Head and Neck Procedures


  • Trigeminal Ganglion radio frequency ablation / glycerol injection
  • Sphenopalatine ganglion RF ablation
  • Botulinum toxin Type A injections for migraine
  • Stellate ganglion RF ablation
  • Shoulder joint injections
  • Trigger point injections
  • Supra scapular nerve injections
  • Cervical epidural injections
  • Cervical facet joint RF ablations

Thoracic Procedures


  • Intercostal nerve blocks
  • Splanchnic plexus RF ablation
  • Celiac plexus Neurolysis

Lumbar Procedures


  • Lumbar nerve root transforaminal injections
  • Lumbar epidural injections
  • Lumbar facet joint injections
  • Facet joint medial branch RF ablations
  • Lumbar discograms
  • Percutaneous lumbar discectomies
  • Endoscopic transforminallumbar discectomies
  • Lumbar sympathetic plexus RF ablations
  • uperior hypogastric plexus neurolysis

Sacral Procedures


  • Sacro Iliac joint injections
  • Coccydynia injections
  • Piriformis injections
  • Lateral femoral cutaneous nerve blocks



    • Trigger point injections
    • Intraarticular joint injections
    • Knee joint genicular nerve RF ablations
    • Carpal Tunnel Injections
    • Tennis elbow / Golfer’s elbow injections
    • Platelet Rich Plasma (PRP) injections
    • Visco supplementations

Advanced Pain Interventions


  • Radio frequency treatments
  • Spinal Cord Stimulators
  • Intrathecal pumps
  • Vertebroplasty / Kyphoplasty
  • Radio frequency treatments

Radio frequency treatments are used to relieving pain in the affected part of the body. Earlier, nerve blocks for pain relief were performed with local anesthetics and steroids and neurolytic agents like absolute alcohol or phenol. The duration of pain relief was limited with these blocks. Presently radio frequency ablation of the correct nerves is performed under image guidance. The advantages of radio frequency treatment include accurate placement of nerve blocks, more safety and longer durati on of pain relief. [read more=”Read more” less=”Read less”]RF treatment for pain is the standard of care in all western countries now. This treatment is available at Synapse Pain & Spine Clinic. They are performed by trained pain physicians in a safe and effective manner. All RF procedures are minimally invasive day care procedures performed under local anesthesia or IV sedation. Open surgery and its complications can be avoided by using these radio frequency treatments. Most insurance companies cover this treatment.

  • Spinal Cord Stimulators

Spinal Cord Stimulators are used for treating long standing nerve related pain. This
involves placing an stimulating electrode in the epidural space to block pain signals. This treatment is very effective in patients who have undergone previous spine surgeries and are still having persistent back pain. Failed back surgery patients will benefit from spinal cord stimulator implantation.

  • Intrathecal pumps

Intrathecal pump implantation is placement of a catheter into the spinal cord for continuous delivery of small amount of medication. This is useful in patients who have widespread pain throughout the body. Intrathecal pumps filled with appropriate medication are especially very useful in patients with widespread cancer related pain. They are also useful in patients with spasticity. Your pain physicians will assess you and discuss the requirement for these pumps.

  • Vertebroplasty / Kyphoplasty

Patients with vertebral compression fractures have severe pain. This could be due to osteoporosis or metastasis. Vertebroplasty and Kyphoplasty are procedures that are used in the treatment of compression fractures of the spinal cord. These advanced pain procedures are performed routinely in the Synapse Pain and Spine Clinic. Qualified pain physicians, neurosurgeons are involved in accurate and effective performance of these advanced pain treatments.


Why this Clinic

Best Multidisciplinary Pain Clinic

We have pain physicians, orthopedicians, neuro physicians, physical medicine and 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 overall 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

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.

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 and effectively treated.

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 the long term.

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.