Pain Management

What is pain?

Pain is an unpleasant sensory and/or emotional experience associated with actual or potential tissue damage or described in the terms of such damage. (International Association for the Study of Pain).

What are the factors responsible for development of pain?

Trauma, surgery, cancers, obesity, diabetes, neuropathy, ADIS, old age, osteoarthritis, modern life style.

Why pain relief is important?

Pain can affect physical, mental, financial and social well being.

Is chronic pain preventable?

Yes – By daily exercises and correct treatment in the acute stage of pain and early intervention can help to prevent chronic pain.

How do you treat pain?

Multimodality management is the latest and safest way of treatment.

What is interventional pain management?

Nerves that carry pain impulses are blocked by specialized minimally invasive injection techniques, here either drugs or radiofrequency ablation (RFA) is used.

Is pain curable?

Symptomatically pain is curable with pain management even in chronic and “Incurable” diseases like cancer and old age diseases. Interventional pain management is necessary to improve quality of life.

What are advantages of interventional pain management?

• Day car procedure
• Cost effective
• No cut/scar
• Early return to work and normal life
• Fewer requirements of pain medicines

How do treat back pain?

Back pain can be treated with facet joint block, percutaneous disc procedures, decompression and nerve blocks.

What is advance pain management?

Radio frequency nerve ablation-Nerves can be numb precisely by specific heat lesions without side effects.

Neuromodulation- Spinal and peripheral stimulators are used to treat chronic back pain, leg pain, migraine and any chronic pain not relieved by any means.

Intrathecal drug delivery system- Delivers very now doses of drugs at spinal cord pain receptors to block pain. Used to treat cancer pain, spasticity.

What do you treat at pain clinic?

• Headache, Migrane
• Trigeminal neuralgia, occipital neuralgia
• Neck pain
• Back pain
• Radiculopathy (Pain originating in the neck or back, running down the arm or leg) sciatica
• Prolapsed interventional disc, spondylitis, spinal stenosis
• Chronic pain following back or neck surgery, failed back syndrome
• RSD- Reflex Sympathetic dystrophy (CRPS 1 or 2)
• Myofascial pain, fibromyalgia
• Post surgical pain and post trauma pain
• Herpes zoster, post herpectic neuralgia
• Diabetic neuropathy pain
• Vascular (ischemic pain)
• Phantom limb pain (After amputation)
• Knees and other joints
• Chronic chest pain
• Cancer pain

"Pain is real and treatable"

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Authored By : DR. DAVID V RAJAN