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Pain Management

Pain Management
Pain Management
Pain Management
About Pain Management
 

Pain is an important sensation and emotion that something is wrong with the person. It is very significant in the patient with acute pain meaning pain related to injury, trauma, infection or immediate post surgery or emotional issues. In chronic pain patients whose pain persists for more than 3 months after regular treatment, it might not have much of a protective role. Rather in some patients it might become disease itself like hypertension or diabetes where patient is tired of pain and patient just wants to get rid of the Pain.

Common Chronic pain conditions treated at our Clinic

Common Chronic pain conditions treated at our Clinic

  • Back Pain, Slip Disc, Sciatica and Spinal stenosis or spondylolisthesis.
  • Neck Pain, Cervical Spondylosis.
  • Chronic shoulder, Arm, Hip, Knee, Leg and Foot Pain.
  • Cancer Pain especially terminal and palliative patient.
  • Reflex Sympathetic Dystrophy (New name CRPS, type 1 and 2).
  • Neuropathic Pain, Neuralgias, Neuropathies and Central Pain like Trigeminal Neuralgia, Post herpetic neuralgia, diabetic neuropathy or even post limb amputation pain Headache and Facial pain.
  • Post surgery or scar related pain (any surgery like spine or hernia or abdominal or chest surgery).
  • Any other pain lasting for more than 3 months even after effective medical or surgical treatment.

Treatment philosophy

Given picture is just an example the way approach to the back and neck pain problem.

We start with the simple treatment and then go up the ladder depending on patients response. Idea is to give the maximum option to the patient to improve with least to lesser complicated procedure before one decides for an open operation. Not that open operation is not good but it has own problems.

Commonly done procedures by our experts are

  • Facet block or Median branch block for back pain.
  • Transforaminal Intervention for slip disc or sciatica or back pain.
  • Radiofrequency ablation for Facet joint for back pain or neck pain.
  • Epidural Adhesiolysis/Neuroplasty for post spine surgery pain.
  • Sympathetic block for CRPS or nerve pain or Neuralgia or Vascular pain.
  • Stellate block for CRPS or nerve pain or Neuralgia or Vascular pain.
  • Celiac plexus block for cancer pain.
  • Hypogastric plexus block for cancer pain or pelvic pain.
  • Implantable Intrathecal pump resistant painful conditions where everything has failed, cancer pain.
  • Spinal cord stimulator for resistant painful conditions where everything has failed, cancer pain.
  • Various blocks like nerve, epidural, intrathecal and trigger point injection for various myofascial or musculoskeletal pains for any area in the body.

It is not acupuncture or physiotherapy or not an open operation. These are latest interventional pain procedures, which is minimally invasive to give the maximum benefit of pain control by hardly any trauma or side effects.

Most of the above mentioned procedures for various Chronic pain conditions are simple, day care, uncomplicated treatment with to improve their quality of life. These procedures are done under local anaesthesia, needle is used to reach to the target area (not acupuncture), once reached use either local anaesthetic or steroid or Radiofrequency ablation or Catheter or Neurolysis or Spinal cord stimulator or implantable pump to decrease pain of the patient. There are many more procedures which are not mentioned here are done here. In most case patient is discharge the same day and next day onwards patients can freely move and rehabilitate him/herself.

The Advantages are

  • Most procedures do not need any special preparation.
  • There is no skin incision.
  • No general anaesthetic.
  • Short duration of a day stay.
  • Hardly any post treatment side effects.
  • Almost immediate post procedure recovery with minimal restrictions after procedure
  • Patient ready for rehabilitation next day.
  • Most Procedures can be easily repeated with almost similar results if there is recurrence of pain.

Give your self freedom from pain and improve your quality of life by consulting and getting treated by a pain specialist or pain physician.

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