Spine
Oncology
MSK Sports
Thyroid
Interventional Radiology · Hyderabad

Dr. Koushik

Diagnostic & Interventional Radiologist

MSK · Sports · Spine · Thyroid · Vascular · Diagnostic, Intervention & Minimally Invasive Clinics

"No Pain. No Scar. No Admission."

Precision image-guided interventions that heal without surgery. Advanced diagnostics meet minimally invasive therapy — for spine, MSK, oncology, thyroid, varicose veins and beyond.

Spine Injections MSK & Sports Oncology Pain Thyroid RFA Varicose Veins Day Care
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DR
Dr. Koushik
Qualifications
MBBS · DMRD · DNB · EDiR · DICR
Meet the Doctor

Dr. Koushik

Diagnostic & Interventional Radiologist

Chief Radiologist & Director · Focus Diagnostics

Dr. Koushik Aravapally is one of Hyderabad's foremost interventional radiologists, with subspecialty expertise in Musculoskeletal (MSK) and Sports Radiology. He leads the "Sports Diagnostic, Intervention & Minimally Invasive Clinics" at Focus Diagnostics — Punjagutta and Kompally — delivering precision image-guided treatments that replace surgery for thousands of patients.

With advanced international training (EDiR — European Diploma in Interventional Radiology; DICR — Diploma in Interventional & Cardiovascular Radiology), Dr. Koushik brings world-class interventional expertise to Hyderabad. He has performed over 5,000 minimally invasive procedures across spine, MSK, thyroid, oncology and vascular specialties — all as day-care, no-admission treatments.

MSK Radiology Spine Interventions Sports Radiology Thyroid Ablation Varicose Veins Oncology IR
5000+
Procedures
15+
Years Experience
EDiR
European Diploma IR
Positions & Affiliations
● Chief Radiologist & Director — Focus Diagnostics (14+ centres, Telangana · AP · Karnataka)
● Director — Sports Diagnostic, Intervention & Minimally Invasive Clinics
● Subspecialty: MSK & Interventional Radiology
● NABL-Accredited Centre · Punjagutta & Kompally, Hyderabad
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5000+
Procedures Done
0
Surgical Cuts
Day
Care Only
2
Locations
15+
Years Experience
Our Philosophy

Healing Through
Precision,
Not the Knife

Dr. Koushik's Sports Diagnostic, Intervention & Minimally Invasive Clinics deliver pinpoint image-guided therapies — combining sports medicine expertise with cutting-edge interventional radiology. Maximum impact, minimum invasion.



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🎯

No Pain

Image-guided accuracy under local anaesthesia — landing exactly where it should, gently and precisely.

🩹

No Scar

Hair-thin needles and micro-probes. Zero incisions, zero disfigurement, zero visible marks.

🏠

No Admission

Day-care only — arrive, be treated and return home the same morning. Your life continues.

📡

Image-Guided

Every needle directed by live ultrasound, fluoroscopy or CT. Precision is guaranteed — always.

Clinical Specialties

Comprehensive
Interventional Care

From diagnostic imaging to advanced ablation — all without an operating theatre, general anaesthesia or hospital admission. Same day. Every time.

🦴
01
01
★ Core Specialty

Spine Interventions

Precision-guided epidural, nerve root, facet joint, SI joint and disc injections for acute and chronic back and neck pain — same day, no admission.

EpiduralNerve Root BlockFacet JointSI Joint
🏃
02
02
★ Featured

MSK & Sports Medicine

Shoulder, knee, hip, ankle — PRP therapy, hydrodistension, tendon fenestration and joint injections for athletes and active individuals.

PRP TherapyJoint InjectionsTendinopathySports Injury
🎗️
03
03

Oncology Interventions

Tumour ablation with RFA, Microwave and Laser — plus palliative pain management and image-guided biopsies, improving quality of life without surgery.

Tumour AblationPain ManagementBiopsyPalliative
🔬
04
04

Thyroid Interventions

Non-surgical thyroid nodule treatment using RFA, Microwave and Laser ablation — shrinking nodules without a stitch, under live ultrasound guidance.

RFAMicrowaveLaser AblationNo Surgery
After Before
🩸
05
05

Varicose Veins

Endovenous Laser, Foam Sclerotherapy and Microwave ablation — walk in, walk out. Complete vein treatment with no general anaesthesia and no hospital stay.

Endovenous LaserSclerotherapyMicrowaveWalk-out
🩺
06
06

Diagnostic Imaging

Full-spectrum MRI, CT, Ultrasound and Fluoroscopy reporting — specialist-read, same-day turnaround for sports injuries, spine and soft-tissue conditions.

MRICT ScanUltrasoundFluoroscopy

Complete Joint Coverage

All Joints · All Ages
★ Featured Specialty

MSK & Sports
Intervention Clinic

From elite athletes to everyday heroes — targeted healing for every joint, tendon and muscle. No surgery, no scar, no downtime. Just precision.

💪 Shoulder

Rotator cuff, subacromial bursa, AC joint, bicep tendon

🦵 Knee

Intra-articular PRP, patella, meniscal, peri-patellar

🦶 Ankle & Foot

Plantar fascia, Achilles, tarsal tunnel interventions

🤸 Hip

Hip joint, trochanteric bursa, piriformis injections

🎾 Elbow & Wrist

Tennis/golfer's elbow, carpal tunnel, tendinopathy

🏋️ Spine & Paraspinal

Trigger points, facet, SI joint, nerve interventions

Get Back in the Game

Ultrasound-guided PRP, cortisone, prolotherapy — for every joint. Ask about our Sports Recovery Protocol.

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Precision Technologies

Advanced Ablation
Technologies

The full spectrum of minimally invasive thermal ablation techniques, guided by live imaging — for outcomes that rival surgery without a single incision.

⚡
Ablation Suite
RFA · Microwave · Laser

Live imaging guidance on every procedure · Zero guesswork · Maximum precision

⚡

Radiofrequency Ablation (RFA)

Electrical energy precisely heats and destroys targeted tissue — thyroid nodules, tumours and nerve pathways — with controlled, minimal surrounding spread.

Thyroid · Tumour · Nerve
📡

Microwave Ablation (MWA)

Faster, larger ablation zones with superior performance in vascular tissues — ideal for thyroid, liver and oncology targets.

Thyroid · Liver · Oncology
🔦

Laser Ablation (LA)

Ultra-thin fibre-optic laser precision — ideal for delicate structures, small nodules and endovenous varicose vein treatment.

Veins · Nodules · Delicate Structures
🎯

Ultrasound & Fluoroscopy Guidance

Real-time live imaging ensures every needle, probe and catheter lands precisely — every procedure, every time, zero guesswork.

All Procedures · Live Imaging
Patient Journey

Simple.
Seamless.
Same Day.

No surgical prep. No hospital ward. No overnight stay. Your entire treatment fits into a single day — most procedures complete in under an hour.

01

Personal Consultation

Dr. Koushik personally reviews your symptoms, history and imaging — and designs the exact intervention plan for you.

02

Arrive at the Clinic

Visit Focus Diagnostics at Punjagutta or Kompally. No fasting needed for most procedures. No lengthy pre-admission forms.

03

Image-Guided Procedure

Under live ultrasound or fluoroscopy, the procedure is completed with pinpoint accuracy in 15–45 minutes under local anaesthesia.

04

Brief Recovery

A short observation period in our recovery area — then you walk out the door the same day, pain relieved.

05

Personal Follow-Up

Dr. Koushik monitors your recovery and is available post-procedure for any questions — care doesn't end at the door.

Find Us

Two Premium Clinics
Across Hyderabad

Both centres are fully equipped for diagnostic imaging and advanced minimally invasive interventions — directed by Dr. Koushik personally.

🏥
Focus Diagnostics
📍 Centre 01
Focus Diagnostics
Punjagutta · Hyderabad
📍

Punjagutta, Hyderabad — centrally located, accessible from all major areas.

🕐

Mon – Sat: 9:00 AM – 12:30 PM · Sundays by appointment

✅

Full imaging · Spine & MSK interventions · Ablation suite · Day Care

📌

Get Directions on Google Maps ↗

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🏥
Focus Diagnostics
📍 Centre 02
Focus Diagnostics
Kompally · Hyderabad
📍

Kompally, Hyderabad — serving North Hyderabad, Secunderabad & surroundings.

🕐

Mon – Sat: 2:00 PM – 9:00 PM · Sundays by appointment

✅

Full imaging · Thyroid & oncology ablation · Varicose veins · Day Care

📌

Get Directions on Google Maps ↗

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Call / WhatsApp — Both Locations +91 98973 49734

Available at both centres

Focus Diagnostics · Punjagutta & Kompally

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Detailed Procedure Guides

In-Depth Procedure Information

Thyroid RFA

Radiofrequency Ablation (RFA) is a revolutionary non-surgical treatment that shrinks thyroid nodules using heat energy delivered through a hair-thin needle — under live ultrasound guidance. No incision. No scar. No general anaesthesia. No hospital admission.

Traditionally thyroid nodules required surgery with permanent scarring and risk of voice change. RFA achieves 50–80% nodule volume reduction in a single 30-minute session.

Conditions Treated

  • Benign thyroid nodules causing pressure symptoms
  • Cosmetically bothersome thyroid lumps
  • Recurrent thyroid cysts
  • Low-risk thyroid cancers (selected cases)
  • Hot nodules causing hyperthyroidism

Why Choose RFA Over Surgery

  • No surgical scar on the neck
  • No risk of voice change or hoarseness
  • No lifelong thyroid medication needed
  • Performed under local anaesthesia only
  • Return home within 2 hours

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30 min
Procedure Time
80%
Nodule Reduction
0
Surgical Scars
Day Care
No Admission
Thyroid Gland RFA Probe

Varicose Vein Treatment

Varicose veins are swollen, twisted veins visible just under the skin — usually in the legs. They cause pain, heaviness, swelling and cosmetic concern. Dr. Koushik treats them with three minimally invasive techniques, all performed as walk-in walk-out day care.

Treatment Options

  • Endovenous Laser (EVLA) — laser fibre inserted into vein, seals it with heat
  • Foam Sclerotherapy — chemical foam injected to collapse and absorb the vein
  • Microwave Ablation — microwave energy seals larger veins precisely

Symptoms This Treats

  • Visible twisted rope-like veins on legs
  • Leg heaviness, aching, swelling
  • Skin discolouration around ankles
  • Night cramps and restless legs
  • Bleeding or ulceration from veins

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45 min
Procedure Time
Walk
Out Same Day
0
General Anaesthesia
95%
Success Rate
Before After Laser Probe

Slip Disc Injections

A slipped or herniated disc compresses nearby nerves causing intense back pain, leg pain (sciatica), numbness or weakness. Dr. Koushik uses image-guided injections to deliver anti-inflammatory medication precisely to the affected nerve — providing rapid, lasting relief without surgery.

Types of Injections Offered

  • Transforaminal Epidural — medication delivered directly to the nerve root
  • Interlaminar Epidural — covers multiple nerve levels simultaneously
  • Nerve Root Block — diagnostic and therapeutic for specific root pain
  • Disc Hydrodissection — fluid injected around the disc to relieve pressure

Conditions Treated

  • L4-L5 and L5-S1 disc herniation
  • Sciatica and leg radiation pain
  • Cervical disc prolapse with arm pain
  • Spinal canal stenosis
  • Post-surgical back pain

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20 min
Procedure Time
Same
Day Relief
X-Ray
Guided Precision
No
General Anaesthesia
Herniated Disc

PRP Therapy

Platelet-Rich Plasma (PRP) therapy harnesses your body's own healing power. A small blood sample is spun in a centrifuge to concentrate the growth factors and platelets, then injected precisely into the damaged joint or tendon under ultrasound guidance — accelerating natural tissue repair.

Conditions Treated with PRP

  • Knee osteoarthritis and cartilage wear
  • Rotator cuff tendinopathy
  • Tennis elbow and golfer's elbow
  • Plantar fasciitis and Achilles tendinopathy
  • Hip labral tears and joint degeneration
  • Patellar tendinopathy (jumper's knee)

PRP Advantages

  • 100% natural — your own blood, no foreign substances
  • Stimulates actual tissue regeneration
  • No systemic side effects
  • Ultrasound-guided for pinpoint accuracy
  • Can delay or avoid joint replacement surgery

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45 min
Full Session
Your
Own Blood Used
3–6
Sessions Typical
US
Guided Injection
Blood Centrifuge Joint

Fibroid Embolization

Uterine Fibroid Embolization (UFE) is a minimally invasive alternative to hysterectomy or myomectomy. Tiny particles are injected through a micro-catheter to block the blood supply to fibroids — causing them to shrink — without removing the uterus or any surgery.

Symptoms This Relieves

  • Heavy and prolonged menstrual bleeding
  • Pelvic pressure and bloating
  • Frequent urination from fibroid bulk
  • Anaemia from blood loss
  • Pelvic pain and discomfort

Advantages Over Surgery

  • Uterus preserved — no hysterectomy
  • No surgical incision or scar
  • Treats multiple fibroids in one session
  • Shorter recovery — return to work in 1 week
  • Performed under sedation, not general anaesthesia

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60 min
Procedure Time
No
Hysterectomy
1 Wk
Recovery
All
Fibroids Treated
Catheter Uterus

Pain Procedures

Chronic pain — whether from cancer, spinal conditions, or nerve damage — can be debilitating. Dr. Koushik offers a full range of image-guided pain management procedures that target the exact pain source without systemic drugs, providing lasting relief and restoring quality of life.

Procedures Offered

  • Coeliac Plexus Block — for upper abdominal cancer pain
  • Facet Joint Denervation (RFA) — burns pain nerves for 12–18 months of relief
  • Trigger Point Injections — for muscle knots causing referred pain
  • Sympathetic Block — for complex regional pain syndrome
  • Intercostal Nerve Block — for rib and chest wall pain
  • Intrathecal Drug Delivery — for advanced cancer pain management

Who Benefits

  • Cancer patients with pain not controlled by medication
  • Chronic back pain unresponsive to physiotherapy
  • Post-surgical nerve pain
  • Diabetic neuropathy with focal pain

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30 min
Average Session
Long
Lasting Relief
Image
Guided Always
Day
Care Procedure
Probe 1 Probe 2 Nerve Target
Patient Reviews

What Patients Say

Real experiences from patients treated at Focus Diagnostics Punjagutta & Kompally.

Google Review
★★★★★

Dr. Koushik treated my chronic back pain with a nerve block injection. I had been suffering for 3 years and tried everything. Within a week of the procedure I was back to normal life. Highly recommend — no surgery, no scar, just relief.

R
Ramesh K.
Spine Injection · Punjagutta
Google Review
★★★★★

I was scared about thyroid surgery for 2 years. Dr. Koushik performed RFA and my nodule shrank significantly. No scar, no admission, went home the same day. The doctor explains everything patiently. Best decision I made.

P
Priya S.
Thyroid RFA · Kompally
Google Review
★★★★★

My knee pain was stopping me from playing cricket. Got PRP injection under ultrasound guidance. Recovery was smooth and I was back playing within 3 weeks. Dr. Koushik is truly a specialist in sports injuries.

A
Aravind M.
PRP Therapy · Punjagutta
Google Review
★★★★★

Varicose veins on both legs treated in one session. Walked in, walked out in 2 hours. No pain during the procedure, minimal downtime. The clinic is professional and clean. Very satisfied with the results.

S
Sunitha R.
Varicose Veins · Kompally
Google Review
★★★★★

My mother had severe cancer pain and was on high-dose painkillers. After the nerve block procedure by Dr. Koushik her pain reduced by 80% and she reduced her medication significantly. Truly life-changing treatment.

V
Venkat N.
Oncology Pain · Punjagutta
Google Review
★★★★★

Shoulder pain for 18 months, could not lift my arm. One ultrasound-guided injection and physiotherapy and now I have full movement. Dr. Koushik diagnosed the exact problem and treated it precisely. Exceptional doctor.

K
Kavitha L.
Shoulder Injection · Kompally
View all reviews on Google ↗
Clinical Results

Before & After Cases

Representative outcomes from Dr. Koushik's minimally invasive procedures. Individual results vary.

Before RFA
Thyroid nodule before RFA
After RFA
Thyroid nodule after RFA
Thyroid Nodule — RFA

2.8cm benign nodule reduced to 0.6cm after single RFA session. Patient avoided thyroid surgery entirely.

78% Volume Reduction · 1 Session
Before
Varicose veins before treatment
After Laser
Varicose veins after treatment
Varicose Veins — Laser

Bilateral varicose veins with bulging and pain resolved after endovenous laser treatment. Walked out same day.

Both Legs · Single Session · Walk-out
Take the First Step

You Deserve Care That
Doesn't Cut You Open

Speak directly with Dr. Koushik — discover if a minimally invasive intervention is right for you. No referral needed. Same day appointments available.

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© 2025 Dr. Koushik · Diagnostic & Interventional Radiologist · Sports Diagnostic, Intervention & Minimally Invasive Clinics · Hyderabad

No Pain · No Scar · No Admission · Image-Guided Precision

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