Backaches, Spondylosis and Low Back Pain
Back pain is the evolutionary penalty for the vertical posture of man. Almost 90% of back pain can be treated conservatively. The spine is made up of 33 vertebrae with intervertebral discs & its supporting ligaments, cartilage, muscles and nerves. The Intervertebral disc can cause back pain due to degeneration, internal disruption, infection, tumor infiltration, etc.
After confirmation of diagnosis, and adequate trial of conservative treatment, an epidural steroid injection can be considered to give pain relief to resume normal activity.
Post Back Surgery Pain
Some patients who have undergone spine surgery may come back with pain similar or worse than previous pain.Also known as failed back surgery syndrome (FBSS). This maybe due to scar tissue and patients can benefit from transforaminal or caudal injections. Racz adhesiolysis is also beneficial.
Case History 35y lady, previous h/o neck & back surgery had constant back pain and headache. After nerve blocks,to relieve pain, patient is able to pursue active life
– Patient Testimonial
Neck Pain | Shoulder Pain | Frozen Shoulder
Neck pain has many causes- poor posture, myofascial pain, emotional stress, cervical spondylosis, etc. Neck pain can present as a localized diffuse pain or as Dermatomal or radicular (down the arm) with Pain, tingling, Numbness or Motor weakness.
After assessing patient, the treatment options include posture correction advice, traction, physiotherapy, nerve blocks.
Frozen shoulder is a term used to describe a stiff shoulder Joint. This may be temporary & occurrs in or near the shoulder. In 95% of cases the condition is totally reversible, although full recovery may take several months. Physical therapy, stretching exercises are the treatments of choice for frozen shoulder
– Patient Testimonial
Headaches | Migraines
Headache maybe primary headache–migraine, cluster headache, tension type headache or Secondary headache due to underlying organic cause eg-meningitis, intracaranial lesions etc.
Case Report: 70y male, sudden onset of shooting pain around eye & headache onright side, not relieved with medicines, unable to talk, chew food. After examination, diagnosis was made of autonomic cephalgia. After treatment, patient is pain free.
Cancer and Post Cancer Treatment Pain
Cancer and its treatments can be painful. Atleast 75% of advanced cancer patients experience pain. One of the good news is 80-90% of cancer pain can be managed by correct medications.. Controlling pain is part of your cancer treatment. A tumor that presses on bones, nerves, or organs can cause pain. Cancer treatments like Surgery, chemotherapy and radiation for cancer can also cause pain. There are a number of ways to control each of these kinds of pain: – simple painkillers
- Powerful medications like narcotic analgesics morphine, fentanyl patches etc
when pain is severe
- Neurolytic blocks (permanent nerve blocks) for severe cancer pain when medications alone are not enough relief eg: Coeliac plexus block for cancer of pancreas, liver metastasis and upper gastro-intestinal tract cancers.
- Superior hypogastric block for cancer of pelvic organs or lower gastro-intestinal tract
- Head and neck nerve blocks
- Intrathecal Morphine Pump- delivers opioids to the subarachnoid space using an implanted pump having the advantage of less drug required and reduced adverse effects.
- We can provide you with the best pain relief methods for your cancer pain, enabling it to be controlled.
Advance cancer pain who was on morphine but still was in pain – before and after celiac plexus nerver block – Patient Testimonial
Diabetic neuropathy can affect every part of the nervous system. Patient may have numbness, burning, incresed sensitivity in peripheral neuropathy or mononeuropathy with sudden wrist drop/ foot drop etc. Autonomic symptoms like delayed stomach emptying time, constipation, diarrhea, errectile dysfunction etc seen. Good control of sugar levels, diet and lifestyle modification, medications along with sympathetic blocks can improve pain and peripheral circulation.
This is the sensory nerve of the face. The patient has severe electric shock like pain in the face which comes in attacks lasting few seconds. If untreated, the attacks tend to worsen and appear with more frequency. Nerve blocks can give good relief and reduce the dose of medications
Post Surgery Pain
After surgery, the surgical pain resolves with healing of the wound. Sometimes, the pain persists and becomes relentless. This could be due to nerve entrapment pain which can be treated, seen after gall bladder, hernia, thoracotomy etc surgeries
Herpes Zoster | Nagin
severe burning pain along affected nerve root. Trivial stimuli like touch, light breeze, clothing can aggravate pain. Medications, TENS, nerve block can give extremely good results.
This condition is difficult to diagnose and treat. The patient has widespread and diffuse pain in the spine and throughout the body. This may be mistaken for arthritis, lupus, or muscle inflammation. Other common symptoms include aches, morning stiffness, chronic fatigue, and mood and sleep
disturbances. Treatment may include medicines, trigger point injections, lifestyle modifications, etc
– Patient Testimonial
Joint Pain | Knee Pain | Heel Pain
non surgical treatment like muscle strengthening, supportive devices, TENS, taping, lifestyle changes etc are taught
Chronic Pelvic Pain is a symptom, not a diagnosis. It is seen in both male and female populations. The patient has deep pain (colicky, aching, cramping and burning), could be unilateral, bilateral or in the midline; may radiate to low back, anterior abdominal wall, buttocks, hips, perineal area and anterior thighs. They may also have associated symptoms of dyspareunia, changes in bowel /urinary habits & may be associated with psychological depression.
Treatment includes identifying the cause and treating it.Because of the complex interacting mechanisms, multimodal approach provides best therapeutic success
Nurve Injury Pain | Neuropathy
after amputation, trauma