Welcome to Our Practice

At Atlantic Pain Interventions & Rehabilitation, the goal of Sastry K. Topalli, MD, is to provide comprehensive interventional pain management services to adults living in and around Chesapeake, Virginia, and throughout the Hampton Roads and Tidewater area. Dr. Topalli develops custom treatment plans individually tailored to address all types of musculoskeletal pain, including back pain, neck pain, and joint pain, as well as myofascial pain, and neuropathy and rehabilitative services.

Over the decades of his services in the Hampton Roads communities, he emphasized his approach of treating his patients by not only minimizing opioid medication usage but also by using any medication only as needed. His goal is to improve general well being, promote normal functionality and the healthy lifestyle of his patients.

Dr. Topalli approaches each individual's complaints in a methodical fashion. He sets aside plenty of time to meet with and understand each patient's unique concerns and uses his years of training and expertise to minimize pain, restore function, and improve quality of life.

He uses various conservative and non-invasive treatment options including Physical therapy exercises, rehabilitation techniques, a wide range of medication, bracing, and Laser therapy before considering the state of the art interventional techniques, spinal injections, radiofrequency ablation via image/fluoroscopy guidance. He selectively performs regenerative procedures to help patients manage their pain safely and effectively.

In addition, Dr. Topalli works closely with many other specialists, including neurologists, psychologists, spine surgeons, primary care physicians, and yoga and alternative medicine therapists, to optimally coordinate the care of his patients.

To receive all-inclusive care for chronic or acute pain in a warm, welcoming environment, partner with Dr. Topalli at Atlantic Pain Interventions & Rehabilitation. Schedule an appointment by booking online or calling the office today.

Our Goals

Our goal is to use Interventional Pain Techniques to help our patients: Approach individual patient's complaints in a methodical fashion Utilize the diagnostic and therapeutic procedures Judicious use of various pain medications, including opioids as needed Tailoring the management ranging from least invasive rehabilitation methods, modalities to minimally invasive fluoroscopic guided interventional procedures Restore the function and improve the quality of life

Insurance and Billing

We accept most traditional PPO insurance plans and Medicare. Please contact our office to verify acceptance of your plan. Qualifications for insurance coverage may differ due to the uniqueness of each procedure. If we are not contracted with your plan, please let us know.

Meet Our Staff

Learn Who We Are

  • Sastry K. Topalli, MD

    Sastry K. Topalli, MD, is an interventional pain management specialist at Atlantic Pain Interventions & Rehabilitation in Chesapeake, Virginia. Dr. Topalli began his professional pursuits at Kasturba Medical College in Manipal, India, where he earned his Doctor of Medicine.

    Read More..


What Our Clients Say About Us

  • "This place is absolutely remarkable, I’ve been a patient there for 3 years and the care is second to none. Very clean and professional and the staff is excellent."
    Derrick J.
  • "I'm glad to say that walking away from the office today I experience minimal pain. I highly recommend him for pain management!"
    Brian A.
  • "Doctor Topalli and his staff are first class. I've been seeing them for about a year and will continue to see them. Thank you!"
    Jonah J.
  • "I have found dr Topalli to be courteous, knowledgeable, and thorough."
    Self-Verified Patient
  • "Dr. Topalli was recommended to me by one of the Neurosurgeons I consulted concerning my back."
    Self-Verified Patient

Featured Articles

Read about helpful topics

  • What Causes Pain

    When you experience pain, it is your body's natural response to actual or potential damage. In other words, your body is protecting you—even when it might feel like it isn't. The feeling of pain is triggered when special nerve endings, called pain receptors, cause electrical signals to be sent to the ...

    Read More
  • Types of Pain

    When describing pain, the types will fall into three categories: Nociceptive Pain, Neuropathic Pain and Mixed Pain. Depending on the type of pain you are experiencing, your pain specialist will be able to create an appropriate treatment plan for relieving your pain and restoring your normal lifestyle. ...

    Read More
  • Permanent Implantation

    After the patient has completed the “test drive,” the patient and pain specialist will decide whether or not spinal cord stimulation is an effective therapy. If they decide to go forward, then the patient will undergo another surgical procedure to surgically place the device. The leads may be inserted ...

    Read More
  • Level 2

    If your pain does not respond to conservative approaches, a second line of therapy may be needed. The therapies offered in the second level can be used in conjunction with level 1 treatment. Tanscutaneous Electrical Nerve Stimulation (TENS) A TENS unit is an external stimulation device that sends ...

    Read More
  • Level 1

    During the first level, your pain specialist will offer conservative treatment options. These treatment options will include rest and nutrition, exercise and physical therapy, non-steroidal anti-inflammatory drugs (NSAIDS), and cognitive and behavioral modification. Basic therapies are the first step ...

    Read More
  • Level 3

    When pain persists after Level 1 and 2 therapies have been tried, your pain specialist may recommend more complex treatment options. Relieving stubborn, chronic pain may take time and patience, and your pain specialist may need to try multiple treatments to find the most effective solution for your ...

    Read More
  • Is it right for you?

    Spinal Cord Stimulation may be an effective tool in reducing your chronic pain. However, it is important to understand that pain is unique to each individual—not everything works the same on everyone. SCS is one of several therapies used to help control severe, ongoing neuropathic pain. Other options, ...

    Read More
  • Impact of Pain

    Today, pain is one of the most common reasons Americans seek medical treatment, with back pain as the leading reason. An estimated 26 million Americans between the ages of 20-64 visit their doctor because they are experiencing frequent back pain. Other common painful conditions include: Arthritis Fibromyalgia Osteoarthritis Knee ...

    Read More
  • How it works

    Spinal Cord Stimulation, or SCS, offers hope for many of the estimated 75 million people who suffer from chronic pain. SCS sends electrical impulses that trigger nerve fibers selectively along the spinal cord, masking the pain message traveling to the brain. When this happens, the painful sensation is ...

    Read More
  • How do I Know SCS Will Work?

    One of the advantages of SCS therapy is that the patient gets to “test drive” an external version of the device to see if spinal cord stimulation is an effective treatment for their pain. During the “test drive,” insulated leads are inserted through a needle or small incision in an anesthetized ...

    Read More

Contact Us

Contact us with the form below:

Our Location

Find us on the map

Hours of Operation

Our Regular Schedule

Atlantic Pain Interventions & Rehabilitation


8:30 am-4:30 pm


8:30 am-4:30 pm


8:30 am-4:30 pm


8:30 am-4:30 pm


8:30 am-4:30 pm