Is Your Current Pain Management Costing You Your
Life?
Traditional oral opioids flood your entire body with medication just to reach one painful area. This “shotgun approach” often leads to diminishing returns and increasing side effects.
Systemic Toxicity
Oral meds travel through your bloodstream, affecting your liver, kidneys, and gut, often causing constipation and nausea.

Mental Fog
High doses required for pain relief often lead to drowsiness, confusion, and an inability to focus on work or family.
Tolerance Build-up
Over time, oral medications become less effective, requiring higher doses for the same relief, increasing risk.
The Innovation
Targeted Drug Delivery (Pain Pump)
Imagine bypassing the digestive system entirely. TDD uses a small, programmable pump implanted under the skin to deliver medication directly to the intrathecal space (the fluid surrounding your spinal cord).
Precision Dosing
Medication goes exactly where pain signals travel, requiring 1/100 to 1/300 the oral dose.
Reduced Side Effects
By avoiding the bloodstream, cognitive and digestive side effects are dramatically minimized.
Programmable Control
The pump is programmed by Dr. Kalia to match your lifestyle needs.
The Savya Integrated Model
Most clinics only do the management. Others only do the surgery.
At Savya Neuroscience, we do it all under one roof.
1. Evaluation
Comprehensive assessment by our pain specialists to see if you qualify.
2. The Trial
A temporary, low-risk trial to prove the pain relief works without side effects before you commit.
3. Implantation
Surgical placement performed at the same day surgery center.
4. Pain Pump Management
Ongoing refills, adjustments, and care from the same team that knows your history.
“No referrals. No waiting for outside surgeons. One team, one plan.”
“After years of taking handfuls of pills every day, the pain pump from Dr. Kalia gave me my life back. The best part? No more crippling fatigue. The whole process at Savya was seamless.”

Sarah M.
Chronic Back Pain Patient
Hemant Kalia, MD, MPH
Director, Advanced Neuromodulation
Advancing Targeted Drug Delivery (Pain Pumps): Clinical Work & Publications
Dr. Kalia’s expertise in Targeted Drug Delivery places him at the forefront of treating complex, cancer & non-cancer chronic pain management. His clinical research continues to define best practices for difficult-to-treat conditions like CRPS.
📚 Selected Publications
- Current Challenges and Potential Solutions for Targeted Drug Delivery (TDD) in Cancer Pain Management (2026): This paper explores the complexities of managing cancer pain with targeted systems and discusses potential pathways to improve therapeutic outcomes for oncology patients.
- Intrathecal Drug Delivery Systems Survey: Trends in Utilization in Pain Practice (2022). Developed alongside the American Society of Pain and Neuroscience (ASPN), this study analyzed survey data from pain medicine practitioners to highlight the substantial variation in how intrathecal pumps are utilized for both chronic and cancer pain, from medication choices to trial protocols
- Textbook Contribution: Authored chapters on managing complications and preserving anatomical stability in advanced targeted neurostimulation techniques.
📊 National Scientific Posters
- North American neuromodulation society educational curriculum for intrathecal drug delivery systems implantation and management
- Intrathecal drug delivery systems survey: Trends in utilization in pain practice
- Current Challenges and Potential Solutions for Targeted Drug Delivery (TDD) in Cancer Pain Management
- Rebuttal letter to the editor: defending evidence-based practices in interventional pain medicine
- Intrathecal drug delivery—minimally invasive spine techniques: modern approaches
- ID: 16232 Intrathecal Bupivacaine and Clonidine Therapy for Refractory Hyperhidrosis in a Spinal Cord Injury Patient
