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Pain Management & Palliative Care

Services

Pain Management
& Palliative Care

Our goal is to optimize pain control and improve the Quality of Life for our patients. We are dedicated to the evaluation, diagnosis, and application of interventional techniques for the treatment of patients suffering from various types of pain. This includes – Chronic and Cancer pain, Pain associated with Osteoporosis, and Vertebral Compression Fractures.

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Conditions Treated at Interventional Pain Management clinic:

Chronic Back Pain:

Persistent pain in the lower, middle, or upper back often caused by conditions like herniated discs or spinal stenosis.

Osteoarthritis:

A degenerative joint disease causing pain and stiffness, commonly affecting the knees, hips, and hands.

Fibromyalgia:

A disorder characterized by widespread musculoskeletal pain, fatigue, and tenderness.

Neuropathic Pain:

Pain resulting from damaged nerves, often described as burning, shooting, or tingling sensations.

Complex Regional Pain Syndrome (CRPS):

Chronic pain condition usually affecting limbs, often triggered by trauma or injury.

Migraines:

Severe headaches accompanied by light sensitivity, nausea, and visual disturbances.

Cancer Pain:

Pain associated with cancer, its treatment, or the progression of the disease.

Postoperative Pain:

Pain experienced after surgery, managed to facilitate recovery.

Sciatica:

Pain radiating along the sciatic nerve, typically originating from the lower back and extending down the leg.

Rheumatoid Arthritis:

An autoimmune disorder causing joint pain, swelling, and stiffness.

Degenerative Disc Disease:

Pain resulting from the breakdown of intervertebral discs in the spine.

Peripheral Neuropathy:

Nerve damage leading to pain, numbness, and weakness, often in the hands and feet.

Osteoporosis-Related Fractures:

Pain due to fractures resulting from weakened bones.

Cluster Headaches:

Intensely painful headaches occurring in clusters over weeks or months.

Shingles(Herpes Zoster):

Painful rash caused by the reactivation of the chickenpox virus.

Interstitial Cystitis:

Chronic bladder condition causing pelvic pain and discomfort.

Endometriosis:

Painful disorder where tissue resembling uterine lining grows outside the uterus.

Sickle Cell Disease:

Patients experience pain due to blockages in blood vessels.

Chronic Pancreatitis:

Inflammation of the pancreas leading to persistent abdominal pain.

Failed Back Surgery Syndrome:

Continued pain post-back surgery, often requiring specialized management.

Hernia:

Discomfort caused by a bulging organ or tissue through weak spots in muscles.

Osteomyelitis:

Painful bone infection usually caused by bacteria.

Trigeminal Neuralgia:

Intense facial pain due to irritation of the trigeminal nerve.

Phantom Limb Pain:

Pain experienced in a missing limb after amputation.

Spondylolisthesis:

Vertebrae slipping out of place, causing lower back pain.

Pancreatic Cancer Pain:

Pain associated with cancer growth in the pancreas.

Chronic Pelvic Pain Syndrome:

Long-term pain affecting the pelvic region, often without a clear cause.

Whiplash Injury:

Neck pain resulting from rapid back-and-forth movement of the head, often due to car accidents.

Myofascial Pain Syndrome:

Chronic muscle pain caused by trigger points.

Spinal Stenosis:

Narrowing of the spinal canal causing nerve compression and pain

Procedures done at Interventional Pain Management clinic:

Interventional Pain Management encompasses various procedures aimed at alleviating chronic pain. Some common blocks performed include:

Epidural Steroid Injection (ESI):

Delivers anti-inflammatory medication into the epidural space to reduce pain and inflammation around spinal nerves.

Facet Joint Injection:

Targets facet joints in the spine, often using a mix of anesthetic and anti-inflammatory medication to relieve pain caused by arthritis or injury.

Medial Branch Block:

Involves injecting anesthetic near the medial branch nerves that transmit pain signals from the facet joints.

Radiofrequency Ablation (RFA):

Uses heat generated by radio waves to disable specific nerves and reduce chronic pain, particularly in cases of facet joint pain or sacroiliac joint pain.

Nerve Root Block:

Administers anesthetic and/or steroid near the spinal nerve roots to address pain radiating down the arms or legs.

Sympathetic Nerve Block:

Targets sympathetic nerves to manage pain conditions like complex regional pain syndrome (CRPS) or vascular conditions.

Trigger Point Injections:

Involves injecting medication into tight knots of muscle (trigger points) to relieve pain and improve muscle function.

Peripheral Nerve Blocks:

Focuses on numbing specific nerves outside the spine to manage pain in localized areas, such as the limbs.

Sacroiliac Joint Injection:

Aims to alleviate pain arising from inflammation or dysfunction of the sacroiliac joint, often using a combination of anesthetic and steroid medication.

Discography (Discogram):

Involves injecting dye into spinal discs to identify the source of pain and assess disc damage before considering more invasive treatments.

Neurolytic Blocks:

Administers substances like alcohol or phenol to destroy nerves, providing longer-lasting pain relief for certain conditions.

Intrathecal Pump Implant:

Implants a device that delivers pain medication directly into the spinal fluid, often used for severe, chronic pain cases.

Vertebroplasty and Kyphoplasty:

Involves injecting bone cement into fractured vertebrae to stabilize them and relieve pain caused by vertebral compression fractures.

Spinal Cord Stimulation (SCS):

Implants electrodes near the spinal cord to deliver mild electrical impulses that mask or interrupt pain signals before they reach the brain.

Peripheral Nerve Stimulation (PNS):

Similar to SCS, but targets peripheral nerves outside the spinal cord.

These interventions are tailored to individual patients and their specific pain conditions. They can offer significant relief and improved Quality of Life for those suffering from chronic pain that is unresponsive to other treatments.

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