Nerve Blocks & Radiofrequency Ablation in Shivajinagar, Pune

Nerve blocks and Radiofrequency Ablation (RFA) represent a sophisticated, multi-phase clinical framework designed to isolate and deactivate specific pain-carrying nerves. The central nervous system processes sensory input by carrying impulses from peripheral tissues, such as spinal joints, nerve roots, and major joint capsules, through specialized sensory fibers to the spinal cord and up to the brain. When these structural areas undergo severe degeneration, mechanical friction, or chemical inflammation, the associated sensory nerves fire continuously, leading to chronic, intractable pain.

The first stage of this therapy is a diagnostic nerve block. Using real-time medical imaging, Dr. Parag Vijay Munot inserts a microscopic needle directly adjacent to the target nerve pathway and deposits a small volume of local anesthetic. This block acts as a highly specific diagnostic tool. If the patient experiences a significant reduction in pain during the block's active hours, it confirms that the target nerve is the principal mediator of their clinical symptoms.

Once the pain pathway is confirmed, the therapeutic second stage—Radiofrequency Ablation—can be performed. RFA uses advanced electrical currents to deliver high-frequency radio waves through a specialized insulated needle. This energy heats a tiny, uninsulated tip of the needle, creating a localized, highly controlled thermal lesion on the nerve. By interrupting the nerve's myelinated sensory fibers, RFA blocks the transmission of pain signals to the brain. Because RFA targets only sensory branches, motor functions remain completely unaffected. This allows patients to undergo active physical rehabilitation without experiencing debilitating pain.

Nerve blocks and RFA are designed for patients who suffer from chronic pain that has not responded to conservative treatments, such as oral medications and physical therapy. This interventional technique is highly effective for localized joint and spinal pain.

The primary clinical indications for nerve blocks and RFA include:

• Facet Joint Syndrome: Severe, chronic back pain or neck pain caused by arthritis of the facet joints in the spine, which worsens with standing or bending backward.
• Knee Osteoarthritis: Chronic knee pain that has not responded to joint injections or medications, where targeting the genicular nerves provides significant relief as a non-surgical alternative to knee replacement.
• Sacroiliac (SI) Joint Dysfunction: Deep, localized lower back and buttock pain caused by inflammation or mechanical instability of the SI joint.
• Myofascial Pain Syndrome: Severe, localized muscle pain characterized by trigger points, where trigger point injections or blocks help release persistent muscle spasms.
• Complex Regional Pain Syndrome (CRPS): Chronic, burning nerve pain in a limb, requiring sympathetic blocks to reset the sympathetic nervous system.
• Chronic Sports Injuries: Persistent joint or tendon pain following a sports injury that prevents active recovery and rehabilitation.

If your daily activities are limited by chronic spinal arthritis or severe joint pain, Dr. Parag will perform a comprehensive diagnostic block to determine if you are a candidate for RFA.

Vaayu Chest & Pain Clinic, located inside Spectrum Business Spaces in Shivajinagar, Pune, is dedicated to providing high-precision, non-surgical pain care. Our interventional pain department is led by Dr. Parag Vijay Munot, a highly respected Pain Physician and Anesthesiologist (MBBS MD FICP). Dr. Parag has specialized training in advanced interventional spine and joint procedures, with years of experience performing image-guided injections.

We are committed to the highest standards of safety and accuracy. Every nerve block and RFA procedure is performed under direct, real-time image guidance using state-of-the-art C-arm fluoroscopy and high-resolution ultrasound. This diagnostic and therapeutic precision minimizes clinical risks, ensures optimal targeting of pain pathways, and delivers superior, long-lasting outcomes for our patients.