Dept. of Anesthesiology

Anesthesiology & Pain Management

Interventional Non-Surgical Treatments
Ozone Therapy in Pain Management
These procedures are performed without surgery by Anaesthesiologist. And pain consultant.
As it is done by anaesthesiologist, he can see inside the body without opening it through C arm thereby treating exact site of disease without effecting surrounding structures.

  • It is less risky as compared to surgery.
  • It is cheaper than traditional surgery.
  • No surgical scar on skin.
  • Exact localization of the disease is possible through image guidance.
  • Procedure done under local anaesthesia.
  • It is done as an outpatient (OPD) / day care or short hospital stay.
  • Patients can resume normal activities within one to two day.
  • It can fast relieve pain and suffering for many cancer patients.
  • Its safety has been proven over many years in thousands of people.

The pros and cons of the various techniques depend on the skill of the doctor performing the procedure and the availability of the necessary equipment. The patient should discuss the various procedures thoroughly with their primary Pain physician.

Dr Vivek Goyal
Dr Vivek Goyal
M.D (Anesthesiology)

Minimally Invasive Ozone - Oxygen Therapy for Disk Herniation

Back pain is very common. 8 out of every 10 people will have it at least once during their lives. Acute low back pain usually lasts for a few days to a few weeks and is caused by general work around the house or trauma from a sports or other injury. It can also be caused by arthritis. Acute back pain may vary from being a simple muscle ache to stabbing pain with decreased flexibility. Chronic back pain occurs when back pain lasts for 3 or more months.

Most people recover with treatment. At our department, we begin patients on conservative treatment including weight loss, medications and physiotherapy. If that fails, we consider interventions like minimally invasive Ozonucleolysis.

Slipped Disc

There are 24 bones called vertebrae in the cervical, thoracic and lumbar regions of the spine. Soft disks filled with a jelly-like material fit between these vertebrae. Disks provide stability to the spine and act as shock absorbers. If a disk slips out of place or ruptures it is known as a herniated disk. A herniated disk that presses on a nerve can cause back pain or arm pain or sciatica.


The sciatic nerve is a large nerve that goes from the lower back down each leg. It controls some muscles in the legs and sends feelings to the thigh, lower leg and foot. Sciatica is pain, weakness, numbness or tingling that can begin in the lower back and run down even to the toes. Usually it affects one side of the body.


A herniated disk in the cervical region may cause arm pain. It usually develops in 30 to 50 year olds. A cervical herniated disk may occur from injury to the cervical region of the spine.
Arm pain may be accompanied by numbness and tingling to the fingertips and muscle weakness.

Spondylitis and Ankylosing Spondylitis

Spondylitis is inflammation of the vertebrae that could be caused by genetic factors, an infection, chemicals or other agents. If pain is confined to a particular nerve level, this treatment can be done.

Failed Back syndrome

It is chronic back or leg pain that happens after back surgery. Some causes of the syndrome include residual disk herniation, post-operative scar tissue, pressure on a spinal nerve, altered joint mobility and muscular deconditioning.


Osteoarthritis is inflammation of the joints that causes pain and swelling. An untreated swollen joint can lead to permanent damage. Osteoarthritis or degenerative joint disease can be caused by ageing or repetitive injury and leads to damage of cartilage and bone. Arthritis may also be caused by the immune system attacking the body (auto immune disease) such as in Rheumatoid arthritis.

Knee Pain

The ligaments of the knee (MCL, ACL, and others) can be injured with trauma. .Menisci can be easily torn with sharp, rapid motions. The incidence of these tears increases with aging and degenerative conditions such as arthritis.
Tendinitis is inflammation of a knee tendon that can be caused by a strain such as jumping.

Frozen shoulder

A frozen shoulder is a stiff shoulder with low mobility and high pain. . 10 to 20% of patients with diabetes may experience a frozen shoulder.

Tennis/Golfer's Elbow

Nowadays excessive computer use is more likely to cause tennis elbow than playing tennis.. These conditions are sometimes caused by an injury.

Minimally Invasive Ozone - Oxygen Therapy for Disk Herniation

The appropriate treatment of lumbar sciatica ,disk herniation and joint pain is a challenge. So many largely unknown or poorly understood factors are involved in the pathophysiology of these diseases that the right treatment is very difficult to pinpoint; this is the main reason so many treatments are continuously proposed.

Noninvasive procedures, minimally invasive percutaneous injection, and surgery represent the gamut of treatments available in the management of lumbar disk herniation. Noninvasive treatments are plainly the first choice in most cases, but when patients fail to respond, minimally invasive percutaneous injection or surgery is warranted. Many specialists are convinced that conservative treatment offers the same level of results, if checked at a late follow-up, as surgery. In this setting, attention has focused on minimally invasive treatments.