In India, the journey of a patient with low back pain (LBP) often begins at the wrong end of the medical spectrum. While international standards—like those in the UK or Australia—rely on a strong foundation of primary care, the Indian healthcare landscape currently operates on an “Upside-Down Pyramid.”
At Indo British Advanced, we are committed to correcting this imbalance by introducing Multidisciplinary Team (MDT) models and Multimodal Treatment Protocols that put the patient’s long-term recovery ahead of immediate, often unnecessary, surgical intervention.
“Summery (TL;DR):
India’s back pain treatment system is often reversed—patients go straight to surgeons instead of starting with primary care. This leads to unnecessary scans, anxiety, and even avoidable surgeries. A better approach is a Multidisciplinary Team (MDT) model, where GPs, physiotherapists, pain specialists, and psychologists work together before surgery is considered.
Most back pain cases can be managed with early diagnosis, guided physiotherapy, and non-surgical treatments. MRIs are often overused and not always needed in the early stages. The goal is simple: right treatment at the right time, focusing on long-term recovery, not quick surgical fixes. “
In Western healthcare systems, the General Physician (GP) and community physiotherapist form the “Bottom of the Pyramid.” They manage 80-90% of back pain cases through localized medical management and exercise.
The “Silo” Trap : Once with a surgeon, the conversation naturally leans toward imaging (MRIs) and surgery, often bypassing the critical middle layers of care.
Neglected Grassroots : General physicians at the grassroots level are frequently under-equipped to provide the specialized conservative care or psychological screening required for chronic pain.
To provide world-class care, we must move away from “Siloed Medicine” and toward a Multidisciplinary Team (MDT). At Indo British Advanced, our action group integrates:
Pain Physicians : Intervening with precision (like nerve blocks or RF ablation) only when conservative care hits a plateau, to “open a window” for rehabilitation.
Neurology & Neurosurgery : The “Capstone” of the pyramid. Surgeons are consulted only when “Red Flags” (nerve damage or structural instability) are present or when all other multimodal paths have been exhausted.
The gap in Indian care isn’t a lack of talent; it’s a lack of structure.
Lack of Relevant Referrals: We lack a clear pathway that moves a patient from a GP to a Pain Physician before they reach the operating table.
We believe that surgery should be the final destination, not the first stop. Our protocols focus on :
Combined Therapies : Using pharmacological management, targeted injections, and behavioral therapy simultaneously to attack pain from all angles.
Back pain management in India is changing. By building a strong foundation of grassroots care and relevant specialist referrals, we ensure you get the right treatment at the right time.
MBBS, DA, FRCA (UK), FFPMRCA (Pain Medicine, RCOA, UK)
CCT (Anesthesiology And Pain Management)
Neuromodulation & Advanced Pain Research Fellowship (London), MBA (HM)
Join our mailing list to get updates about our services and procedures or any events and discounts.
Banjara Hills
2nd Floor, 284/A, Road No. 12, above IDFC First Bank, near Omega hospitals, MLA Colony, Banjara Hills, Hyderabad, Telangana 500034.
Indo-British Advanced Pain Clinic © 2026. All Rights Reserved. Designed & Developed By Adroit
