Living with intense pain can feel isolating. When it disrupts every aspect of your life, from work to family time, it’s easy to feel hopeless. Many of our patients come to us feeling exactly this way. But you don’t have to live like this. Finding the right local pain doctor therapy near me is a crucial first step toward getting your life back. At Kentuckiana Pain Specialists, our team, led by Dr. Ajith Nair, is dedicated to finding real solutions for your acute or chronic symptoms, not just temporary fixes.
If you can’t make it through the day because of chronic pain, it might be time to talk to a pain management specialist about your situation. The goal is not only to find solutions for immediate relief but also to get to the root issues so you can avoid pain and discomfort in the future.
Dr. Ajith Nair is a local pain management expert that you can trust. Whether your primary care physician has referred you or you are looking for solutions on your own, it is time to schedule an appointment with Dr. Nair.
Finding the Right Doctor for Your Pain
When you’re dealing with persistent pain, figuring out who to see can feel overwhelming. The medical world is full of specialists, and it’s not always clear where to begin. The key is to find a professional who not only understands the type of pain you’re experiencing but also offers a comprehensive approach to managing it. Your journey to relief starts with knowing your options and finding the right expert to guide you. Let’s walk through the typical path patients take and the different types of doctors who can help you get your life back.
Start with Your Primary Care Physician
Your primary care physician (PCP) is almost always the best first stop on your path to pain relief. They know your overall health history, which gives them a solid foundation for diagnosing your pain. Your PCP can handle common issues, prescribe initial medications, or recommend physical therapy. If your pain is more complex or doesn’t improve with initial treatments, they will play a crucial role in referring you to the right specialist. Think of your PCP as your trusted starting point who can help direct you to the specialized care you need to effectively address the root cause of your discomfort.
Understanding Different Pain Specialists
If your pain is severe, long-lasting, or isn’t getting better, it’s time to see a specialist. Pain management specialists, like our team at Kentuckiana Pain Specialists, have advanced training in diagnosing and treating all types of pain conditions. We use a wide range of methods, from medication management to minimally invasive procedures like epidural steroid injections and radiofrequency ablation. Unlike other specialists who focus on one part of the body, a pain management doctor looks at the big picture to create a personalized treatment plan. However, depending on your specific symptoms, you might also be referred to other experts.
Orthopedic Surgeons
If your pain is located in your bones, joints, muscles, or ligaments, an orthopedic surgeon might be the right fit. They specialize in the musculoskeletal system and treat conditions like arthritis, fractures, and sports injuries. While their title includes “surgeon,” they often provide non-surgical treatments as well. They are the experts to see for issues directly related to joint pain or structural problems in your body.
Neurologists
When pain stems from the nervous system, a neurologist is the specialist to consult. They diagnose and treat conditions affecting the brain, spinal cord, and nerves. If you’re experiencing issues like chronic migraines, nerve damage, or radiating pain like sciatica, a neurologist can help pinpoint the source. Their expertise is essential for pain that has a neurological origin.
Rheumatologists
Rheumatologists focus on autoimmune and inflammatory conditions that affect the joints, muscles, and connective tissues. If your pain is caused by diseases like rheumatoid arthritis, lupus, or fibromyalgia, a rheumatologist can provide a diagnosis and manage your condition with specialized medications and therapies. They are experts in systemic diseases that cause widespread pain and inflammation.
Physiatrists (PM&R Doctors)
Physiatrists, also known as Physical Medicine and Rehabilitation (PM&R) doctors, concentrate on restoring function and improving quality of life without surgery. They are experts in creating comprehensive rehabilitation plans, especially after an injury or for those with chronic conditions. Their goal is to help you regain mobility and reduce pain through methods like physical therapy and other non-invasive treatments.
Why a Team Approach Matters
Treating chronic pain is rarely a one-person job. Because pain can be complex and affect multiple aspects of your life, the most effective approach is often a collaborative one. This might involve your PCP, a physical therapist, and a pain management specialist all working together. At Kentuckiana Pain Specialists, Dr. Ajith Nair often serves as the central point of this team, coordinating care and offering advanced treatments and procedures that complement the work of other doctors. This team-based strategy ensures all aspects of your pain are addressed, giving you the best possible chance for long-term relief.
Dr. Nair: Combating the Opioid Crisis with Pain Management
The most traditional approach in Western medicine is to use medications to mask the pain symptoms. While there is a time and place for using pain prescriptions, the constant use of these medications can lead to other complications such as dependency or addiction.
Dr. Nair is working to combat the current opioid crisis by offering alternative solutions to these traditional pain management treatment plans. In a pain management clinic, patients are educated about the various treatment options, including palliative, integrative, and holistic methods for relief.
Dr. Nair has board certification in integrative medicine and interventional pain management. He is one of the most well-known pain pump implanters in the Louisville region.
Our team is stepping out of the box, offering a unique approach for every patient. We have a history of success in helping people overcome their pain and enjoy their fullest lives possible.
A Personalized Approach for Every Patient
One of the notable benefits of visiting with Dr. Nair is that you have a doctor who dedicates time and attention to understanding your unique needs. There isn’t a one-size-fits-all approach to pain management, which is why it’s important that your doctor works through diagnostics and a personalized treatment plan with every patient.
The goal is to work with the individual’s lifestyle and activities, helping to improve the quality of life as much as possible.
Sometimes, it’s not possible to eliminate the pain completely. But reducing the symptoms improves the overall outlook and the patient’s ability to participate in home responsibilities, work activities, hobbies, and more.
Pain management is more than helping you find immediate relief. Dr. Nair is continuously focusing on the long-term results and future outlook.
Services Overview: Dr. Nair and the Team at Kentuckiana Pain Specialists
From the moment you walk through the door, an experienced, professional staff offering top-notch care will greet you. Dr. Nair can assist with a full range of pain conditions, including neck pain, joint pain, back pain, arthritis, autoimmune conditions, headaches, and more.
The treatment modalities vary depending on the needs of each patient. Options include:
- Intrathecal pain pump implants
- Spinal cord stimulation
- Acupuncture
- Radiofrequency ablation
- IV nutrition therapy
If you feel like your life is being taken over by pain, then it’s time to meet with us to explore the different treatment options. Our comprehensive approach combines the best holistic solutions and alternative therapies to produce the results you deserve.
These natural remedies reduce a person’s dependence on medications (either over-the-counter or prescription) to get through the day. In addition, we offer low-risk treatment options to reduce pain and improve overall function, resulting in long-term relief and immediate benefits.
What Are Opioids and When Are They Used?
When you’re dealing with significant pain, your doctor might discuss prescribing opioids. Opioids are a class of strong pain-relieving medicines, like morphine, that work similarly to your body’s natural pain relievers, called endorphins. They are typically used to treat moderate to severe pain, often after surgery or an injury, or for pain related to certain health conditions. While they can be very effective for short-term pain, their use for chronic pain is more complex and requires careful management. The goal is always to use the lowest effective dose for the shortest time possible to minimize risks while providing necessary relief.
Long-Acting vs. Short-Acting Opioids
Opioids generally come in two main forms, and your doctor will choose one based on the type of pain you’re experiencing. Long-acting, or slow-release, opioids are usually taken on a regular schedule, such as once or twice a day. These are designed to manage constant, “background” pain by providing a steady level of medication in your system. In contrast, short-acting, or immediate-release, opioids work more quickly and are taken as needed for “breakthrough” pain—sudden, intense flare-ups that occur despite your regular pain management plan. Understanding the difference helps you use your medication correctly and effectively.
The Risks of Long-Term Opioid Use
While opioids can be a crucial tool for managing pain, using them for an extended period comes with significant risks that you and your doctor must carefully weigh. Over time, your body can change how it responds to the medication, leading to several potential complications. This is why a comprehensive pain management strategy often includes non-opioid treatments to reduce reliance on these powerful drugs. Exploring advanced options like an intrathecal pain pump implant can provide targeted relief with a lower dose of medication, offering a safer long-term alternative for many patients.
Tolerance
One of the primary concerns with long-term opioid use is developing tolerance. This happens when your body gets used to the medication, and the same dose no longer provides the same level of pain relief. As tolerance builds, you might feel the need for a higher dose to manage your pain, which can increase the risk of side effects and other complications. It’s a natural physiological response, but it’s a key reason why your doctor will monitor your dosage and treatment plan so closely.
Physical Dependence
It’s important to understand that physical dependence is not the same as addiction. If you take opioids for an extended period, your body will likely become physically dependent on them. This means your body has adapted to the presence of the drug, and you would experience withdrawal symptoms—like sweating, nausea, or anxiety—if you were to stop taking it suddenly. This is an expected outcome of long-term use and is managed by slowly tapering off the medication under a doctor’s supervision.
Addiction
Addiction, or psychological dependence, is a less common but more serious risk. It involves compulsive drug use despite harmful consequences, cravings, and an inability to control use. While most people who take opioids as prescribed do not become addicted, the risk increases with long-term use. Factors like personal or family history of substance abuse can also play a role. Open and honest communication with your doctor is essential for monitoring for any signs of addiction and ensuring your treatment plan remains safe and effective.
Safety Guidelines for Taking Opioids
If you are prescribed opioids, following safety guidelines is crucial for protecting your health and well-being. These medications are powerful, and using them correctly minimizes risks and maximizes their benefit. Always take your medication exactly as prescribed by your doctor—never take more than your recommended dose or take it more frequently. It’s also vital to communicate openly with your healthcare team about how the medication is affecting you, including any side effects or concerns you may have. Your safety is the top priority, and these rules are in place to help you manage your pain responsibly.
Never Stop Suddenly
One of the most important rules is to never stop taking opioids abruptly. If your body has become physically dependent on the medication, stopping suddenly can trigger unpleasant and sometimes dangerous withdrawal symptoms. If you and your doctor decide it’s time to reduce your dose or stop the medication, they will create a tapering plan. This involves gradually decreasing your dose over time, allowing your body to adjust slowly and minimizing the discomfort of withdrawal.
Avoid Alcohol and Driving
Opioids can cause drowsiness and impair your judgment and coordination, which is why you should be extremely cautious about certain activities. You should avoid driving or operating heavy machinery until you know how the medication affects you. It is also critical to avoid alcohol while taking opioids. Mixing alcohol with these medications can dangerously increase their sedative effects, leading to severe drowsiness, respiratory depression, and potentially an overdose. Always check with your doctor or pharmacist before taking any other medications that cause drowsiness.
Proper Storage and Disposal
Safely storing your medication is essential to prevent accidental ingestion by children, pets, or others in your home. Keep your opioids in their original packaging and store them in a cool, dry, and secure location, like a locked cabinet, where others cannot access them. When you no longer need the medication, it’s equally important to dispose of it properly. Ask your pharmacist about local take-back programs or for instructions on how to safely dispose of unused pills to prevent them from being misused.
Common Side Effects of Opioids
Like any medication, opioids come with potential side effects. Some of the most common ones include constipation, nausea, dry mouth, and drowsiness. While these are often most noticeable when you first start the medication, they can persist. It’s important to let your doctor know about any side effects you experience, as there are often simple ways to manage them. For example, your doctor might recommend a stool softener for constipation or an anti-nausea medication. Don’t hesitate to contact our office with any questions; open communication ensures we can adjust your treatment plan to keep you as comfortable as possible.
Masking the Pain vs. Addressing the Root Cause
The main difference between a pain management clinic and the services you receive from a primary care physician is that Dr. Nair treats the whole person to address the root cause instead of simply masking the pain with medication.
There’s no question that chronic pain can be challenging. Diagnosis is complex, and treatment results can vary depending on the patient.
Standard treatment using prescription pain medications might cover up the pain temporarily. But the medication wears off after a few hours, resulting in pain receptors being activated again, so the patient needs to take more medication. Unfortunately, this cycle leads to drug addiction and complications.
On the other hand, pain management is the process of breaking it down to the root of the issue, as well as a holistic approach to treating the individual as a whole. As a result, relief is possible without the need to depend on prescriptions to hide the symptoms.
Advanced Neurostimulation Therapies
When other treatments haven’t provided the relief you need, advanced options like neurostimulation can be a game-changer for chronic pain. This approach uses gentle electrical impulses to interrupt pain signals before they reach your brain, effectively turning down the volume on your discomfort. Instead of just masking symptoms, therapies such as Spinal Cord Stimulation (SCS) work directly with your nervous system to provide lasting relief for conditions that haven’t responded to conventional methods. Because these therapies are highly specialized, they require a doctor with specific training in interventional pain management. A specialist can properly assess your condition to determine if you are a good candidate and will tailor the treatment to your unique pain source. If you’re dealing with persistent pain, discussing your symptoms and whether neurostimulation is right for you is a crucial step toward finding a long-term solution.
Is Pain Management Right for You?
If you are searching online for pain management near me, it’s likely that you are desperate to find solutions that work. You don’t have to continue living in pain every day of your life! It’s time to talk to a pain management expert to learn more about potential treatment options.
Here are a few benefits that come from pain management services:
- Regain Control of Your Life: Chronic pain can make you feel like you have no control over your function or daily activities. When the pain flares, it stops all activities because you can’t think about anything other than the symptoms. Alleviating the pain puts you back in the driver’s seat so you can enjoy life to the fullest.
- Minimizing Complications: Many potential side effects are associated with the ongoing use of medications (both prescription and over-the-counter). Not only is there a high risk of addiction or dependence, but these medications can damage the liver and other major organs. Pain management reduces the need for drugs, which minimizes the risk of these complications.
- Customized Approach: Every patient receives one-on-one attention from Dr. Nair. Diagnosis is the first step, followed by a detailed treatment plan that is catered to your unique needs. Unlike primary care physicians that spend 5 or 10 minutes with each patient, Dr. Nair is happy to offer the time and attention you deserve.
- Holistic Solutions: Our pain management team strives for whole-body healing instead of only covering up the physical solutions. These treatments help reestablish balance, offering physical and mental health benefits.
How to Prepare for Your Appointment
Walking into a new specialist’s office can feel a little daunting, but a bit of preparation can make a huge difference. To help Dr. Nair get a full picture of what you’re experiencing, try to gather a few things before your visit. This includes a list of your current medications, any previous treatments you’ve tried, and relevant medical records. It’s also incredibly helpful to think about your pain story: when did it start, what does it feel like, and what makes it better or worse? To make your visit as smooth as possible, you can also complete necessary patient forms ahead of time. Don’t forget to jot down any questions you have—no question is too small when it comes to your health.
Understanding Patient Ratings and Reviews
When you’re looking for a new doctor, checking out patient reviews is one of the smartest things you can do. It gives you a glimpse into what you can expect from the clinic’s atmosphere and the doctor’s approach. Look beyond just the star ratings and see what people are actually saying. Do they feel listened to? Is the staff described as friendly and supportive? Does the doctor take the time to explain treatment options clearly? These details can tell you a lot about the quality of care you’ll receive. We encourage you to read testimonials from our patients to see how Dr. Nair and our team have helped others find relief and regain their quality of life.
Pain Management Near Me: Call for a Consultation
Are you ready for pain relief? Then it’s a great time to book a consultation with a local expert: Dr. Nair. Simply reach out to our office to schedule an appointment. You can meet with our team, then decide if it’s the right fit to move forward with treatment services.
Kentuckiana Pain Specialists has an excellent reputation, with years of history serving families in the Louisville, Kentucky, area. Our comprehensive pain management services are excellent for people of all ages. Call our office at your convenience. We are always here to help: (502) 995-4004.
Frequently Asked Questions
How is a pain management specialist different from my primary care doctor? Think of your primary care physician as your trusted starting point for your overall health. A pain management specialist like Dr. Nair, however, has dedicated years to advanced training focused solely on diagnosing and treating the complex sources of pain. We create comprehensive, long-term strategies that go beyond initial prescriptions, using specialized procedures and therapies that your regular doctor doesn’t typically offer.
Do I need a referral to schedule an appointment? While many of our patients are referred by their primary care doctors, a referral is not always required. If you’re dealing with persistent pain and feel you’ve run out of options, you are welcome to contact our office directly. We can help you determine the next steps and work with you on any insurance requirements.
I’m worried about becoming dependent on pain medication. What other treatments do you offer? This is a completely valid concern, and it’s one we take very seriously. Our entire approach is designed to find effective solutions that reduce or eliminate the need for long-term opioid use. Dr. Nair specializes in a wide range of alternatives, from targeted injections and radiofrequency ablation to advanced therapies like spinal cord stimulation, all aimed at addressing the source of your pain for lasting relief.
What can I expect during my first consultation? Your first visit is dedicated to understanding your unique pain story. Dr. Nair will spend quality time listening to your experience, reviewing your medical history, and performing a thorough physical examination. The main goal is to pinpoint the root cause of your discomfort so we can start building a personalized treatment plan that fits your life and goals.
When should I see a pain management specialist instead of another type of doctor, like an orthopedic surgeon? While specialists like orthopedic surgeons are experts on specific body parts, a pain management doctor is the right choice when your pain is complex, chronic, or not improving with other treatments. We look at the bigger picture, especially when pain involves the nervous system or affects multiple areas of your body. Dr. Nair often serves as the central point of your care team, ensuring every aspect of your condition is addressed.
Key Takeaways
- A pain specialist provides a big-picture solution: They coordinate your care and look beyond isolated symptoms to create a comprehensive treatment plan that addresses the true source of your pain.
- Lasting relief often comes from non-opioid treatments: Explore advanced options like spinal cord stimulation or radiofrequency ablation that work to interrupt pain signals, reducing your reliance on medication.
- You are a key part of your treatment team: Preparing for your appointment by gathering your medical history and thinking through your pain symptoms allows your doctor to create a more effective, personalized plan for you.
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- What Happens When Your Doctor Refers You to Pain Management?
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- Is Pain Management and Pain Medicine the Same?
Dr. Ajith Nair, MD | Founder & Medical Director, Kentuckiana Pain Specialists
Philosophy: “My mission is to help patients reclaim their lives through advanced interventional pain treatments that minimize opioid dependence and restore mobility.”
– Dr. Ajith Nair
Read more…
Credentials at a Glance
- Board Certifications: American Board of Anesthesiology, American Board of Pain Medicine, American Board of Addiction Medicine, American Board of Physician Specialties (Anesthesiology)
- Medical Degree: Kasturba Medical College, Manipal University, India (1992)
Academic Appointment: Gratis Clinical Assistant Professor of Neurological Surgery, University of Louisville - Hospital Affiliation: University of Louisville Hospital
- NPI Registry: 1295311058,
- Verification link for certification:
American Board of Anesthesiology – Certification Matters
Biography:
Dr. Ajith Nair is a board-certified anesthesiologist and pain-management specialist with more than three decades of experience in interventional pain medicine. As the founder and medical director of Kentuckiana Pain Specialists, he leads a multidisciplinary team dedicated to providing minimally invasive treatments for chronic pain conditions. His approach focuses on precision-targeted therapies that reduce the need for long-term opioid use and improve patient quality of life.
Dr. Nair earned his medical degree from Kasturba Medical College, Manipal University in 1992. He currently serves as a Gratis Clinical Assistant Professor of Neurological Surgery at the University of Louisville, mentoring medical students and residents in interventional pain techniques. His clinical expertise includes spinal cord stimulation, intrathecal pain-pump implantation, and regenerative therapies.
Recognized as one of the leading pain-pump implanters in the Louisville region, Dr. Nair has been featured on WAVE 3 News for his work helping patients reduce their reliance on pain medications through advanced implantable technologies.
Areas of Expertise
- Interventional Pain Management
- Anesthesiology
- Physical Medicine & Rehabilitation
- Spinal Cord Stimulation
- Intrathecal Pain Pumps
- Regenerative Therapies
- Chronic Pain and Back Injury Treatment
Public Reputation & Professional Profiles
- Healthgrades: https://www.healthgrades.com/physician/dr-ajith-nair-ylb28
- Vitals: https://www.vitals.com/doctors/Dr_Ajith_Nair.html
- Healthline: https://care.healthline.com/find-care/provider/dr-ajith-nair-1073515227
- WebMD: https://doctor.webmd.com/doctor/ajith-nair-151c358e-893c-4c45-8efc-287d5ce46d2b-overview
RateMDs: https://www.ratemds.com/doctor-ratings/371931/Dr-Ajith-Nair-Louisville-KY.html - Healthcare4PPL: https://www.healthcare4ppl.com/physician/kentucky/louisville/ajith-nair-1073515227.html
- Medical News Today: https://connect.medicalnewstoday.com/provider/dr-ajith-nair-1073515227
- University of Louisville Profile: https://louisville.edu/medicine/departments/neurosurgery/ajith-nair
Media Recognition
- WAVE 3 News: “Ditching Pain Pills for the Pump” (2018) – coverage of Dr. Nair’s leadership in targeted drug-delivery therapy https://www.wave3.com/story/36815760/tonight-at-11-ditching-pain-pills-for-the-pump/
MarketersMedia: Louisville Pain-Management Pump Implant Services Launch (2018) https://news.marketersmedia.com/louisville-ky-pain-management-intrathecal-pump-implant-services-launched/88997667