Pain Management Department

Epidural & Spinal Injections in Shivajinagar, Pune

Located in the central medical and commercial hub of Shivajinagar, Pune, Vaayu Chest & Pain Clinic provides premium fluoroscopy-guided spinal injections. Dr. Parag Vijay Munot delivers specialized spinal care designed to resolve nerve irritation and localized back pain, serving patients from Model Colony, Deccan Gymkhana, and surrounding areas with non-surgical day-care treatments.

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Epidural & Spinal Injections in Shivajinagar, Pune
Treatment Overview

What is an Epidural & Spinal Injection?

An epidural spinal injection is an advanced interventional therapy designed to deliver strong anti-inflammatory agents directly to the point of nerve irritation in the spine. The human spine is a complex column of bony vertebrae separated by cushioning shock-absorbers called intervertebral discs. Passing directly through the center of this column is the spinal cord, from which individual spinal nerves exit to supply sensation and strength to the extremities. The delicate space immediately surrounding these nerves is called the epidural space. When discs undergo degenerative changes, tear, or herniate, they press directly into this space, initiating a severe chemical inflammatory reaction.

This chemical inflammation and mechanical compression cause the nerve to swell, leading to sharp, burning pain, numbness, and tingling. During an epidural or spinal injection, Dr. Parag Vijay Munot uses real-time fluoroscopic imaging (specialized X-ray guidance) to navigate a microscopic treatment needle directly into the epidural space. Once the needle placement is safely verified, a local anesthetic and a slow-release corticosteroid are deposited. The anesthetic provides a rapid block of pain signals, while the corticosteroid works to clear out inflammatory mediators, reduce swelling, and allow the irritated spinal nerves to rest and recover.

Rather than simply masking symptoms, these precision injections treat the root cause of nerve pain. By providing a window of significant pain reduction, patients can transition comfortably into physical therapy and movement-based recovery. For many individuals in Shivajinagar, this day-care procedure provides a safe, highly successful alternative to major spinal surgeries, helping them regain their quality of life.

Patient Selection

Who Needs This / Indications for Spinal Injections

Epidural and spinal injections are particularly effective for patients experiencing chronic, debilitating pain that radiates from the spine down into the legs or arms. This procedure is generally considered when initial conservative treatments—such as oral pain relievers, rest, and basic physical therapies—fail to produce significant improvement after four to six weeks of consistent care.

Our specialized team recommends this interventional procedure for the following indications:

  • Sciatica / Lumbar Radiculopathy: Severe radiating pain from a herniated disc in the lower back that shoots down the buttock, thigh, and calf, causing a severe form of back pain.
  • Cervical Radiculopathy: Pinched nerves in the neck area that lead to burning pain, numbness, and muscle weakness traveling down into the arm, shoulder, or fingers, often presenting as chronic neck pain.
  • Lumbar Spinal Stenosis: Narrowing of the central spinal canal that compresses the nerves, causing leg pain, heaviness, and cramping during walking or standing that is relieved by bending forward.
  • Degenerative Disc Disease: Chronic degeneration of the discs, resulting in structural collapse, joint friction, and localized back pain, often co-existing with spinal osteoarthritis.
  • Facet Joint Syndrome: Inflammation of the small joints connecting the vertebrae, causing localized, aching pain that worsens with backward bending.

During your consultation at our Shivajinagar clinic, Dr. Parag will carefully review your symptom history, conduct a thorough neurological evaluation, and examine your MRI or CT scans to customize your spinal injection plan.

Procedure Details

The Treatment Procedure: What to Expect

01

Preparation & Local Numbing

The injection is performed on an outpatient basis in our specialized day-care procedure room. You will lie face down on a padded table. The skin over the target spine area is thoroughly cleaned and sanitized. Dr. Parag then injects a local anesthetic to completely numb the skin and deeper tissues, ensuring you feel minimal discomfort during the procedure.

02

Fluoroscopic Needle Guidance

Using real-time X-ray guidance (fluoroscopy), Dr. Parag carefully directs a specialized injection needle into the epidural space. A tiny amount of contrast dye is injected first to confirm the solution will flow directly around the inflamed nerve roots and will not enter any blood vessels, ensuring maximum safety.

03

Medication Delivery & Recovery

Once needle placement is verified, the anesthetic and anti-inflammatory corticosteroid mixture is slowly injected. You may feel a temporary sensation of pressure in your back or leg. The needle is then removed, and a small sterile bandage is applied. The entire process takes only 15 to 30 minutes, followed by a brief 45-minute monitoring period before you are discharged home.

Clinic Standard

Why Choose Vaayu in Shivajinagar, Pune?

Vaayu Chest & Pain Clinic, conveniently located in Shivajinagar, Pune, is dedicated to providing high-precision pain care with the utmost focus on patient safety. Our specialized interventional pain management division is led by Dr. Parag Vijay Munot, a highly respected Pain Physician and Anesthesiologist (MBBS MD FICP). Dr. Parag has specialized training in interventional spine procedures and has successfully performed thousands of fluoroscopy-guided injections.

Our facility is equipped with advanced C-arm fluoroscopy technology, allowing us to perform every injection under strict live imaging for sub-millimeter precision. By avoiding blind injection techniques, we ensure the safety of our treatments and reduce risks of nerve or dural injuries. Additionally, our location in Shivajinagar provides excellent connectivity and easy access for patients traveling from Deccan, Model Colony, Pune Camp, and beyond.

FAQ Helpdesk

Frequently Asked Questions

An epidural spinal injection is a precise, minimally invasive procedure where an anesthetic and corticosteroid mixture is delivered directly into the epidural space of the spine. This space surrounds the nerve roots and dural sac. The corticosteroid works as a potent anti-inflammatory agent, reducing swelling, irritation, and chemical inflammation around pinched or compressed spinal nerves. The anesthetic provides immediate temporary relief, blocking pain pathways while the steroid starts to heal the inflamed tissues, breaking the cycle of chronic neuropathic spinal pain.

The procedure is designed to be highly tolerable. Before the spinal needle is inserted, Dr. Parag Vijay Munot uses a very fine needle to inject a local anesthetic (typically lidocaine) into the skin and underlying tissues at the injection site. This numbs the area completely. Patients typically feel a mild stinging sensation during the local numbing, followed by some pressure as the treatment needle is guided into position. Our clinic prioritizes patient comfort, and steps are taken to ensure you remain relaxed and pain-free throughout the treatment.

The onset of pain relief varies from patient to patient. While the local anesthetic in the injection might provide immediate relief for the first few hours, this will wear off. The long-acting corticosteroid typically takes between 2 to 7 days to start significantly reducing inflammation and providing sustained pain relief. You may experience a transient mild increase in soreness for the first day or two as the steroid begins to take effect. We advise patients to track their pain levels daily during this initial period.

The duration of pain relief is highly individualized, depending on the severity of the underlying spinal condition, such as disc herniation or stenosis. For many patients, a single injection provides relief that lasts for several months, and in some cases, it can resolve the acute pain cycle completely when combined with structured physical therapy. If the pain returns, the injection can be repeated safely up to three or four times a year, or integrated into a broader multi-disciplinary pain management plan.

Epidural spinal injections are exceptionally safe when performed by an experienced specialist using fluoroscopic guidance. Common, minor side effects include temporary soreness at the injection site, mild facial flushing, headache, or a brief rise in blood sugar levels for diabetic patients. Serious complications, such as infection, bleeding, dural puncture (leading to a spinal headache), or nerve injury, are extremely rare. Dr. Parag reviews all medical histories to minimize risks and ensure safety.

We advise patients to rest and avoid strenuous physical activities, heavy lifting, or prolonged sitting for the first 24 hours following the injection. You should have a family member or friend drive you home from the clinic due to the temporary effects of the local anesthetic. You may resume light, daily activities the next day, and return to structured physiotherapy or active rehabilitation once the steroid has fully kicked in, usually within a week.

Restore Your Mobility and Live Pain-Free

Schedule your fluoroscopy-guided spinal injection appointment at Vaayu Chest & Pain Clinic today. Call our Shivajinagar line or book online.