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Pain Management

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Overview

Pain Management is a multidisciplinary approach to management of chronic pain, as well as cancer pain. It is a specialized field of medicine that consists of managing pain through non- pharmacological, pharmacological, as well as interventional procedures. Pain management implements the use of newer drugs and works on increasing the in understanding of the pain pathways. This branch of medicine works on the development of the diagnostic blocks for controlling pain. As a rule, the Department of Pain Management is against the use of NSAIDS – pain relieving drugs.

There are a number of tools and clinical protocols that are used by the Department of Pain Management to ensure that the best is delivered to the patients. Regenerative medicine is an integral part of Pain Management and plays an important part in initial osteoarthritis as well as tendinopathies, bursitis etc. Image guided blocks make the procedures for pain management more specific & scientific .RF ablation of nerves & plexus helps to make long lasting impact on management of pain and providing palliative care. The Department of Pain Management specializes in providing assistance to cancer patients, patients suffering from advanced osteoarthritis and patients specifically looking for medical management instead of surgeries.

Treatment and Procedures

  • Treatment for initial Osteoarthritis (OA) –  Drugs, exercises, Image Guided Regenerative  Injections , USG Ozone Therapy, Prolotherapy using dextrose, + ozone or PRP, Visco supplementation .
  • Plantar Fasciitis Achilles Tendinitis, bursitis at various sites, frozen shoulder, partial tendon rupture – USG guided steroid or PRP, Drugs and Exercises.
  • Various neuropathies (Peripheral) – USG Guided LA + Steroids, Drugs.
  • Fibromyalgia- Various drugs,central desensitization, psychiatric refrerral if needed.
  • Myofascial Pain-(Superficial or Deep Muscle).Trigger Point & Tender Point Injections and Drugs.
  • Complex Regional Pain Syndrome (CRPS) – Sympathetic neurolysis under image guidance, Drugs, Mirror Box Therapy, Rehabilitation & Excercises.
  • Internal Disc Disruptions or discogenic back pain without motor & bladder, bowel involvement epidural transforminal  in sleeve root injections.
  • Radiculopathy: Image Guided Epidural Sleeve Root Injections at respective nerve root. Drugs, Exercise or Epidurals (cervical,thoracic,lumber).
  • Facet Joint arthropathics- Facet Joint Injections, Medical Branch Block Injections & RF Ablations.
  • Failed Back Surgery Syndromes – Treatment as Per Parcauseaspinal Ozone,Caudal Epidurals, Medial Branch Block Cause, etc.
  • Rheumatoid & Arthritis & Spondyloarthropathies- Drugs, single joint inject for residual symptomatic joint after drug treatment spondyloarthropathy.
  • SI Arthropathies – Sacroiliac Joint injections.
  • Shoulder & Hip & Knee Joint Arthritis- Image Guided Injections, Drugs.
  • Caudal Epidural Steroids under Image Guidance & Fluroscopy to rule out intravascular spread for spinal canal stenosis with neural claudication.
  • Neuralgias- Drugs & RF ablation of sympathetic nerves or ganglion ablation depending upon etiology or in single shoot epiduals.
  • Raynauds & Buergers d/s- Drugs,sympathetic neurolysis or RF, ablation.
  • Cancer Pain- Drugs (Opioids + Adjuvants).
  • Nerve or plexus blocks as a applicable is celiac plexus  block, Sup hypogastric block,ganglion  imper block statellite ganglion block etc.
  • Vertebroplastry for single or two level painful vertebral fracture or Rami Communicans.
  • Trigeminal Neuralgias & Cluster headaches- Drugs gasserian ganglion blocks/ Pterygopalative ganglion blocks.
  • Palliative nerve blocks (RF Ablation of genicular nerve) grade IV OA Knee Patients not willing to undergo surgery.

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