Medically Reviewed By: Dr. Samiullah Kundi, MD, Board-Certified Physician
Disclaimer: This information is for educational purposes only and does not replace professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider regarding any medical condition or health concerns.
Waking up shouldn’t involve a mental calculus of how much your body is going to hurt today. But when chronic pain is in the driver’s seat, it does more than just cause physical aches. It shrinks your world. It dictates your schedule and zaps your energy before breakfast.
We get it. At Indiana Neurology and Pain Center (INPC), we see how incredibly frustrating it is to jump through hoops, try a dozen different therapies, and still end up right back at square one. Frankly, you are probably sick of hearing people tell you to just “manage” it. You just want your life back.
Instead of throwing more pills at the surface symptoms, our approach digs deeper. We focus on finding real pain solutions that track down the actual source of your discomfort.
Rethinking How Pain Gets Treated
Here is the problem with standard care: it usually treats pain like it’s the actual disease. Most of the time, it is just a symptom of something much deeper going awry.
Think about your nervous system like your house’s security alarm. If you sprain your ankle, the alarm blares—and that’s totally normal. It tells you to stop walking on it. However, with issues like spinal stenosis, severe sciatica, or neuropathy, the internal wiring itself takes a hit. The alarm gets stuck in the “on” position, ringing 24/7 even when there is no new injury.
Muffling that alarm with systemic medications isn’t true relief. Real relief means locating the exact wire that crossed and repairing the connection. By blending interventional medicine with advanced neurology, we pinpoint exactly what’s generating those signals and shut the alarm off for good.
Seeing the Problem Clearly: Advanced Diagnostics
You simply cannot fix what you cannot accurately see. Before recommending a single injection or physical therapy regimen, we have to know what is happening under the skin.
We use tools like Electromyography (EMG) and Nerve Conduction Studies (NCS) to map out how your nerves and muscles are talking to each other. That can help devise the best pain solution for the individual case. Here is a quick look at how our specialists track down the root cause of your symptoms:
| Scan Type | What It Actually Is | What It Shows Best | Why We Use It |
|---|---|---|---|
| X-Ray | A fast, foundational imaging test. | Bones and joints. | To check for spinal alignment or fractures. |
| MRI | A scan using powerful magnets. | Soft tissues, like spinal discs and ligaments. | To spot a herniated disc or a trapped nerve root. |
| CT Scan | A 3D X-ray that takes cross-sectional pictures from multiple angles. | The exact shape of your bones and the size of your spinal canal. | To see if the space around your spinal cord is getting too narrow. |
| EMG / NCS | A specialized test measuring the electrical activity in your nerves and muscles. | How well your nerves are actually communicating with your muscles. | To find out exactly which nerve is pinched, where it is trapped, and how badly it is damaged. |
Highly Targeted Pain Solutions
Guesswork has no place in medicine. Once that diagnostic map shows us exactly what is misfiring, we customize a strategy for your specific anatomy.
The primary objective? Maximize how well you can move while drastically cutting down on daily medications. To do that, we rely on highly specialized pain management solutions:
Precision Interventional Procedures
When ice packs, rest, and basic physical therapy hit a brick wall, image-guided procedures bridge the gap. Our physicians use advanced fluoroscopy to guide treatments right to the angry nerve with absolute pinpoint accuracy.
- Epidural Steroid Injections: Got a herniated disc pinching a nerve? We can deliver potent anti-inflammatory medication straight into the epidural space of your spine. This flushes out the swelling and takes the mechanical pressure off the nerve root fast.
- Radiofrequency Ablation (RFA): For persistent, chronic lower back or neck pain, RFA is often a complete game-changer. We use targeted thermal energy to temporarily quiet the specific nerve fibers transmitting those pain signals from your facet joints up to your brain.
- Diagnostic Nerve Blocks: Think of these as a test run. We interrupt pain signals along very specific pathways. If the injection instantly stops your pain, we have found the culprit—and now we can plan a permanent fix.
- Targeted Joint Injections: Living with severe osteoarthritis? Localized treatments can quickly calm the internal joint inflammation so you can actually bend and move your knees or shoulders again.
A Clinical Team That Actually Listens
Deciding who handles your spine and nerve care is a massive deal. At INPC, our entire practice relies on absolute transparency, rigorous safety protocols, and medicine as reliable pain solutions.
We actually sit down with you and translate those confusing diagnostic results into plain English. We will lay out every option on the table, explain the science backing them, and tell you what results you can realistically expect. You stay squarely in the driver’s seat of your own healthcare.
Take the Next Step Toward Recovery
Dr. Samiullah Kundi
Pain medicine & Neurologist
Dr Kundi is a board-certified neurologist with rigorous medical training and pain management expertise. Mr. Kundi has been certified by the American Board of Pain Medicine (ABPM), American Board of Psychiatry and Neurology (ABPN) – Clinical Neurophysiology American Board of Integrative Holistic Medicine (ABIHM), and American Board of Psychiatry and Neurology (ABPN) – Neurology. Dr. Kundi’s vision of serving people with neurological pain has led to the establishment of the Indiana Neurology and Pain Management Centre.
Frequently Asked Questions
That heavily depends on your specific insurance plan. Some require a heads-up from your primary care doctor first, but plenty of others let you book directly with our specialists. Give the office a quick call so we can verify your coverage. After that, our digital intake pipeline makes getting started totally seamless.
Absolutely not. We actively want to lower your reliance on daily medications. Our clinical approach leans heavily on interventional procedures—like radiofrequency ablation and precise nerve blocks—to tackle the root cause for lasting relief.
It varies by procedure. A diagnostic nerve block might give you intense relief before you even walk out of the clinic doors. On the other hand, something like an epidural steroid injection usually takes about three to seven days for the medicine to fully calm the inflamed nerve root.
It is surprisingly minimal. These are all done right here in the clinic, and you head home the same day. With Radiofrequency Ablation, you might feel a bit of localized soreness for a day or two, but most folks bounce right back to light daily routines within 48 hours.
When physical therapy doesn’t work, it is usually a giant red flag that a deeper neurological roadblock is getting in the way. We use our advanced diagnostics to figure out what is stuck. Once a precise intervention calms that angry nerve pathway, you will likely find that physical therapy suddenly works wonders.