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, 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.
Andrea attended undergraduate at Chadron State College She was accepted into the newly established RHOP program at Chadron State when she was a sophomore in college. She then entered the UNMC Physician Assistant Program and graduated in 1994 with her Masters in Physician Assistant Studies from the University of Nebraska Medical Center. She worked in family practice in Superior, NE. for 8 years after first graduating. She has since specialized in ear, nose, and throat for 8 years and pediatrics for 10 years. During this time she also co-founded/co-owned Hastings Convenient Care, P.C. in 2010. This was the first Urgent Care in Hastings, NE. She is now excited to specialize in Pain Medicine in Hastings, Grand Island and at the outreach clinics.
Andrea grew up in Western Nebraska. Her and her husband, Garrett, have three children and have lived in Juniata since 2004. She enjoys spending time with her family. They spend time doing school activities, camping and water sports.
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
Fibromyalgia
Shingles
Arthritis
Spasticity
Dystonia
Sciatica
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