Palliative care is not about giving up. It is about living as well as possible for as long as possible — and when the time comes, dying with dignity, surrounded by family, free from pain. At Eshna Pain & Palliative Centre, we believe that the best place for palliative care is often the patient's own home.

Dr. Anwesha Banerjee and Dr. Neeraj K. Dahiya are both IAPC-certified in Palliative Care (CCEPC). We are among the few specialists in Delhi with dual certification in both Pain Medicine and Palliative Care.

Who Benefits from Home Palliative Care?

•        Advanced cancer (any type, any stage)

•        Organ failure: Advanced heart failure, COPD, chronic kidney disease

•        Neurological conditions: Motor Neuron Disease (ALS), advanced Parkinson's Disease

•        Dementia: End-stage Alzheimer's and vascular dementia

•        Post-stroke disability with severe functional dependence

•        Elderly patients with multiple comorbidities who cannot travel frequently

The Eshna Approach to End-of-Life Care

"Where Compassion Meets Precision." We believe every patient deserves freedom from pain, dignity in dying, family involvement in care decisions, honest compassionate communication, and support not just for the patient but for those who love them.

Frequently Asked Questions – Arthritis Pain Treatment Delhi NCR

Q1. What is arthritis and why does it cause chronic joint pain?

Arthritis is inflammation of one or more joints, causing pain, swelling, stiffness, and reduced range of motion. Osteoarthritis results from cartilage breakdown, while rheumatoid arthritis is an autoimmune condition that attacks joint lining. Both types trigger chronic pain signals that persist even during rest. At Eshna Pain & Palliative Centre, we diagnose the specific type and severity before recommending a personalised pain management plan.

Q2. Which joints are most commonly affected by arthritis in India?

In Indian patients, knee joints are most frequently affected, followed by hip, spine, hand, and shoulder joints. Knee osteoarthritis is particularly prevalent due to squatting habits, prolonged standing occupations, and higher rates of obesity. Our specialists provide targeted treatment for each affected joint rather than a one-size-fits-all approach.

Q3. How is arthritis pain different from normal joint aches?

Arthritis pain is persistent, often worse in the morning with stiffness lasting more than 30 minutes, and progressively worsens over months or years. Normal joint aches from overuse typically resolve within days with rest. Arthritis may also cause joint swelling, warmth, redness, and eventual deformity if untreated. A proper diagnosis with X-ray or MRI is essential to confirm arthritis.

Q4. What non-surgical treatments are available for arthritis pain in Delhi NCR?

Non-surgical options include intra-articular steroid injections, hyaluronic acid (viscosupplementation) injections, Platelet-Rich Plasma (PRP) therapy, radiofrequency ablation of nerve supply to the joint, physiotherapy, and pain medications. Eshna Pain & Palliative Centre specialises in these minimally invasive interventional procedures that reduce pain without surgery.

Q5. What is PRP therapy for arthritis and how does it help?

PRP (Platelet-Rich Plasma) therapy involves drawing a small amount of your own blood, concentrating the growth factors, and injecting them into the arthritic joint. These growth factors promote cartilage repair, reduce inflammation, and improve joint lubrication. PRP is especially beneficial for mild-to-moderate osteoarthritis and can delay or avoid joint replacement surgery.

Q6. What is hyaluronic acid injection and who benefits from it?

Hyaluronic acid (HA) injections, also called viscosupplementation or gel injections, replenish the natural joint fluid that diminishes in osteoarthritis. The injected HA lubricates and cushions the joint, reducing pain and improving mobility. It is most effective for knee osteoarthritis grades 1–3 and provides relief for 6–12 months per treatment cycle.

Q7. Can radiofrequency ablation (RFA) help arthritis knee pain?

Yes. Genicular nerve RFA is a procedure where radiofrequency energy is used to interrupt pain signals from the nerves supplying the knee joint. It is ideal for patients who have moderate-to-severe knee pain from arthritis and are not candidates for or wish to delay knee replacement. The procedure is done under fluoroscopy guidance and provides pain relief lasting 12–24 months.

Q8. When should someone with arthritis consider seeing a pain specialist instead of an orthopaedic surgeon?

You should see a pain specialist when pain is not adequately controlled with medications, when you want to avoid or delay surgery, when multiple joints are affected, or when pain is significantly affecting quality of life. Pain specialists offer interventional procedures like injections and nerve blocks that complement orthopaedic care. Eshna Pain & Palliative Centre works alongside orthopaedic surgeons to provide comprehensive arthritis care.

Q9. Are steroid injections safe for arthritis? How often can they be given?

Corticosteroid injections are safe when administered by a trained specialist under imaging guidance at appropriate intervals. They provide rapid reduction in joint inflammation and pain. However, they should not be given more than 3–4 times per year in the same joint, as frequent injections may weaken cartilage over time. Our specialists carefully plan injection schedules based on each patient's condition.

Q10. What lifestyle modifications help reduce arthritis pain?

Weight management is critical — every kilogram of excess weight adds 4 kg of pressure on the knee joint. Low-impact exercises like swimming, cycling, and yoga strengthen muscles around joints and reduce pain. Anti-inflammatory diet rich in omega-3 fatty acids, turmeric, and antioxidants also helps. Our team provides integrated guidance on exercise, diet, and activity modification alongside medical treatment.

Q11. Can arthritis pain be completely cured?

While there is currently no cure for most forms of arthritis, pain can be effectively managed to restore function and quality of life. With proper interventional pain management, many patients achieve significant pain reduction, improved mobility, and ability to perform daily activities. Early treatment also slows disease progression and may delay the need for joint replacement surgery.

Q12. What is the difference between rheumatoid arthritis and osteoarthritis treatment?

Rheumatoid arthritis (RA) requires disease-modifying antirheumatic drugs (DMARDs) to control the immune system, alongside pain management. Osteoarthritis (OA) focuses on mechanical joint support, weight management, physical therapy, and local joint injections. At Eshna Pain & Palliative Centre, we assess which type of arthritis is present and coordinate with rheumatologists when needed for RA management.

Q13. Is arthritis pain management available for elderly patients?

Yes. Elderly patients often have multiple health conditions that limit surgical options and some medications. Our pain specialists are experienced in treating elderly patients safely using minimally invasive procedures, adjusting medication doses, and focusing on improving functional independence and comfort. We also offer home palliative care consultations for elderly patients with severe arthritis who have difficulty travelling.

Q14. How many sessions of physiotherapy are needed for arthritis?

The number of physiotherapy sessions depends on the severity of arthritis, the joints involved, and the patient's age and fitness level. Most patients benefit from 10–20 supervised sessions combined with a home exercise programme. Physiotherapy is most effective when combined with pain interventions — reducing pain first allows patients to engage more effectively in rehabilitation exercises.

Q15. How do I book an arthritis pain consultation at Eshna Pain & Palliative Centre?

You can book an appointment by calling us or visiting our website at www.eshnapaincare.com. We offer consultations at our pain clinic in Delhi NCR and also conduct quarterly charitable pain camps for underprivileged patients. Our specialists will review your medical history, imaging reports, and symptoms to recommend the most appropriate arthritis pain management plan for you.