Patient Information

What treatments are offered in a Pain Clinic?

A Pain Clinic is a health care facility that focusses on the diagnosis and management of chronic and cancer pain. Pain Clinics often use a multidisciplinary approach to help people take an active role in managing their pain and regaining control of their life. The various treatment options offered include

Medications:

A number of medications including NSAIDs, muscle relaxants, weak opioids like tramadol, antineuropathic drugs for nerve pain, and even morphine (for cancer pain) may be prescribed.

Physiotherapy:

Long standing musculoskeletal pains usually require either a home based exercise regime or planned physiotherapy sessions in addition to medications or pain management interventions. It is usually a combination of all of the above which provides sustained benefit for patients.

Psychotherapy:

Long standing pain is known to cause clinical depression. Also, stress and anxiety may lead to or aggravate chronic pain.

Cancer pain involves the addressal of total pain, which covers physical, social, psychological and spiritual dimensions.

Identifying these factors and addressing them is an important aspect of comprehensive pain care.

Dietary counselling:

Patients with chronic pain need a high protein diet with avoidance of carbohydrate induced episodes of hypoglycaemia and weight gain. A proper dietary counselling helps in overall improvement of symptoms.

Interventional Pain Management Procedures:

A number of non surgical minimally invasive pain management interventions can be offered to alleviate chronic and cancer pain. These are usually performed under C-arm or USG guidance. Majority of these are performed on an outpatient or day care basis, and rarely require admission for more than a day.

These include

Can I avoid spine surgery by undergoing pain management interventions?

We provide treatment for conditions like disc prolapse or herniation causing back pain or sciatica. Treatment include selective nerve root injections or transforaminal or epidural steroid injections. Facet joint arthropathy, if present, can be addressed by median nerve blocks or RF ablations. Sacroiliac joint injections may be required if SI joint is found to be the source of pain. The injections are followed by rehabilitation and exercises.So yes, a good number of patients may avoid back surgery. However, in few cases, spine surgery will be required.

Can Knee replacement be avoided by pain management interventions?

Most common cause of knee pain is Knee Osteoarthritis. Pain management interventions like intra-articular injections, Platelet Rich Plasma injections or Genicular Nerve Radiofrequency ablations may be offered. Pain interventions are suitable for individuals with early OA (Grade 1 and 2) and in patients who are unfit or unwilling for knee replacement surgery.

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