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COMPREHENSIVE PAIN MANAGEMENT

It involves the treatment of primary disease conditions such as arthritis or prolapsed inter-vertebral discs, wherever possible, which by itself controls pain; in contrast to masking of symptoms by Palliative Management. Pain management is essential component in improving the quality of life of people.

  • Diagnosing pain generators either clinically, using imaging/ other diagnostic tests or by applying interventional techniques, for precision diagnosis of pain generators in conditions such as Failed Back Surgery Syndrome, Chronic Pelvic Pain etc.
  • Optimizing Medications and Conservative Management.
  • Interventional treatment of a variety of painful disorders, once scattered in a number of medical specialities, comprehensively with long-lasting pain control, such as:
    • Headaches, both typical and atypical as migraine, cluster headache, tension headache, Charlin’s syndrome, ice-pick headache etc., by medical management and by blocking nerves as spheno-palatine ganglion block, naso-ciliary ganglion block.
    • Facial pain syndromes such as trigeminal neuralgia using peripheral nerve blocks / neurolysis or Gasserian Ganglion Block.
    • Thoracic pain syndromes as pleurodynia, cancer pain etc. by using intercostals, interpleural, epidural nerve blocks or catheter (temporary/ implantables as Tunnel-A-Cath) placements.
    • Neck/ Thoracic/Low-Back disc diseases as internal disc disruption, prolapsed or protruded discs and radicular pain etc. by discography, percutanous discectomy procedures as disc decompression, Ozone neucleolysis, transforaminal/ interlaminar epidural injections, selective nerve root blocks.
    • Sacro-iliac Joint interventions for sacro-iliac joint dysfunction/sacro-iliitis.
    • Caudal Neuroplasty/adhesiolysis for Failed Back Surgery Syndrome (FBSS).
    • Cervical/Thoracic/Lumbar Trigger-point injections for myo-fascial
      pain syndrome.
    • Management of Fibromyalgia.
    • Percutaneous sympathetic blocks/neurolysis ( Stellate ganglion/T2 –T3 nerve/Splanchnic/Coeliac plexus/Superior Hypogastric/ Ganglion Impar) in sympathetically maintained pain,RSD /Causalgia (now termed, Complex Regional Pain Syndromes I / II), infiltrative cancers, chronic pelvic pain, proctalgia, peripheral occlusive vascular disorders(POVD ;TAO/Atherosclerosis obliterans) or as an adjuvant to revascularisation surgery.
    • Arhrography, Intra-articular tidal lavage, intra-articular injection of visco suppliments & prolotherapy in Rheumatoid arthritis, Osteo-arthritis, Gout, Crystal deposition arthropathies.
    • Prolotherapy for peri-articular/ ligamentous pain syndromes
      Spinal Cord Stimulator implantation for neuromodulation for intractable
      neck and arm pain, FBSS, POVD.
      Intrathecal Pump implantation for uncontrolled cancer pain
    • Intrathecal Pump implantation for uncontrolled cancer pain
    • Vertebroplasty for osteoporotic vertebral compression fractures, painful spinal haemangiomas &spinal cancer metastasis.
    • Exercise Rehabilitation of the patient, once the disease is controlled, to achieve long term pain-free status and prevent further damage
      At Bharath Hospital’s Interventional Pain Management Center, we take the time to fully investigate and understand the cause of an individual’s pain, to treat the pain, and to find the best approach to managing it. It is our mission to alleviate and manage all discomforting pains as much as possible to improve the patient’s overall quality of life.

Interventional Pain Management is the medical speciality which considers and manages the pain as a disease, rather than as a symptom; the pain disorders and treatments being those once scattered in many specialities as Orthopaedics, Neurology, Gynaecology, Physical & Rehabilitation Medicine, Psychiatry, Rheumatology etc

Pain physician aims to diagnose pain generators and treat the disease precisely to attain cure whenever possible.

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