Pain Management and Palliative Medicine

Integrating Compassionate Care Across All Specialities

Palliative Medicine holds vital relevance across every department and must be seamlessly integrated into the overall plan of care. Its scope is vast, inter-disciplinary and rooted in collaboration—uniting healthcare professionals to develop personalised care plans tailored to each patient’s unique needs and preferences.

A Holistic Approach to ‘Total Pain’

Palliative care addresses the concept of ‘Total Pain’—a transformative, patient-centred approach that goes beyond physical symptoms to include emotional, psychosocial, and spiritual distress. It acknowledges not just the patient but also supports family members, caregivers, and loved ones, redefining the essence of healing with compassion.

Patients with complex, serious or life-limiting illnesses are more than their diagnoses—they are individuals with values, beliefs, experiences and challenges. This depth of need demands a holistic approach to care that complements conventional treatment, alleviates suffering, and enhances quality of life.

Early Integration for Better Outcomes

Contrary to popular belief, Palliative Care is not limited to End-of-Life care. It is a continuum of care that begins at the time of diagnosis and extends through Disease Directed Treatment, Terminal illness, End-of-Life Care, Death and into Bereavement Care for families. Early integration improves patient comfort, supports better decision-making, and enhances the effectiveness of other medical interventions.

Palliative Care Is a Right-for All Men and Women, Children and the elderly, Persons with disabilities, Hospitalised or chronically ill individuals.

Palliative Care has:

Wide scope of services
Multiple benefits
Delivered by a Multi-speciality, Interdisciplinary team

Benefits of Palliative Care

We offer robotic-assisted procedures across a wide range of specialities, including:

Cost-effective, value-added specialised service

Comprehensive psychosocial support for patients and families

Interdisciplinary team approach for holistic care

Responsible use of opioids for optimal symptom relief

Management of pain and distressing symptoms (fatigue, nausea, chronic breathlessness, appetite loss) in both cancer and non-cancer conditions

Scope of Services

Pain is one of the most distressing symptoms in serious illnesses. Our team uses:

Pharmacological therapies, including analgesics and adjuvant medications tailored to the individual.
Opioid titration and rotation for optimal pain relief with minimal side effects.
Interventional procedures, such as nerve blocks or spinal analgesia, for complex pain syndromes.
Non-pharmacological methods, including relaxation techniques, physiotherapy, and mindfulness.

Our Pain Management and Palliative Care Department is dedicated to improving the quality of life for patients suffering from acute, chronic, cancer-related, or life-limiting pain. We combine interventional pain techniques with holistic palliative care to manage physical, emotional, and psychological distress-ensuring patient comfort at every stage of illness.

Comprehensive management of chronic or malignant wounds, pressure ulcers, and surgical sites.
Treatment of oral and gastrointestinal mucositis common in cancer patients undergoing chemotherapy or radiation.
Stoma education and care for patients with colostomies, ileostomies, or urostomies, focusing on hygiene, psychosocial adjustment and complication prevention.

Assessment and rehabilitation plans for patients with neurological, oncological, or age-related dysphagia.
Techniques to improve safety and comfort in feeding, including dietary modifications and swallow therapy.
Preventing aspiration and ensuring adequate nutrition and hydration.

Use of low-dose opioids, oxygen therapy and nebulisation for symptom control.
Non- Pharmacological strategies to improve comfort.
Addressing underlying causes such as pleural effusion or pulmonary fibrosis in collaboration with primary teams.

Holistic care for persistent symptoms such as fatigue, insomnia, nausea, vomiting, anorexia, constipation, and delirium.
A tailored symptom-control plan using both medications and supportive therapies.
Regular review and adjustment based on disease progression and patient feedback.

Specialised nutrition plans for patients with cachexia, poor appetite, swallowing difficulties, or malabsorption.
Use of enteral or parenteral nutrition in select cases with quality-of-life focus.
Collaboration with dietitians for culturally sensitive and patient-preferred meal planning.

Emotional and psychological support to reduce distress, anxiety and depression.
Family and caregiver counselling to navigate illness, treatment decisions and End-of-Life decision discussions.

Addressing the complex needs of elderly patients with multiple comorbidities.
Emphasis on functional independence, prevention of hospital readmissions, and dignity in ageing.
Coordination with geriatricians for falls prevention, cognitive support and safe medication use.

Discussions about patient values, treatment preferences and healthcare proxies.
Documentation of advance directives or living wills.
Educating families about treatment options and realistic outcomes to support shared decision-making.

Symptom relief and comfort-focused care during the terminal phase of illness.
Emotional and spiritual presence for the patient and family in the final days.
Bereavement support services post-death, including grief counselling and memorial support.

Conditions We Treat

We provide individualised treatment plans for a wide range of pain-related conditions, including:

Chronic & Neuropathic Pain

Back pain, fibromyalgia, sciatica, peripheral neuropathy, trigeminal neuralgia, phantom limb pain.

Joint & Musculoskeletal Disorders

Osteoarthritis, rheumatoid arthritis, spondylolisthesis, myofascial pain syndrome, whiplash.

Headaches & Facial Pain

Migraines, cluster headaches, trigeminal neuralgia.

Cancer & Treatment-Related Pain

Cancer pain, mucositis, pancreatic cancer pain, radiation- or chemotherapy-induced pain.

Vascular & Haematologic Disorders

Sickle cell disease-related pain, CRPS, vascular pain syndromes.

Spinal Conditions

Degenerative disc disease, spinal stenosis, vertebral compression fractures, failed back surgery syndrome.

Infectious & Post-Surgical Pain

Osteomyelitis, shingles (herpes zoster), postoperative pain, hernia-related pain.

Gastrointestinal & Pelvic Pain

Chronic pancreatitis, endometriosis, interstitial cystitis, chronic pelvic pain syndrome.

Interventional Pain Procedures

Our Interventional Pain Centre offers advanced procedures performed by experienced specialists, including:

Spinal & Joint Injections

Epidural steroid injections, facet joint injections, sacroiliac joint blocks.

Nerve Blocks & Ablation

Medial branch blocks, sympathetic nerve blocks, nerve root blocks, radiofrequency ablation (RFA).

Minimally Invasive Therapies

Vertebroplasty and kyphoplasty for spinal fractures, discography for discogenic pain evaluation.

Trigger Point & Soft Tissue Injections

Targeting muscle knots and myofascial trigger points to relieve localised muscle pain.

Neurolytic & Advanced Therapies

Chemical neurolysis for long-term relief in select chronic pain conditions.

Why Choose Us?

Multidisciplinary team of Pain Specialists, Palliative Care Physicians, Psychologists Physiotherapists, Oncologists, Anaesthetists, Critical Care Experts, etc.
Focus on quality of life, not just symptom control.

Personalised care plans based on patient goals and functional outcomes.
Holistic approach combining medical treatment, emotional support, and rehabilitative strategies.

Meet Our Doctors

Dr. Lata J Patil