by the rheumatologist. Mechanical or nerve pain may be managed by the pain specialist, with physiotherapy and, where suitable, a procedure.
- Follow-up. We check how you are doing and adjust the plan. Physiotherapy and exercise are part of most plans.
Some people need both: for example, a person with ankylosing spondylitis on treatment who also has a separate disc problem. Having both specialists at one centre makes this easier to coordinate.
Pain specialist, rheumatologist or orthopaedic surgeon?
| Question | Orthopaedic surgeon | Interventional pain specialist | Rheumatologist |
|---|---|---|---|
| Usual training (India) | MBBS, then MS/DNB Orthopaedics | MBBS, then MD/DNB (often Anaesthesiology or PM&R), plus pain medicine training | MBBS, then MD (Medicine or Paediatrics), then DM/DNB Rheumatology or equivalent fellowship |
| Focus | Structure: bones, ligaments, tendons, cartilage damage | Pain signals: nerves, spinal joints, chronic pain | Cause: immune-related and metabolic joint, muscle and connective-tissue diseases |
| See first when… | Injury, fracture, a locked or unstable joint, advanced damage needing surgery | Long-standing spine or nerve pain once inflammatory disease is excluded | Swelling, morning stiffness over 30 min, several joints, back pain better with exercise, rash, fever |
| Treats the cause of autoimmune arthritis? | No | No: helps relieve pain | Yes |
| At OARC, Bhubaneswar | Not available (we refer when needed) | OARC pain management specialists | Dr. Jyoti Ranjan Parida (Saheed Nagar) · Dr. Debashis Maikap (Sailashree Vihar) |
Sources: NICE NG59 (low back pain and sciatica); NICE NG100 (rheumatoid arthritis); NICE NG193 (chronic pain).
Red flags: get same-day care
Go to the nearest emergency department immediately if back pain comes with new leg weakness, numbness around the genitals or buttocks, or new problems controlling your bladder or bowels (possible cauda equina syndrome). Also seek same-day care for: a hot, red, swollen joint with fever (possible septic arthritis); back pain with fever or feeling very unwell; severe pain after a fall or injury; or pain with unexplained weight loss or a history of cancer. For same-day concerns during clinic hours, call +91 93386 53086.
Our pain management specialists
OARC’s pain management specialists are part of the same team as our rheumatologists, so your pain is assessed for its cause before any procedure is suggested.
They work alongside Dr. Jyoti Ranjan Parida and Dr. Debashis Maikap, with our in-house lab, imaging and physiotherapy. Meet the team on Our Doctors.
Living with pain that has not settled? Book an assessment to find the cause and plan treatment.
Pain management: common questions
Visit us in Bhubaneswar
OARC has two centres in Bhubaneswar, with an in-house lab (working with NABL-accredited partner labs), pharmacy, imaging and physiotherapy.
Saheed Nagar (Main Centre)
Dr. Jyoti Ranjan Parida consults here
A/90 Saheed Nagar, opp. Ayakar Bhavan, Bhubaneswar 751007
Mon–Sat 9 AM–2 PM & 4:30–9 PM · Sunday closed
Sailashree Vihar, Chandrasekharpur
Dr. Debashis Maikap consults here
P-13/14 Sailashree Vihar, Chandrasekharpur, Bhubaneswar 751021
Mon–Sat 9 AM–2 PM & 4:30–9 PM · Sunday closed
Please call before your visit to confirm pain-clinic days at each centre.
References
- NICE. Low back pain and sciatica in over 16s: assessment and management (NG59), 2016, updated 2020. www.nice.org.uk/guidance/ng59
- NICE. Chronic pain (primary and secondary) in over 16s: assessment of all chronic pain and management of chronic primary pain (NG193), 2021. www.nice.org.uk/guidance/ng193
- NHS. Back pain. NHS website. www.nhs.uk/conditions/back-pain/
- NHS. Sciatica. NHS website. www.nhs.uk/conditions/sciatica/
This page gives general information and is not a diagnosis. Please see a doctor about your own symptoms. Read our editorial policy to learn how we write and review medical content.