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The largest room in the world is the room for improvement

Despite increased awareness and recognition of pediatric pain, there remains a glaring MISMATCH between the demand for adequate pediatric pain care and number of trained pediatric pain management providers

Increasing Pain Care Demands

  • Over 19 million school aged children (1 in 3) in US are affected by chronic pain according to statistics.

  • Wait times to see a pediatric pain specialist may be as long as 6 months.

  • 65% of emergency room visits have a pain presentation

  • Inappropriate management of acute pain results in chronic pain

  • 73% of children with chronic pain become adults with chronic pain

  • Annual cost related to pediatric chronic pain is 19.5 billion dollars and accounts for 11.8 billion dollars in total incremental health care expenditures, which is more than that of obesity ($0.73 billion) and asthma ($9.23 billion) combined.

Scarcity of Resources

  • More than 100 academic centers provide pediatric subspecialty care, but many do not have faculty trained to care for pediatric pain patients

  • Less than 1% of institutions offer training in pediatric pain medicine

  • Opioid epidemic is partly a result of inadequate training of clinicians in appropriate pain management

Challenges in Recruitment of Experts

  • Lack of pain curricula in medical school, residency training programs.

  • Veterinarians get 5 times more pain education than medical students.

  • Absence of administrative, business and leadership training during residency and fellowship

  • Average time for recruitment of physicians can take over 200 days and even longer for those with subspecialty training

  • Most physicians and clinical providers either stay close to where they trained or will opt for large urban, metropolitan academic centers

  • Budgetary constraints to support service based programs

Sizeable Economic Impact


  • Pain is the number 1 determinant of patient/family satisfaction

  • Adequate pain control significantly reduces the length of stay (LOS) in hospital and increases the number of outpatient surgeries.

  • Adequate pain treatment is an integral part of determinants of value based reimbursements (MACRA, MIPS) and cost-effective healthcare models like Peri-operative Surgical Homes

  • Appropriate pain assessment, management and adequate clinician training as key components for institutional ACCREDITATION.

We offer INNOVATIVE, COST- EFFECTIVE solutions for you

We help you build CUSTOMIZED, SUSTAINABLE and robust pain care solutions matched with YOUR priorities and resources


We help you achieve your targets for:

  • Improved patient/family satisfaction scores

  • Improved reimbursements,

  • Decreased healthcare utilization costs

  • Shorter length of stay (LOS)

  • Establish and enhance clinical and operational performance.

  • Meet accreditation requirements and better your institutional rankings. 

  • Foster leadership skills, and clinician expertise development, using evidence based tools and support. 


You may choose from our range of offerings to address your unique needs  


  • Needs Assessment.

  • Strategic Plan development.

  • Transformational Consultations for customized, sustainable and robust pain care solutions.

  • Assess and enhance clinical and operational performance using Lean methodology

  • Clinician Expertise development

  • ​Clinician-to-Clinician consultation

  • Leadership & Team development

With our expert guidance, we are growing a network of clinicians & practices that not only provide the much needed expert care, but can thrive in the ever-evolving healthcare environment.


First and foremost, Dr. Kundu is an incredibly kind and compassionate pediatric pain physician.  This is critical, as too often patients with pain are not taken as seriously as they should be.  Dr. Kundu brings a comprehensive and holistic approach to her pain care strategies that looks at root causes (both physical and mental).  Her mentorship through the Proactive Pain Solutions Physicians Academy helps guide physicians to have a more robust and satisfying impact on patient care with improved outcomes.  There is a lack of pain management education especially in pediatric pain care.  Dr. Kundu's programs for both physicians and parents fill that gap wonderfully.  In addition to providing amazing medical expertise, Dr. Kundu clearly empowers physicians and patients in the area of self-care.  Dr. Anjana Kundu is a one of a kind physician, and training with her as a physician or parent is an experience in learning not to be missed.


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—  Dhanu Sant, MD

     ThriveWell Pediatrics

     Jacksonville, FL

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