726 East Side Blvd, Hastings, NE 68901

(402) 834-3368

About Us

Pravardhan Birthi, MD

Dr. Birthi earned his medical degree from Bangalore Medical College in India. He completed his internship and residency in Physical Medicine and Rehabilitation and his fellowship in Pain medicine at University of Kentucky Medical Center in Lexington, Kentucky.

Dr. Birthi was chief resident during Physical Medicine and Rehabilitation residency. Dr. Birthi is board certified in Physical Medicine and Rehabilitation and Pain medicine. Dr. Birthi is a member of many professional societies and associations.

Dr. Birthi previously served in the Indian Army as medical provider for 6 years and held rank of Major. Dr. Birthi has been in practice in Grand Island, Nebraska since completion of his pain management fellowship.

Susan Briseno, APRN-C

Susan Briseno, APRN-C, was born in North Platte, NE and is a graduate of University of Nebraska Medical Center. She received her Master’s degree as a Family Nurse Practitioner from Clarkson College in 2019. She is board certified through the American Association of Nurse Practitioners. Susan joined the Grand Island Pain Relief Center in 2020. Susan is married and has two children. Her interests include horseback riding, reading and gardening.

Susan Kryzsko, APRN

She earned her Bachelors of science in nursing from University of Northern Colorado and her Doctorate of Nursing Practice from Creighton University in Omaha Nebraska as a Family Nurse Practitioner. She completed her training in Hastings and Grand Island area. She has experience in caring for patients of all ages. Prior to working in pain management she worked as a registered nurse in Neonatal ICU, school nursing and orthopedics. She has lived in Nebraska for 19 years. In her spare time she enjoys travel, golf and spending time with family.



Low Back Pain

Neck Pain

Cancer Pain

Shoulder Pain

Muscle Pain

Facial Pain

Thoracic Back Pain

Myofascial Pain

Neuropathic Pain

Tendonitis, Bursitis and Plantar Facilitis







Whiplash Injury

Post Laminectomy Syndrome

Complex Regional Pain Syndrome (Reflex Sympathetic Dystrophy)

Headaches including Migraine, Tension Headache, Cervicogenic headache and Occipital neuralgia

Trigeminal Neuralgia

Carpal Tunnel Syndrome and Other Nerve Entrapments

Spinal Stenosis

Vertebral Compression Fracture


Epidural Steroid Injections

Transforaminal Epidural Steroid Injections

Facet Injections

Medial Branch Blocks

Radio-frequency Ablation -
Watch Videos

Sympathetic Nerve Blocks

Trigger Point Injections

Sacroiliac Joint Injections

Vertebroplasty & Kyphoplasty

Ilioinguinal Nerve Blocks

Intrathecal Drug Delivery for Spasticity and Chronic Pain - Watch Videos

Medical Management including Opioid Therapy

Botox Injection for Spasticity

Botox Injection for Dystonia

Botox Injection for Migrane

MILD (Minimally Invasive Lumbar Decompression) - Watch Videos

Spinal Cord Stimulation - Watch Videos

Knee, Hip, Shoulder and other joint injections