Medication Management
A careful review of pain medicines to improve relief and reduce side effects.
Learn moreSpecialist evaluation and personalized treatment for chronic, spine, joint, nerve and complex pain conditions.

Pain is rarely just one thing. Each condition page explains symptoms, causes and the treatment options available.
We go through when the pain started, what makes it better or worse, and how it affects your sleep, work and movement.
A physical and neurological examination, with a review of any scans or reports you bring.
You receive a clear explanation of the likely source of pain and the options suited to you.
We agree a plan together, which may combine medication review, therapy and procedures where appropriate.

Dr. Nikhilesh Samudrala
Consultant Pain Physician
Dr. Nikhilesh Samudrala is a Consultant Pain Physician at Advanced Spine and Knee Hospital (ASK). After training in anaesthesiology at MVJ Medical College, Bengaluru (DA) and Indraprastha Apollo Hospitals, New Delhi (DNB), the doctor completed a Fellowship in Pain Management (FIPM) at Epione Pain Management Clinic.
Treatment plans are built around your diagnosis, your goals and your daily life.
A careful review of pain medicines to improve relief and reduce side effects.
Learn moreGuided exercise and movement to restore strength, flexibility and confidence.
Learn morePrecise injections using X-ray or ultrasound guidance to target the source of pain.
Learn morePractical changes to sleep, activity and daily routine that support pain relief.
Learn moreWhen a procedure is appropriate, you will know why it is recommended, how to prepare and what recovery involves.
An injection into the epidural space to reduce nerve inflammation causing arm or leg pain.
Learn moreUsing controlled heat on small sensory nerves to interrupt pain signals from joints.
Learn moreAn injection of local anaesthetic near a specific nerve to diagnose or relieve pain.
Learn moreAn injection around the small nerves of the knee to relieve arthritis pain.
Learn moreAn epidural injection given through a natural opening at the base of the spine.
Learn moreAn injection into the small joints of the neck to diagnose and relieve neck pain.
Learn moreNo referral is needed. If you have reports or scans from other doctors, please bring them.
Bring previous scans and reports, a list of your current medicines, and any questions you have.
Most pain procedures are done under local anaesthetic, sometimes with light sedation. The doctor will explain what applies to you.
Many pain conditions are managed without surgery. If a surgical opinion would help, the doctor will tell you.
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Find us, get directions, or call ahead and we will help you plan your visit.
Request a consultation and our team will call you to confirm a time.