A few of the conditions we treat are as follows:
Traditionally, most pain services have been closely associated with Orthopaedics and Oncosurgery. In Orthopaedics, we address:
- Nerve injury related neuropathic pains, complex regional pain syndromes, etc.
- Diagnostic nerve blocks to determine the pain source, e.g., nerve root blocks in the spine to detect which level is causing pain
- Lumbar canal stenosis
- Sacroiliac joint mediated pain
- Axial back and neck pain
- Lumbar and cervical radiculopathies
- Tendinopathies, musculoskeletal pain and chronic fatigue
- Myofascial pain syndromes and fibromyalgia
Interventions performed at the multidisciplinary pain clinic are image-guided, evidence-based and documented during long-term follow ups for audit.
Oncology and Oncosurgery
- Pharmacotherapy as per the WHO’s pain ladder for patients with cancer pain
- Management of symptoms due to the disease per se or its treatment like dyspnoea, unrelieved constipation, dry mouth, fatigue, disturbed sleep, neuropathic pain, etc., which further add to the patient’s suffering
- Advanced interventions for cancer pain relief, like neuroablative procedures and palliative procedures. Some of the examples include Stellate Ganglion Blockade, Celiac Plexus Sympatholysis, Splanchnic Nerve Radiofrequency Ablation, Indwelling Tunnelled Epidural Catheters kept for 3 months, continuous Nerve Blocks, Intrathecal Drug Delivery Device Implantation to Deliver Morphine, etc.
- Management of non-malignant causes of pain in the cancer patients
- Neuropathic pain and neuralgias like Diabetic Neuropathy, Post Herpetic Neuralgia, Trigeminal Neuralgia, Atypical Facial Pain and central pains, such as Central Post Stroke Pains
- Rheumatological conditions with refractory chronic pain
- Headaches mediated by involvement of the cervical spine, greater occipital neuralgias, etc.
- Vasculitis and unmanageable pain that may be amenable to diagnostic and therapeutic sympathetic blockade
- Management of pain in End Stage Renal and Liver Disease
- Chronic post surgical-pains due to neuropathic or myofascial components
- Peripheral Vascular Disease
- Chronic Pelvic Pain in men and women
- Chronic Abdominal Pain