In the present competitive and informative era, the number of people who experience pain is striking. With the increasing screen time of mobile and laptop usage, non-nutritive food intake and less amount of sleep—there has been a cumulative effect on the pain conditions among people, such as slip disc or spondylitis, namely cervical spondylitis or lumbar spondylitis.
To get people’s pain under control, Dr. Gaurav Paiwal, the director of Dr. Paiwal’s Spine and Joint Pain Physiotherapy clinic, understands that sometimes prescription drugs or other conventional treatments aren’t enough. This adds a new scope at Dr. Paiwal’s clinic for easing pain through a complementary approach to physiotherapy. Guided by a clear vision, excellent expertise and international-quality equipment, the clinic is redefining Spine and Joint Physiotherapy in India. Through its specialized treatment—Dr. Paiwal’s Rapid Relief Programme, equipped with world-class modalities from France and Germany; the clinic holds the expertise to relieve patients from the chronic spine or joint pain.
Serving since 2007, Dr. Paiwal’s Spine and Joint Pain Physiotherapy Clinic have attained the most qualified and experienced physiotherapists in Udaipur. Through such a strong base, the clinic has managed to avoid over 800 Knee Replacements and 2000 Spine surgeries, becoming the most reputed clinic in the country.
Let’s dive in to learn more about Dr. Paiwal’s clinic and its operations behind.
Dr. Gaurav, kindly brief us about your physiotherapy clinic and the ideas and developments that led to its inception.
In 2007, after completing my graduation from the most prestigious physiotherapy college in the country, Manipal College of Allied Health Sciences, I was offered a job by the most renowned physiotherapist in the country, Dr. Ali Irani, at Nanavati Hospital, Mumbai, on a good package. But, with a vision to create a field for pain physiotherapy and to devise a line of treatment for Neck and Back Pain patients suffering from chronic spondylitis and similar problems in my hometown Udaipur and around, I came back here. The vision was very clear and I wanted to devise a protocol that can heal slipped discs in the lumbar spine or cervical spine and give permanent pain relief to patients plus saving them from Spine surgeries. It took me many years and many degrees to come up with Dr. Paiwal’s Spinal Pain Concepts to give total pain relief to spine pain patients, which is what I am doing now.
What are the key offerings of your clinic, and how are they impacting the demographic concerned?
We are specialists in Spine Pain, Knee Pain, Diabetic Neuropathic Pain and Diabetic Foot Care. In the Spine, we are healing the slipped discs, stenosis of the spinal canal, disc bulges, disc herniations, disc sequestrations, and everything else that can cause pain, tingling, numbness and throbbing in the neck, shoulder, arm, forearm, low back, buttocks, thighs and legs. In Knee pain, we are into the healing of the most common OPD problem: Osteoarthritis and Ligament Injuries, especially Meniscus tear and cruciate ligament tears. Non-healing wounds and pain in the legs are very common in chronic diabetics. We are healing them too. All this is through pure deep penetration physiotherapy treatment via class 4 laser and tecar therapy, which is an international treatment modality, and we use them with our specially set protocol customized to meet the treatment needs of each patient.
Please enlighten us about yourself and your professional milestones so far. What was your inspiration while entering the physiotherapy segment of the healthcare industry?
Well, way back in 2002, when I entered the field, there was no physiotherapist in Udaipur to guide me or offer advice. So, it was tough to choose the field. But I found out a lot via various sources in metros and whatever I could find out through the available internet at that time. Then I was fortunate enough to have been taught by the greatest and most elite spine physiotherapists in the country in my graduation days, namely, Dr. Ramakrishnan Mani and others. They were and are the stalwarts of physiotherapy in the country and molded my direction toward the problem, which had the highest footfall of any orthopaedic or physiotherapy clinic in the country. This is how it started in 2003 when I had terrible back pain without any cause. It was so severe that I wasn’t able to turn around in bed for two days. Those two days in bed and the number of such patients in our Manipal OPD made me go into spine pain concepts.
In contemporary times, effective pain management has become a necessity for most people. How is your clinic meeting this demand efficiently, especially with the use of emerging technological solutions?
Almost everyone feels such pain sometime in their life. For instance, knee pain comes in by the 30s or 40s if any sports injury history is there earlier or in the early 50s in case of no such injury. Pain in such active and responsible years disturbs life a lot. A lot of fear sets in. Fear of pain comes from bad experiences. This is where our role comes in. We are healing it completely. Emerging technological advances have made the line of treatment very effective and long-lasting as compared to what we used to give earlier. Better technology, better penetration, better healing and thus better pain relief for patients.
What has been your approach to solving the increasing prevalence of diabetic neuropathy? How is it revolutionizing the industry?
Diabetic Neuropathy is basically common in geriatric patients with uncontrolled blood sugar levels and with variable and unexplained clinical features like burning, tingling, soreness, tenderness, pricking, and throbbing in the leg and foot with or without a padded sole or a thick sole. Most of the medical management goes around treating symptoms and controlling blood sugar. This is where our specialized physiotherapy protocol comes into play, as we are healing damaged nerves and neurons and promoting the repair of various receptor cells in the legs and feet that are sending abnormal painful sensations to the brain from the damaged nerve sites. This protocol we had designed with the expertise of many years.
In your opinion, what are the major challenges in the physiotherapy niche? How are you using your leadership skills to turn them into opportunities?
A few of the major challenges are distance education physiotherapists (people who have qualified from distance education before 2010), the monopoly of allopathy in the pain industry, and the Indian Association of Physiotherapists’ Politics. To elaborate, the country has nearly one lakh physiotherapists, of whom only 50% are graduates from colleges where they studied physiotherapy as a science. 50% are quakes who have passed out from college seeking degrees from distance education method. How can a doctor who is taught through the distance education method render actual treatment?
This is where quality treatment is lost in our country. So, half the treatment in the country is being done by them out of all patients. Hospitals hire them on low salaries and with fewer facilities to exploit. Our national association, IAP has already given membership to many such quakes to work. This is how politics have come in. And lastly, pain industry in India is controlled by the conventional medical system reason being. They are more in number, have a fast recovery and have less qualified physios in the country who can treat.
As an expert in the field, what would be your word of advice to budding entrepreneurs wishing to enter this healthcare segment?
Clear your educational content thoroughly while you are in college. Just passing exams is not enough. Thorough knowledge is necessary to surpass the professional competition by a huge margin. Secondly, have expertise in one or two diseases. Nobody can be an expert at all. Just find your potential as per your interest and work to refine it again and again. Learning is a lifelong process, as is refining your skills. Don’t stop with less.
What are the future goals of your clinic? How do you envision upscaling its operations and extending its reach in 2022 and beyond?
The dream is to heal everyone’s slipped disc in the lumbar or cervical spine and osteoarthritis pain, especially. Upscaling is a long process. Right now, making a patient base for that. Eyeing a few patented treatments to offer in the near future. The spine pain industry would be too big in the years to come, the reason being everyone is walking on the spine and their spine is under too much stress.
Please share any clientele, awards, or recognition
Clientele: Those suffering from Neck and Back Pain, Osteoarthritis and Diabetic Foot or Neuropathy in Rajasthan and neighboring states.
- Healthcare Icon of Udaipur Award 2019
- Physiotimes Clinical Expertise Award 2021
- Silicon India Top 10 Promising Physiotherapy Clinics in India 2021
- Corona Warrior Award 2021
- Gautam Gaurav Samaan 2022
- Healthcare Pride Award 2022
Unknown Myths About Physiotherapy
Physiotherapy is considered a referral practice in India, which means that nearly 80% of the patients needing physiotherapy in any form think that they need a doctor’s referral to go to a physiotherapist. This is the biggest drawback in the field. This causes patient loss as they don’t get proper results from physiotherapy on time and physiotherapist loss due to fewer OPD visits. In developed countries, they follow the “First Contact Practice,” which means all non-traumatic cases are referred to a consultant physiotherapist for treatment. This is a huge myth that is slowing the awareness among the crowd for surgery-free pain relief treatment.