Painfree India/Dr Anurag Agarwal

07/10/2026

🦵 **Advanced Regenerative Intervention for Chronic Knee Pain**

A glimpse of **Mesenchymal Stem Cell Concentrate Implantation** performed for a carefully selected patient with **moderate-grade Osteoarthritis of the Knee** at the **Pain Medicine Unit, Dr RMLIMS, Lucknow**.

The procedure is performed as a **Minimally Invasive Pain & Spine Intervention (MIPSI)** under **Fluoroscopy/Ultrasound guidance**, with the aim of delivering the cellular concentrate precisely to the targeted knee structures.

🔹 Image-guided precision
🔹 Minimally invasive approach
🔹 For selected patients with chronic knee pain due to Osteoarthritis

**Pain Medicine is evolving beyond pain relief — towards restoring function and improving quality of life.**

📍 **Pain Medicine Unit, Dr RMLIMS, Lucknow**

*For public awareness and educational purposes only. Patient selection and treatment decisions should be based on individual clinical evaluation. Outcomes may vary.*



https://youtu.be/c4zim6VkD_Q?si=Sq4ezeTQBQxmgfeI

18/09/2026

3 patients of dreadful Trigeminal Neuralgia in a single day and by Almighty Bhagwan's grace, all are immediately painfree after most advanced MIPSI ie Percutaneous Balloon Compression (PBC).

So thankful to whole Pain Medicine Unit of Dr RMLIMS Lucknow and friends of media for helping us spreading the positive news.

सर्वे भवन्तु सुखिनः सर्वे संतु निरामया:

26/07/2026

Percutaneous Balloon Compression MIPSI, a wonderful Minimally Invasive treatment option for unfortunately named 'Su***de Disease', Trigeminal Neuralgia and at Pain Medicine Unit, Department of Anesthesiology, Rmlims Lucknow is blessed to be able to provide all advanced treatments to whole range of chronic pain syndromes..

क्रोनिक पेन के सभी रोगी, Pain Medicine OPD आ सकते हैं या अपने शहर में, नजदीक के पेन फिजिशियन को www.issp-pain.org पर विजिट करके आसानी से ढूंढ सकते हैं I

09/07/2026

It's my proud privilege to commemorate 42nd Foundation Day of Indian Society for Study of Pain (ISSP), one of world's biggest body of Pain Physicians, as Honorary Secretary of ISSP!

Happy ISSP Foundation Day!

Today, we celebrate the journey of the Indian Society for Study of Pain (ISSP) and its unwavering commitment to advancing Pain Medicine through education, research, innovation, and compassionate patient care.

A heartfelt thank you to our members, Pain Physicians, and healthcare professionals who continue to make a difference every day.

ISSP Mantra: suffering from chronic pain, Visit a Pain Physician

ISSP initiative: find a Pain Physician near you, just visit www.issp-pain.org

🔗✅ Follow Us For Support & Awareness
Facebook - https://www.facebook.com/society.pain/
Instagram - https://www.instagram.com/issphq/
LinkedIn - https://www.linkedin.com/company/indiansocietypain
Youtube - https://www.youtube.com/
Twitter - https://x.com/issp_pain

02/06/2026

Artificial Intelligence AI, is need of hour and Noone can escape from it..

This is great initiative by Indian Society for Study of Pain with globally recognized speaker dear friend Dr Avneesh Khare on useful tips for Day-to-Day use..

Register ASAP for free..

📢 ISSP HQ with Vizag City Branch present:
Webinar Series 2026 | Episode 2

🤖 Practical Use of Artificial Intelligence in the Day-to-Day Practice of Pain Medicine

Join us for an insightful session exploring how AI is transforming pain Medicine, enhancing clinical decision-making, improving patient care, and streamlining everyday practice.

🎙️ Speaker: Dr. Avneesh Khare
Google Certified AI Professional & Educator
Consultant and Researcher, BrainX AI, USA

🎤 Moderator: Dr. Sweety Purushotham Nallakandy |ISSP GC Member

📅 Date: 26th June, Friday
⏰ Time: 7:00 PM – 8:30 PM
💻 Platform: Zoom

📌 Registration is FREE but MANDATORY

🔗 Register Now:
https://us06web.zoom.us/meeting/register/BLIB68p5S9SGM5um3nkhfg

ISSP Mantra: suffering from chronic pain, Visit a Pain Physician

ISSP initiative: find a Pain Physician near you, just visit www.issp-pain.org

🔗✅ Follow Us For Support & Awareness
Facebook - https://www.facebook.com/society.pain/
Instagram - https://www.instagram.com/issphq/
LinkedIn - https://www.linkedin.com/company/indiansocietypain
Youtube - https://www.youtube.com/
Twitter - https://x.com/issp_pain

21/05/2026

'Gun-Barrel' approach to 'Percutaneous Balloon Kyphoplasty', thanks to our own and Legendary Pain Physician, Neeraj Jain Sir..

OVCF of L5 but with H/O Ca-Prostate as well, severely painful and ADL limiting, and at Pain Medicine Unit of Rmlims Lucknow, we used a modified approach for doing unipedicular approach to reach contralateral side, we also employed a 'diffrential Balloon tamp inflation' to achievea better creation. and got a good fill with 13 ml cement and 'pedicle to pedicle' and a painfree patient, walking comfortably after half an hour..

How I love Pain Medicine and advanced MIPSIs..

सर्वे भवन्तु सुखिनः सर्वे संतु निरामया:

#

08/05/2026

Indaian Society for Study of Pain ISSP in collaboration with Pain Medicine Unit, Department of Anesthesiology, Dr. RMLIMS Lucknow

invites you to the CME on
“ _Advances in Pain Medicine_ ”

Topics include:
* Spinal Cord Stimulation
* Vertebral Augmentation
* Minimally Invasive Spine Endoscopic Pain Procedures (MIsEPP)
* Intrathecal Pump Therapy
* Regenerative Therapies / Pain Biologics

🗓️ Date: *9th May 2026
🕙 Time: 10:00 AM – 02:00 PM*
📍 Venue: Conference Hall, Admin Block, Dr. RMLIMS Lucknow

🎓 Free Registration but mandatory for E-Certificate

🔗 Registration Google Form:
https://forms.gle/wiLkhk9HTMYM77kPA

📺 *Zoom Meeting Link* :
Topic: ISSP Seminar
Time: May 9, 2026 10:00 AM Mumbai, Kolkata, New Delhi
Join Zoom Meeting
https://us06web.zoom.us/j/86040442778?pwd=VSlee3IcKAySLb0lE72supzg1DimNo.1

Meeting chat link
https://us06web.zoom.us/launch/jc/86040442778

Meeting ID: 860 4044 2778
Passcode: 715277
Join us for expert talks, academic discussions, and recent advances in Pain Medicine.

Long-live ISSP!

ISSP Mantra: Suffering from chronic pain, Visit a Pain Physician

ISSP initiative: Find a Pain Physican near you, visit www.issp-pain.org

06/05/2026

Patients with chronic pain syndromes often push the boundaries of clinical knowledge, skill, and endurance of every Pain Physician.

In such moments, it is the unwavering faith in science—combined with a quiet surrender to the divine—that keeps us moving forward.

Today’s case was one of those profound tests.

A patient with carcinoma mandible—without mandible, maxilla, or supporting musculature. No bony landmarks. Extremely poor fluoroscopic visibility. Severe, unrelenting facial pain, unresponsive even to narcotics.

The Pain Medicine team at Dr. RMLIMS, Lucknow took a leap of faith—guided by experience, anatomy, and perseverance—to identify the elusive foramen ovale and reach the Gasserian ganglion for intervention.

With absent musculature, motor stimulation was not feasible. Yet, upon sensory stimulation, concordant paraesthesia was achieved—guiding the path forward.

Radiofrequency was performed.

And in the postoperative period—the reward: markedly reduced pain.

Moments like these remind us why Pain Medicine is not just a specialty, but a calling.

With deep gratitude, I bow my head to Bhagwan Almighty for allowing me to be a part of this journey.

ISSP Mantra- suffering from chronic pain, Visit a Pain Physician

To find a Pain Physician near you, visit www.issp-pain.org

सर्वे भवन्तु सुखिनः
सर्वे सन्तु निरामयाः

#

29/04/2026

Many patients challenge the conventional understanding of disease processes… and today’s patient was one such example.

A 28-year-old young male presented with moderate to severe back pain while sitting and walking, following a fall from a truck nearly 1.5 years ago. Examination revealed marked point tenderness over the lower dorsal–upper lumbar midline spine.

MRI showed:
• Vertebral compression fractures at D12 and L1
• Persistent bone marrow edema on STIR images
• A moderate-sized defect in the superior endplate of D12 (?Schmorl’s node), significantly increasing the risk of cement leakage during intervention.

And the icing on the cake — the patient is getting married in a week and desperately wanted to become pain-free… without any incision or stitches.

The Pain Medicine Team at Dr RMLIMS, Lucknow, India, offered one of the most advanced MIPSIs in Pain Medicine — *Percutaneous Balloon Kyphoplasty* of D12 and L1.

Despite the guarded prognosis considering the chronicity of injury, the procedure was performed using meticulous technique during kyphoplasty, with:
✔ No cement leakage into the disc
✔ Uneventful procedure
✔ Completely pain-free patient within one hour

The Right Pediculoplasty was unintended-)

Cases like these remind us that medicine is not merely about protocols and algorithms — it is also about clinical judgement, courage, experience, communication, and compassion.

As physicians, we should never hesitate to take a thoughtful “leap of faith” when we genuinely believe an intervention may help the patient — provided everything, especially potential complications, is transparently explained beforehand.

And sometimes, beyond science and skill, one must also believe in the healing grace of Almighty Bhagwan.

सर्वे भवन्तु सुखिनः सर्वे संतु निरामया:

18/04/2026

Metastatic Collapse of L2, severe back pain and bedridden patient..
On MRI, posterior displacement of fragment..
In CT scan, posterior cortical disruption...

and Pain Medicine Unit of Dr RMLIMS Lucknow employed advanced MIPSI solution ie Percutaneous Balloon Kyphoplasty with 'Egg-Shelling Technique' to reduce the risk of cement leakage..

Result- reasonably good fill of both halves of collapsed vertebra with great amount of relief and walking once again patient.

No patient of vertebral collapse should be left with so-called 'conservative care' and miserable life, when such wonderful Minimally Invasive Pain and Spine Interventions are available..

सर्वे भवन्तु सुखिनः सर्वे संतु निरामया: