Painfree India/Dr Anurag Agarwal

03/01/2026

A positive start to 2026, by assisting a 55-year-old lady experiencing severe claudication due to significant canal stenosis at L4-5.

The Pain Medicine Unit/ Team at Dr. Ram Manohar Lohia Institute of Medical Sciences, Lucknow, successfully performed an advanced MisEpp (Over The Top Endoscopic Decompression) procedure. This was conducted under epidural analgesia and involved an incision of less than one centimeter.

Following the endoscopy, the patient is now comfortably walking without any symptoms, by Almighty Bhagwan's grace!

Percutaneous Spine Endoscopic MIPSIs represent one of the most effective treatments available for spine care.

Thanks to Dr K T Lim Sir, the 'Master of Spine Endoscopy' and my Teacher..

18/12/2025

The Pain Medicine Team, Department of Anesthesiology at Dr. RMLIMS Lucknow has made significant contributions to "evidence building" through the publication of their work on chronic pain patients in the peer-reviewed and Scopus-indexed Indian Journal of Pain. A link is provided below for those who may be interested in reading further.
https://journals.lww.com/ijpn/pages/default.aspx

Our sincere thanks and congratulations are extended to all co-authors.

17/12/2025

Very important issue of Indian Journal of Pain, the official Journal of Indian Society for Study of Pain, dedicated to exciting Regenerative Therapies aka Pain-Biological aka Orthobiological Therapies...Useful for all Pain Physicians and all other enthusiasts of Regenerative Therapies..

A defining milestone in Pain Medicine.
The Indian Journal of Pain, the official publication of ISSP, proudly presents a special issue dedicated to Regenerative MIPS, Pain-Biologics & Ortho-Biologics.
✨ Now Scopus Indexed — reinforcing our commitment to global research excellence.

Read More: https://journals.lww.com/ijpn/pages/default.aspx

📘 Sept–Dec 2025 | Vol. 39 | Issue 3
🔗 journals.lww.com

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10/12/2025

Back pain with lower limb pain never ceases to amaze me... 🤯

A 70-year-old male presented with right-sided lower limb pain and claudication, and MRI showed degenerative changes, initially suggesting a spinal intervention. However, a thorough history revealed 30+ years of smoking, and a normal spinal exam, but poor peripheral pulses, led us to investigate further. Doppler studies confirmed atherosclerotic changes, prompting our Pain Medicine Team to perform a 'Diagnostic and Prognostic Lumbar Sympathectomy MIPSI' before any epidural steroids. And voilà! The patient experienced over 80% relief! We'll plan a Radiofrequency Lumbar Sympathectomy if the pain recurs.

This long post just re-emphasizes the importance of a thorough History, Physical Examination, and relevant investigations before any MIPSIs... It can be a game-changer! ✨

09/12/2025

D12 collapsed and painful, D9 mildly collapsed and severely painful with 'light up ' on STIR images and during instrumentation.
We did Percutaneous Balloon Kyphoplasty of of both levels by Transpedicular and Extrapedicular approach..

Hope patient will have a lasting relief..

सर्वे भवन्तु सुखिनः सर्वे संतु निरामया:

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06/12/2025

More than four years and still going strong, our patient of multiple Myeloma with severe pain- poorly controlled on 150 mg oral Morphine and bedridden, now walking painfree with only 0.6 mg/ day Intrathecal Morphine via Intrathecal Pump...

The MIPSIs of Pain Medicine are a game changer for most patients.

01/12/2025

For Anesthesiology Residents, the Application Form for coveted PDCC Courses in different specialties especially in Pain Medicine at Dr. Ram Manohar Lohia Institute Of Medical Sciences Lucknow is out...

Please visit www.drrmlims.ac.in for more information and filling up the form..

Please mind the last date for applying..

Good wishes..

Pain Research and Education Group Indian Society for Study of Pain Indian Society of Pain Clinicians -ISPC Indian Society of Anaesthesiologists Indian-Medical Students-Association

14/10/2025

Difficult vertebral reconstruction evokes gratitude. D11 was completely gone, D12 with a destructed right pedicle, one of the most challenging cases ever... but in the end, a parapedicular approach and midline placement of a unilateral balloon with 7 ml cement gave new life to the vertebra and a pain-free patient after 4 months of suffering! How I love Pain Medicine and Minimally Invasive Pain Interventions! 🙏 To prevent further fractures, she's on Denosumab and Teriparatide injections. ✨ सर्वे भवन्तु सुखिनः सर्वे संतु निरामया:

05/08/2025

Percutaneous High Cervical Chordotomy is one minimally invasive pain Intervention, which has the potential to provide good relief and freedom from narcotics in indicated patients, especially of Carcinoma Lung..

Pain Medicine Unit of Dr RMLIMS Lucknow, India is 'Happy to Help' all our patients with whole array of most advanced MIPSIs to deal with different chronic pain syndromes..

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05/08/2025

No size fits all...and especially in the field of allopathy...so No treatment is ideal or 'The Only' for all patients..

As much as, we love Percutaneous Balloon Compression for Trigeminal Neuralgia treatments, there are some patients, where Radiofrequency Treatment seems to more apt..

Today's patient was having multiple comorbidities making him high risk for general anesthesia, Carbamazepine intolerance and poorly responsive to all drugs with deranged coagulation profile, so we decided to use RFA in-place of PBC, owing to more minimally invasive nature of RFA..

Let's hope...