Back Pain Treatment in Delhi
Personalised care for persistent lower back pain, disc-related pain, sciatica and selected spine conditions. Treatment is planned around the likely cause of pain and your daily needs.
Find out what may be causing your pain
Back pain can affect sitting, standing, walking, sleep and work. It may arise from muscles, spinal joints, discs, nerves or the sacroiliac joint.
If pain keeps returning or travels into the buttock or leg, an assessment can help identify the likely source and guide suitable treatment options.
Assessment before treatment
A focused assessment helps connect your symptoms with possible treatment options.
When should you get back pain assessed?
Consider an assessment if pain is persistent, repeatedly returns or affects everyday activities.
Persistent back ache
Pain that continues or repeatedly returns despite routine measures.
Pain with bending
Discomfort while bending, lifting, twisting or changing position.
Pain travelling into the leg
Burning, tingling or pain extending into the buttock or leg may involve a nerve.
Stiffness
Stiffness that limits movement after rest or during daily activities.
Muscle spasm
Tight or painful muscles around the back that restrict movement.
Numbness or tingling
Pins-and-needles or altered sensation that may occur with nerve irritation.
What can cause lower back pain?
Different structures can produce similar symptoms, so diagnosis matters.
Muscle or ligament strain
May follow lifting, sudden movement, overuse or repetitive strain.
Herniated or degenerative disc
Disc changes may cause back pain or irritate nearby nerves.
Lumbar facet joint pain
Small joints in the spine can contribute to pain and stiffness.
Sciatica or nerve irritation
Irritation of a spinal nerve may cause pain, tingling or numbness in the leg.
Sacroiliac joint pain
Pain may be felt around the lower back, pelvis or buttock.
Spinal stenosis or degeneration
Narrowing and age-related changes may contribute to back or leg symptoms.
Back pain treatments tailored to the likely cause
Dr. Ekta Gupta may consider conservative care and selected interventional procedures based on your symptoms, examination and previous treatment response.
Sacroiliac joint intra-articular injection
An injection into the sacroiliac joint may be considered when this joint is suspected to be a source of lower back or buttock pain.
Sacroiliac joint denervation
A nerve-targeting procedure may be considered for selected patients with persistent sacroiliac joint pain after appropriate assessment.
Lumbar facet joint intra-articular intervention
An injection into a lumbar facet joint may be used in selected cases to help assess or manage pain believed to arise from these spinal joints.
Lumbar medial branch radiofrequency ablation
Radiofrequency energy is used to interrupt selected nerves carrying pain signals from facet joints. It may be considered after appropriate diagnostic evaluation.
Lumbar sympathectomy
A targeted procedure involving sympathetic nerves may be considered for specific pain conditions when clinically appropriate.
Superior hypogastric plexus block
A targeted nerve block used for selected pelvic or lower abdominal pain conditions, including some cancer-related pain presentations, when indicated.
Lumbar dorsal root ganglion neuromodulation
A specialised neuromodulation approach that may be evaluated for selected persistent, localised neuropathic pain conditions.
Lumbar epidural injection
An epidural injection may be considered for selected cases of spinal nerve irritation, including some types of sciatica.
Transforaminal epidural neuroplasty
A specialised procedure intended to access a targeted area around a spinal nerve in selected persistent pain cases.
Caudal neuroplasty
A specialised approach through the caudal epidural route that may be considered for selected persistent spinal or nerve-related pain.
Sacral nerve root stimulation
A nerve stimulation procedure used for specific conditions after specialist assessment; suitability depends on the diagnosis and treatment goals.
Intrathecal neurolysis
A specialised intervention used in selected severe pain situations, often requiring careful assessment of the underlying condition and alternatives.
Intrathecal pump implantation for cancer pain
A pump delivers pain medicine into the fluid surrounding the spinal cord and may be considered for carefully selected patients with severe cancer-related pain.
Intradiscal ozone nucleolysis
A procedure involving ozone injection into a spinal disc that may be discussed for selected disc-related pain after careful evaluation.
Biacuplasty for discogenic pain
A specialised radiofrequency procedure targeting selected painful disc tissue in appropriately evaluated patients.
Trigger point injection
An injection into selected painful muscle trigger points may be considered when muscle pain contributes to symptoms.
Dry needling
A technique using fine needles to target selected muscle trigger points as part of an individualised pain management plan.
Piriformis Botox injection
Botulinum toxin injection may be considered for selected patients with persistent piriformis-related muscle pain after assessment.
Prolotherapy for lower back ligaments
An injection-based treatment proposed to address selected ligament-related pain; evidence and suitability vary by condition.
Intradiscal PRP
Platelet-rich plasma injected into a spinal disc may be considered for selected patients; evidence, benefits and risks should be discussed individually.
How your back pain treatment plan is developed
The aim is to identify the likely pain source and discuss suitable next steps—not to recommend the same procedure to everyone.
Review your history
Discuss symptoms, daily limitations, previous treatment and current medicines.
Assess the likely cause
Examine movement and review relevant scans or reports when needed.
Discuss options
Understand appropriate treatments, potential risks, limitations and follow-up.
Back pain symptoms you should not ignore
Get urgent medical assessment for warning signs
Seek urgent care for new loss of bladder or bowel control, numbness around the groin or saddle area, severe or worsening leg weakness, major trauma, or back pain with fever and feeling seriously unwell.
Four steps to a clearer plan
A straightforward process based on your symptoms and treatment needs.
Consultation
Discuss your symptoms and previous treatment.
Assessment
Review movement, history and relevant reports.
Treatment plan
Discuss suitable options, risks and limitations.
Follow-up
Review symptoms and function to decide the next step.
Frequently asked questions about back pain treatment
Does every back pain patient need an MRI?
No. Imaging is recommended when the symptoms, examination or clinical history indicate it is needed. Bring any previous scans or reports to your appointment.
Can back pain be treated without surgery?
Many back pain conditions can be managed without surgery. Depending on the cause, options may include activity modification, physiotherapy, medication and selected pain procedures. The right approach depends on the diagnosis and severity.
What does it mean if back pain travels down my leg?
Pain travelling into the buttock or leg, particularly with tingling or numbness, can be related to irritation of a spinal nerve, such as in sciatica. Persistent or worsening symptoms should be assessed.
What is lumbar medial branch radiofrequency ablation?
It uses radiofrequency energy to interrupt pain signals from selected nerves supplying the lumbar facet joints. It may be considered for suitable patients after diagnostic assessment.
When might an epidural injection be considered?
An epidural injection may be considered for selected patients with pain related to irritated spinal nerves. Suitability depends on the diagnosis, symptoms, medical history and previous treatment.
Are all the listed procedures suitable for every patient?
No. These procedures address different pain conditions and have different risks, evidence and eligibility criteria. A specialist assessment is needed to determine whether a particular option is appropriate.
How do I book an appointment with Dr. Ekta Gupta?
Call +91 95608 52171 or use the clinic contact page to enquire about an appointment. Bring previous prescriptions, scan reports and a list of current medicines if available.
Related pain management services
Discuss your back pain with Dr. Ekta Gupta
If back pain is affecting walking, sitting, sleep or daily activities, arrange an assessment to discuss possible treatment options.
MBBS, MD · Fellowship-Trained Pain Physician, AIIMS Delhi
Rajouri Garden, New Delhi – 110027