Basic Therapies

TREATMENT APPROACH

A multimodal approach is used to give optimum pain relief.

Routinely we start with simple and basic treatment and go up the ladder (as shown) as required. However, it is just a rough guideline. As each patient and each pain is different, a tailor-made treatment plan is formulated based on detailed consultation and evaluation of the patient's condition.

STEPS

  • Drugs

    • Basic pain killers
    • Stronger pain killers including opioid drugs like morphine for terminally ill patients
    • Additional specific medication for chronic pain (pain transmission modulating medications)-
    • Antidepressants (In small doses)
    • Anticonvulsants
    • Adjuvant Preparations
    • Regenerative type Medications

  • Minor procedures performed on OPD Basis

    • Tigger point injections
    • Peripheral nerve blocks
    • Intramuscular stimulation
    • IV regional blocks

  • Basic International Therapies

    • These are minimally Invasive procedures which give long term/ permanent pain relief.
    • They fill in the gap between medical management and more Invasive operative procedures.
    • They are done in the operation theatre under fluoroscopy ( specialized x-ray imaging) or sonography guidance as per international standards.

Commonly Performed Procedures

For Back Pain. Sciatica and Disc Problems
  • Transforaminal epidural injection (nerve root block)
  • Epidural adhesiolysis (in post-spine surgery)
  • Facet joint injections/ median branch block (for localized back, buttock, groin, or thigh pain)
For joint Pain
  • Intra-articular injections
  • Joint nerve blocks
  • Regenerative Therapy

CRPS. Vascular Insufficiency, Neuropathy, Cancer Pain
  • Sympathetic blocks- stellate, coeliac, lumbar sympathetic, superior hypogastric
  • Chemical/ thermal neurolysis (alcohel/RF ablation) - for permanent pain relief.

Advantages

  • Targeted delivery of medications
  • Minimally invasive procedures
  • Day stay procedures- no admission required
  • Very rare possibility of complications or long-term side effects
  • Easy and safe to repeat.
  • Good alternative for people who are not keen on surgery or are medically unfit to undergo surgery