Synapse Pain and Spine Clinic is a dedicated interventional pain management and treatment centre in Adyar, Chennai, India. We specialize in providing scientific, evidence-based, non-surgical treatments for various chronic pain conditions such as back pain, neck and shoulder pain, joint pains, headaches, nerve related pains, and sports injuries among others.

Our multi-disciplinary team is made up of pain physicians, orthopedicians, physical medicine and rehabilitation experts, neuro-physicians, and psychologists, who work together to provide comprehensive pain relief using allopathic principles. Most of our doctors are established senior consultants in prominent tertiary care hospitals in the city like Apollo and GEM hospitals. They bring with them their rich knowledge, vast experience and highly-developed skill sets in providing the most effective solutions for pain conditions without surgery.

Synapse Pain and Spine Clinic is by far, the best pain clinic in India, given the quality and experience of our consultants and our state-of-the-art procedure facilities. Our primary focus areas are back (spine) pain, disc prolapse (sciatica), joint pains (knee, shoulder, hip and elbow), sports injuries and neuropathic pain conditions. We follow the latest pain management and treatment protocols such as image guided pain interventions (injections), radio frequency ablations, PRP injections, viscosupplementations, and effective rehabilitation exercises regimens. We are known for providing comprehensive pain relief from conditions like disc herniations, knee and hip arthritis, without open surgery.

The clinic takes pride is providing expert second medical opinion in any pain related or orthopedic condition. Our doctors are renowned for their ability to diagnose and treat pain conditions which have been not been effectively diagnosed or treated in other centres. Patients who want to avoid open surgery can avail a second opinion from our specialists at Synapse Pain and Spine Clinic before deciding the best course of action for pain relief.

Interventional Pain Management is a medical speciality where pain is abolished through pain injections or procedures. They are a safe and effective day care procedures performed by our experts under sedation to treat the pain related condition. Besides this, patients suffering from headaches, neuropathic pain syndromes and cancer related pain are also treated in the centre. The physical medicine and rehabilitation team at our clinic is one of the best in the city. We recommend life style modifications, postural corrections, physical therapy and rehab exercises that ensure the pain relief is a long term solution to the problem. Since the centre is run by a close knit group of specialists, consulting any of them will provide the best medical option forward.

Pain may be inevitable but suffering from it is optional. Do not ignore your pain. Get help at Synapse Pain and Spine Clinic.


We will develop a highly functional and integrated multidimensional approach to pain management that will allow us to:

abt us

  • Work with our patients to help and improve their quality of life by providing a caring, compassionate, comforting and validating atmosphere.
  • Provide effective scientific evidence-based solutions to pain related ailments.
  • Develop an effective and productive clinical research unit and Educate future health care providers, patients and public in the understanding and management of pain.
  • Develop clinical and academic foci of excellence within the field of pain management.
  • Be recognized as a leader in pain management locally, nationally and internationally.


Best Multidisciplinary Pain Clinic

We have pain physicians, orthopedicians, neuro physicians, physical medicine, rehabilitation experts and psychologists in the same clinic. Infact the preliminary consultation can take up to 20 minutes with the doctor, so patients get the best results.

Without Surgery Clinic

After thorough examination by the physicians, the treatment protocols include medicines, pain interventions or injections and rehabilitation exercises. Patients who want to avoid open spine or joint replacement surgeries can consult and get a second opinion from Synapse Pain and Spine Clinic.

Musculo skeletal pain clinic

Since the team includes pain physicians, orthopedicians, physical medicine and rehabilitation specialists, all musculo skeletal problems can be cured. Dr KP Kosygan has special interest in sports injuries and musculo skeletal orthopedic conditions.

Specialized Pain Clinic

Synapse Pain and Spine Clinic specializes in treating conditions like back pain, sports injuries, disc prolapses / herniations, sciatica, neck and shoulder pains, knee arthritis, joint pains, headaches / migraine, neuropathic pain, cancer pain and palliative care

Best Physician Quality

All the physicians are UK or US trained physicians. The consultants in Synapse Pain and Spine Clinic are also senior consultants in tertiary hospitals like Apollo Hospitals and Fortis Hospitals in Chennai. The bring their superior training and patient experience to this clinic. Infact, patients who have not been diagnosed properly in the previous attempts, can get themselves diagnosed & effectively treated.

Safe Pain Interventions

Synapse Pain and Spine Clinic has high quality procedure room for pain injections. All procedures are performed with image guidance for greater accuracy and safety. Dr Karthic Natarajan and Dr Vanmathy V, who are experienced pain physicians, have performed the maximum number of pain interventions in Chennai.

Day Care Procedures

All procedures are performed safely on day-care basis under IV sedation. So patients can return home on the same day and return to work from the next day. Procedures include selective nerve root injections, radio frequency ablations, PRP injections, Botulinum toxin Type A injections, nerve and ganglion blocks, neuro modultation, etc. Safety and comfort of patients are paramount concerns in the clinic.

Rehabiltation Facilities

The clinic has an excellent team of rehabilitation experts led by Dr Vidhyasagar G. He is a renowned physical medicine expert specializing in posture corrections, monitored stretching and muscle strengthening exercises regimes. Effective physical therapy ensures all pain relief results are maintained in long term.


Dr. Karthic Babu Natarajan

MD, DNB, FIPM ( Fellow in Interventional Pain Practice (WIP, USA)

Is one the first full time pain physicians of the country. He is presently a Consultant in Pain Medicine in the Back & Pain Centre, Apollo Hospitals... Read More

Mr. Vidhyasagar Gopalakrishnan

BPT, MPT (Sports), MIAP.

Mr. Vidhyasagar Gopalakrishnan working as a consultant Physiotherapist in Sagar’s Rehab at Adyar. Prior to this appointment, he served for nearly ... Read More

Dr. Vanmathy Venkatapathy


Dr Vanmathy V is a consultant pain physician and Director in Synapse Pain and Spine Clinic in Adyar, Chennai. She is also a Consultant pain physician... Read More

Dr. K P Kosygan

MBBS , M.Sc - Ortho , M.Ch - Orthopaedics , FRCS (Trauma & Ortho)

Dr. K P Kosygan is an Orthopedist and General Physician in Alwarpet, Chennai and has an experience of 21 years in these fields... Read More


Synapse Pain and Spine Clinic is a specialized centre for managing patients’ pain. The pain could be because of an injury or bone related, nerve related, muscle related problems. The pain physicians will identify the problems with clinical examination, appropriate blood and radiological investigations and come to a diagnosis. This is followed by treating the patients’ pain problems

Synapse Pain Clinic is a musculo skeletal pain management centre. They specialize in treating back pain (disc prolapse / sciatica), sports injuries, neck and shoulder pains, joint pains, knee arthritis, tendon and ligament injuries, nerve related pain, headaches (migraines), cancer related pain, etc. We lay emphasis on correct clinical diagnosis, followed by appropriate medical treatment.

Synapse Pain and Spine Clinic is run by a team of doctors which includes pain physicians, orthopedicians, neuro physicians, psychologists, physical medicine and rehabilitation experts. Each of these consultants bring their rich expertise and experience from their fields. So, arriving at the diagnosis and treatment plan is easier and convenient. The Clinic takes pride in providing “Second Opinion” to a host of spine and joint related problems. Patients who want to avoid open surgery for spine or joints, can avail a second opinion consultation in Synapse Pain Clinic before deciding further medical care.

Other physician’s referrals are not mandatory to consult our physicians. Our reception office takes queries through phone calls and emails and provided consultations through appointments with our experts. Patients can directly call us or email us or book online for appointments.

Synapse Pain and Spine Clinic is scientific allopathic based pain management centre. Initial consultation, which can take up to 20 minutes, is focused on correct diagnosis. The treatments provided includes medications, pain injections, physical therapy and rehabilitation exercises, life style changes, etc.

Depending on the diagnosis, pain medications are decided by our experts. Commonly used pain medications include paracetamol, anti-inflammatory medicines, muscle relaxants, regenerative supplements, mild opioids, etc. Patients may be put on medications and physical therapy and rehabilitation exercise regimes. Some group of patients will require pain interventions.

Pain interventions are image guided injections performed by pain physicians. They may include nerve blocks, nerve root injections, radio frequency(RF) ablations, platelet rich plasma (PRP) injections, visco supplements, neurolytic blocks and neuro stimulation. All procedures are done under x ray or ultrasound guidance for accuracy and patient safety. Pain procedures are safe procedures done under local anesthesia or sedation, on a day care basis. Patients can go back to work from the next day onwards. Post procedures patients are advised some medications, life style changes and rehabilitation exercises to be learnt in the clinic and performed regularly at home.

Pain interventions in the clinic are performed by experts – Dr Karthic Natarajan and Dr Vanmathy V, who are certified and experienced in interventional pain management. All procedures are done in a procedure room under sterile precautions. Image guidance in the form of x ray guidance or ultrasound guidance us used for greater accuracy and safety. Procedures are performed under local anesthesia and/or sedation, so patients are comfortable. The procedure room has excellent hemodynamic monitors and safety and resuscitation equipments, if required. Post procedure, patients are kept in observation for 1 to 2 hours and then sent home, with instructions.

After initial consultation, the doctors decide if you require an intervention to manage your pain. Once decided, the procedure is scheduled and pre procedure instructions are given. They include stopping blood thinners, if you are on them. Patients are usually advised to come nil-per-mouth (without eating) for atleast 4 hours prior to procedure. Come to clinic at the scheduled time with all previous medical records (MRIs/ x rays/ reports). Expect to stay in the clinic for 1 to 2 hours after completion of procedure. You will require a car with a driver to be driven home, post procedure. Pain procedures are day care procedures and patients can expect to go back to work in a day or two.

We provide treatment for conditions like disc prolapse or disc herniations causing back pain and sciatica. The treatments include selective nerve root injections or transforaminal or epidural injections. Facet joint arthropathies, if present, may require facet joint injections or RF ablations. Sacro iliac joint problems can be treated with sacro iliac joint joint injections. This will be followed by physical therapy and rehab exercises. Yes, a good number of patients can avoid spine surgeries by undergoing pain interventions. Sometimes, spine surgeries will be required in severe cases.

Knee arthritis patients are usually put on patella femoral, quadriceps strengthening exercises. Pain interventions offered include intra articular injections, platelet rich plasma (PRP) injections, visco supplements, genicular nerve radio frequency ablations, etc. Pain interventions are suitable in early osteoarthritis (Grade 1 and 2) and in patients who are unfit or unwilling for knee replacement surgery.

Like in other conditions, the reason for nerve pain has to be identified in treating nerve pain. Nerve compression usually results in pain, tingling, numbness and nerve pulling sensation along the distribution of the nerve. Nerve related pain conditions include trigeminal neuralgia, sciatica, post herpetic neuralgia, meralgia paresthetica, peripheral nerve neuralgia, diabetic neuropathy, etc. Neuropathic pain medicines and nerve blocks are the best treatments for nerve pain.


Physical therapy and rehab services are headed by Dr Vidhyasagar. He is a certified and experienced physiotherapist specializing in sports injuries. His protocols include posture corrections, muscle stretching regimes, rehabilitation exercises, core strengthening including isometrics regimes, etc. His areas on special interest are sports injuries, muscle spasms, spine disc herniation management and rehabilitation. Physiotherapy modalitites like ultrasonic waves, interferential therapy (IFT) and LASER therapy are offered by the physiotherapy team. The rehabilitation exercises are taught under supervision and patients are encouraged to do these exercises at home subsequently. Occupational therapy advice, posture corrections are important. This treatment ensures long term relief from musculo skeletal pain.

Yes, absolutely. The consultants in Synapse Pain and Spine Clinic are qualified and certified by appropriate boards from US and UK. They are also consultants in tertiary care hospitals in Chennai like Apollo Hospitals and Fortis Hospitals in Chennai. They treatment provided is scientific, evidence based and US FDA approved. Patient’s safety is paramount concern in the clinic.

Yes, Synapse Pain and Spine Clinic is registered as a clinic / nursing home with the Corporation of Chennai. All doctors are registered under the Tamil Nadu Medical Council. The best of ethical standards in patient care is maintained.

Most of the pain procedures are covered by health insurance companies. Please check with the reception personnel in the clinic to check for insurance / reimbursements, if applicable.