Pain Management

Evidence-based multi-modal protocols for all types of chronic and acute pain — including neuropathic pain, bone pain, pain from inflammation and degeneration, and neoplasia (tumor) pain — combining injections, medication optimisation, and physiotherapy.

Non-Surgical Multi-Modal Approach Same-Day Treatment
Pain Management — Dr. Sarish Sharma South Delhi
4
Pain Types
Addressed
Neuropathic PainNerve injury & entrapment
Bone PainFractures, osteoporosis, BMD loss
Inflammatory PainArthritis, disc disease, bursitis
Neoplasia PainTumor-related musculoskeletal pain
Outpatient ProcedureSame-day treatment & discharge
No Surgery NeededEntirely non-surgical approach
Multi-ModalInjections + meds + physio
Clinical-FirstDiagnosis from symptoms & exam

Why Pain Needs a Multi-Modal Approach

Pain is not a single condition — it is a complex signal from the body that varies enormously in origin, character, and severity. A simple painkiller rarely addresses the root cause. Dr. Sarish Sharma's pain management approach is built on identifying exactly what type of pain the patient has and deploying the most targeted combination of interventions to eliminate it.

Rather than relying on long-term oral medication alone, the multimodal approach combines targeted injections, nerve blocks, medication optimisation, physiotherapy, and nutritional correction — addressing pain from every angle simultaneously for faster, more lasting relief.

Four Categories of Pain We Address

01

Neuropathic Pain

Pain originating from damaged or compressed nerves — causing burning, shooting, or electric shock sensations. Includes sciatica, cervical and lumbar radiculopathy, nerve entrapment syndromes, and post-injury nerve inflammation. Treated with targeted nerve blocks, selective nerve root blocks (SNRB), and medication optimisation.

02

Bone Pain

Deep, aching pain arising from osteoporosis, low bone mineral density (BMD), stress fractures, and delayed or non-union fractures. Extremely common in India due to widespread Vitamin D3 and B12 deficiency. Treated with intra-fracture bone marrow injections, vitamin supplementation therapy, and targeted bone-strengthening protocols.

03

Inflammatory & Degenerative Pain

Pain from arthritis, joint degeneration, disc disease, tendinopathy, and bursitis — driven by chronic inflammation. Includes knee, hip, shoulder, elbow, wrist and spine pain. Treated with non-steroidal anti-inflammatory injections, PRP, viscosupplementation, epidural steroids, and physiotherapy coordination.

04

Neoplasia (Tumor) Pain

Musculoskeletal pain associated with tumors — whether primary bone tumors or metastatic disease causing bone pain, nerve compression, or structural compromise. Dr. Sarish Sharma provides targeted pain management support for oncology patients, coordinating with oncology teams to maximise quality of life.

Three Pillars of Effective Pain Relief

Each patient receives a personalised combination of these three approaches — selected based on the type, source, and severity of pain.

Targeted Injections

Nerve blocks, PRP, epidurals, intra-articular, viscosupplementation

Medication Optimisation

Right drug, right dose, right duration — reducing dependency on long-term painkillers

Physiotherapy

Targeted rehab to address root causes and prevent recurrence of pain

How We Treat Pain

Nerve Pain

Nerve Blocks & SNRB

Selective Nerve Root Blocks (SNRB) and peripheral nerve blocks deliver anaesthetic and anti-inflammatory medication directly around the compressed or irritated nerve — providing immediate, targeted relief. Used for sciatica, cervical radiculopathy, nerve entrapment, and post-injury nerve inflammation. The procedure takes 30–45 minutes and is guided by fluoroscopy for precision.

Inflammatory Pain

Non-Steroidal & Steroid Injections

For inflammatory pain — whether from arthritis, tendinopathy, or bursitis — targeted intra-articular injections deliver anti-inflammatory medication precisely to the source. Non-steroidal options are preferred for diabetic patients and those requiring repeated treatment. Epidural steroid injections address spinal nerve root inflammation with excellent outcomes.

Regenerative

PRP & Growth Factor Therapy

Platelet-Rich Plasma (PRP) and growth factor injections harness the body's own healing mechanisms to repair damaged tissue and reduce chronic pain at the cellular level. Particularly effective for tendon injuries, ligament damage, cartilage degeneration, and chronic joint pain that hasn't responded to standard treatment.

Nutritional

Vitamin B12, B3 & D3 Deficiency Treatment

Chronic pain is frequently worsened — or directly caused — by Vitamin B12, B3 and D3 deficiencies. B12 deficiency causes nerve inflammation and neuropathic pain. D3 deficiency leads to bone pain and muscle weakness. Dr. Sarish Sharma corrects these deficiencies through targeted injection therapy in a single session — eliminating a root cause of pain that most doctors overlook.

Is This Right for You?

Patients with chronic back, neck, or joint pain lasting more than 3 months
Anyone experiencing shooting, burning, or electric pain radiating into the arms or legs (neuropathic pain)
Patients with bone pain, stress fractures, or osteoporosis — especially vegetarians and women post-50
Individuals relying on long-term painkillers who want a more targeted, sustainable solution
Patients with inflammatory joint conditions — arthritis, bursitis, tendinopathy — across the shoulder, elbow, wrist, knee, hip and spine
Oncology patients requiring musculoskeletal pain support alongside their primary cancer treatment
Vegetarians and vegans with unexplained chronic pain that may be linked to B12 or D3 deficiency

Frequently Asked Questions

Oral painkillers treat the perception of pain but do nothing to address the underlying cause — the inflamed nerve, the degenerated joint, the nutritional deficiency. Over time, the dose needs to increase, side effects accumulate, and the patient becomes dependent. Multi-modal management targets the actual source of pain with injections, corrects any contributing deficiencies, and rebuilds function through physiotherapy — providing lasting relief without long-term drug dependency.

It depends on the treatment used. Nerve blocks and steroid injections often provide relief within 24–72 hours. PRP and regenerative therapies take 2–4 weeks to show full benefit as the healing process develops. Vitamin correction therapy typically shows improvement in nerve-related pain within 2–3 weeks. Most patients notice meaningful improvement after their first session.

Yes — and this is one of the most commonly missed diagnoses in India. Vegetarians have no dietary source of Vitamin B12, which is found almost exclusively in animal products. B12 deficiency causes nerve inflammation, neuropathic pain, fatigue, and muscle weakness. Many vegetarian patients with "unexplained" chronic pain are actually suffering from B12 deficiency. Correcting this with injection therapy often produces dramatic, rapid improvement.

Yes. Dr. Sarish Sharma provides targeted musculoskeletal pain management support for oncology patients experiencing bone pain, nerve compression, or joint pain related to their condition or treatment. This is coordinated alongside the patient's primary oncology team. The goal is to maximise quality of life and functional ability during and after cancer treatment.

Bring any reports you have — they are helpful but not essential. Dr. Sarish Sharma's approach is clinical-first: he diagnoses and creates treatment plans based on your symptoms and physical examination findings. He avoids ordering unnecessary investigations. If additional tests are genuinely needed, he will request them — but many patients receive a complete assessment and treatment plan on their very first visit.

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Living With Pain Is Not Inevitable

Book a consultation with Dr. Sarish Sharma — get a personalised pain management plan that targets the root cause, not just the symptom.