Interventional Pain Management, Pain Medicine or Algology, is a branch of medicine involving management of pain (to stop, reduce or treat the pain and to treat the condition causing pain) with the use of various non – surgical minimally – invasive techniques. Sometimes it is supplemented with pharmacological and other approaches to compose an individualized comprehensive pain management program.
Pain is a sensation triggered in the nervous system and is an important alert to diagnosing a problem. The management of pain is of great significance as it is perceived when there is any damage to any organ of the body which triggers the chemical reaction which is relayed to brain in the form of a sensation, named pain. Pain can be categorized into:
- Acute Pain – The pain transmitted by nociceptors is termed as acute/nociceptive pain. Such a pain usually resolves when the causative factor of pain has been resolved. For instance, pain occurring after any trauma, fall and accident or post surgery. The duration for acute pain is usually taken from onset of pain up to less than three months.
- Chronic Pain – The pain that persists even after healing or even after providing any specific cure for the condition which triggered the pain, is termed as chronic pain. Chronic pain usually lasts longer than three to six months to even years in many cases and endures beyond a normal healing time. Some examples of chronic pain include spine pain, Back pain, neck pain, joints pain, and pain due to nerve damage, neuropathy and degenerative conditions. Cancer - pain is also an unusual type of chronic pain requiring specific treatment.
An Interventional Pain Management specialist is exclusively trained to deal with all types of chronic pain.
A common misconception about pain is that one has to live with it because either pain has no cure or may have to undergo knife or doesn’t want to bear side effects of pain killer medicines. However, such individuals are unaware of the fact that the pain can have a derogatory effect on their quality of life and can hamper or delay recovery from illness. Untreated pain may become a pattern and can lead to many other problems ranging from hypertension, depression or anxiety neurosis or may lead to suicidal tendencies. Moreover, if left untreated, a person with chronic pain loses a healthy social life along with a negative impact on his working capacity. Thus, pain can hamper the physical, social and psychological well being of an individual. Therefore management of pain not only facilitates proper recovery, prevent any further complications and improve the quality of life of an individual. WHO has declared chronic pain as a disease in itself.
Our Pain Management Team
The department of Interventional Pain Management at Saroj Super Speciality Hospital employs an interdisciplinary approach for the management of pain and for improving the quality of life of those suffering from pain. The pain management team at Saroj Super Speciality Hospital boasts of having USA trained Interventional Pain Management Specialist, Dr G N Goyal, on its panel of experts.
To tender a comprehensive pain management plan, hospital also has a dedicated team of, physician assistants, trained nurses, clinical psychologists, physiotherapists and occupational therapists.
Interventional Pain Management – Interventional Pain Management is a branch of Pain Medicine that identifies the pain generator i.e. the anatomical structure in the body which causes the pain and works by taking away the pain from the pain generator. It is a method of managing chronic pain with the techniques apart from those used in the management of conventional pain management such as medication and exercise and surgery. Thus all such non – surgical,minimally – invasive techniques/procedures which intervene in the body and thereby manage pain are called as Interventional Pain Management techniques. Such techniques include many diagnostic and therapeutic pain intervention practices designed specifically for identification of origin of pain and its treatment accordingly.
These pain relieving procedures are done with the help of X-rays, ultrasound or CT scan and minimal amount of radio-opaque dye (Under Fluproscopic Guidance). The other major advantage of these interventional pain procedures are that they are percutaneous, do not require extensive hospital stay and the patient may return back to his routine after 1 day. Besides, these procedures work out to be more economical.
Interventional Pain Management techniques
- Epidural portacaths
- Neural blockade procedures
- Chemical neuroablasion
- Implantation of spinal cord stimulators and intrathecal pumps
- Sympathetic Blocks/Neurolysis – Stellate/ Celiac/ Hypogastric/ Ganglionic Impar
- Sympathetic blocks / Neurolysis - Cervical / Lumbar / Thoracic
- Joint blocks – Knee/Hip/shoulder etc.
- Sacroiliac/Facet joint blocks
- Radiofrequency ablation
- Prolozone treatment
- Percutaneous discectomy/ Intra-discal intervention
- Transforaminal/ Interlaminar medication at all spinal levels
- Trigeminal/Gasserian Ganglion block/RFA/Balloon compression
- Rhizotomy procedures
- USG guided interventional procedures
At Saroj Super Speciality Hospital, our expert Pain consultants have been managing pain present anywhere inside the body and that of any duration, including but not limited to:
- Back pain / sciatica/Upper back (Thorax) pain
- Cervical spondylosis / neck pain
- Pain due to nerve compression/slipped disc - prolapsed disc/radiculopathy / tingling/numbness
- Facet Joint Syndrome / Spinal Arthritis
- Pelvic Bone pain/ Sacroilitis / Coccydynia
- Pain in joints (Knee / Shoulder / Hip/ Elbow etc) / arms / legs )
- Heel pain
- Arthritis pain
- Tennis elbow
- Pain over face, Oro-facial Neuralgias (Trigeminal, Sphenopalatine etc.)
- Herpes Zoster Pain / Neuralgia (PHN)
- Complex Regional Pain Sy ndrome
- Generalized body pains
- Musculo-Skeletal pain / Myofacial Pain Syndrome
- Compression fracture of vertebra/spine (Osteoprotic/Traumatic/Cancer)
- Vasospastic ischemic pain
- Cervicogenic/Cluster Headache and other types of headaches
- Chronic Pelvic Pain
- Chronic abdominal pain
- Cancer pains (Pain related with Oro-Facial cancer, Cervical/Uterine cancer, Lung cancer, Gut/Intestinal/Abdominal cancer, Pancreatic/Liver/Gall bladder cancer, Terminal cancer etc.)
- Post surgical long standing unusual pain