Dr. Mahesh Menon
Consultant - Pain and Palliative Medicine
MBBS, MD (Anaesthesiology)
Singapore General Hospital, Singapore
Neuropathic Pain, Spine Pain and Cancer Pain
Dr. Mahesh Menon is an Anaesthesiologist specialising in the assessment, diagnosis and management of any pain that lasts longer than 3 to 6 months without relief (Chronic Pain). He holds a prestigious Clinical Fellowship from the Pain Management Centre at Singapore General Hospital - accredited by the Australian and New Zealand College of Anaesthetists (ANZCA) Faculty of Pain Medicine. He has visited reputed Pain Centres in the United States as an observer and is actively pursuing excellence in Palliative Medicine. He has background work experience in Neurosurgery and was involved in Family Practice which has added broader dimensions to his clinical approach in treating patients with chronic pain. He has presented several talks on this subject, and demonstrated advanced pain interventions at various conferences and scientific meetings. He is a strong advocate of pain relief as a basic human right, and is involved with several scientific bodies and organizations to this end. He aims to promote awareness regarding the burden of suffering patients with pain, and the use of rational, evidence based techniques to address these problems in patients with a spectrum of illnesses that cause pain. In addition, he strongly promotes pain relief and quality of life in patients suffering from Cancer in all stages of the illness. He has been a Faculty in several National and International conferences in Pain medicine. He has delivered talks in Orthopedic Conferences and Meetings, and is a Training Faculty at the Traveling Pain School, an educational initiative to educate undergraduates about pain medicine.
The Pain Management Clinic at Kokilaben Hospital is led by Dr Mahesh Menon who is an Anaesthesiologist by training but exclusively practices Pain Medicine. He has an Advanced Fellowship in Pain Medicine from Singapore.
Since he set up the Pain Management Clinic at Kokilaben Hospital about 1 year ago more than 2000 patients have been treated here. Currently every month more than 300 patients are seen and 50 Complex Pain Management Procedures done. Around 70% of these procedures are for spine related problems (*Backaches)
Advanced procedures done at the Clinic include
- Intrathecal Morphine Delivery Device Implantation (Intrathecal Pump- IDDS) for advanced cancer pain and Baclofen Pumps for Spasticity
- Ultrasound Assisted Caudal Epidurals
- Ultrasound Assisted Stellate Ganglion Blocks
- Ultrasound Guided Subacromial Bursa, Knee and Soft Tissue Injections
- Third Occipital Nerve Radio Frequency Ablation (RF Ablation) for Cervicogenic Headaches
- RF Ablation for Facetogenic Low Back Pain
- RF Ablation of the Trigeminal Ganglion for Trigeminal Neuralgia
- Neurolytic Blocks for cancer pain
- Pulsed Radiofrequency (pRf-DRG) for Neuropathic Pain
Long Term Success Rates (internationally defined as a 70-80% reduction of pain , decrease in requirement of painkillers and return to normal life) are around 75% for patients.
Some procedures like Epidurals are complicated by underlying patient factors. We see a lot of patients here who clearly require surgery, but wish to go for Injections to avoid it and as a step down option. The success rate in these patients is close to 70%<
Radiofrquency Ablation (RF Ablation), and Knee Joint Injections are more definitive and carry a close to 90% success rate in the long term.
- Faculty in the CME “Clinical Update on Burns”, held at the National Burns Centre at Airoli.
- Training Faculty at the Traveling Pain School, an educational initiative to educate undergraduates about Pain Medicine. Certified for training by the ANZCA- Australian and New Zealand College of Anesthesiologists.
- Organising faculty, National Conference of Indian Society for Study of Pain at Mumbai.
- Faculty at ISSPCON organized by the Indian Society for Study of Pain at Nagpur.
- Faculty at Association of Regional Anesthesia (AORA) National Conference at Coimbatore
- Faculty at 5th CIPM (Comprehensive Interventional Pain Management) Workshop held in Mumbai
- Faculty at AIPMR (Ashirvad Institute of Pain Medicine and Research), Mumbai, in a course on Introduction to Pain Management.
- Faculty at Bengaluru for the SAARC Association of Anesthesiologists for Chronic Pain Workshop.
Radhakrishnan M. Ganglion impar block. Chapter 83. p 664-667. in Textbook of Pain Management. Ed Joshi M. Paras Medical publishers.
George JM, Menon M, Gupta P, Tan MG. Use of strong opioids for chronic non-cancer pain: a retrospective analysis at a pain centre in Singapore. Singapore Med J. 2013 Sep; 54(9):506-10.
Menon M. Gabapentin in the treatment of persistent hiccups in advanced malignancy.Indian J Palliat Care. 2012 May; 18(2):138-40.
Vas LC, Pai R, Radhakrishnan M. Ultrasound Appearance of Forearm Muscles in 18 Patients With Complex Regional Pain Syndrome 1 of the Upper Extremity. Pain Pract. 2012 Apr 11. doi: 10.1111/j.1533-2500.2012.00539.x.
Sharma A, Pandey AK, Radhakrishnan M, Kumbhani D, Das HS, Desai N. Endoscopic management of anal protrusion of ventriculo-peritoneal shunt. Indian J Gastroenterol. 2003 Jan-Feb; 22(1):29-30.
Pandey AK, Sharma AK, Diyora BD, Sayal PP, Ingale HA, Radhakrishnan M. Inadvertent insertion of nasogastric tube into the brain. J Assoc Physicians India. 2004 Apr; 52:322-3.
- International Association for Study of Pain
- Indian Society for Study of Pain
- American Society of Regional Anaesthesia