What Is a Pain Management Clinic?

Also called Pain Clinics deal with the management of chronic pain usually not responding to conventional treatment. Patients are managed an Interventional Pain Procedures performed by a doctor who has specialised in Pain Medicine.

What kind of patient need Pain Clinic?

Patient suffering from chronic pain including, Headache, Migraine, Trigeminal Neuralgia, Neck, Shoulder, Backpain (Slip Disc), Knee, urogenital , Myofacial, Complex Regional Pain Syndrome and cancer pain are managed in Pain Management Clinic with Medications and Interventional Pain Procedures.

What are various treatment offered in Pain Clinic?

Various modalities of treatment available in Pain Management Clinic are Interventional Pain procedures, Platelet Rich Plasma Therapy (PRP), Vertebroplasty ,Radio Frequency Lesioning , Percutaneous Balloon Compression for Trigeminal Neuralgia, Epidural Infusion pumps ,Percutaneous Lumbar Sympathectomy, Percutaneous Discectomy(Disc-Fix), PLED .

What are the advantage of Interventional Pain Procedure over the existing modes of treatment ?

    Advantages of Interventional Pain Procedures as Follows:

  • Less Invasive as compared to Surgery
  • Procedures are percutaneous no incision or cut is required
  • Absolutely blood less
  • Usually done under LA,General Anaesthesia not required
  • No or Minimal Hospital Stay required
  • Safe, cost effective, possible in poor risk cases

Where are Pain Management services available in India?

Pain Management services available only few Medical Colleges, Major Cancer hospital and corporate hospitals. Pain Management Clinic at Popular hospital is the only Pain Clinic in Purvanchal area from corporate hospital with cashless facilities.

Trigeminal Neuralgia

What specialised Procedures performed in Pain Clinic for the management of Trigeminal Neuralgia?

RF Lesion of Gasserian Ganglion / Percutaneous Balloon compression are non surgical Interventional Pain Procedures effectively control pain. Vedeo of Varanasi Balloon compression (U Tube)

What are common causes of Neck Pain?

Myofascial syndrome, Cervical spondylitis, Cervical Disc Prolapse, Ankylosing spondylitis ,Facet joint arthopathy.

What are treatment offered for Neck pain in Pain Clinic?

Trigger Point Inj. (TPI), Median Nerve RF Neurotomy(MBB), Transforaminal Steroid Neuroplasty, Cervical RF Discectomy.

What are common causes of LBA?

  • Mechanical (>70%)
  • Mechanical (>70%)
  • Herniated Disc (4%)
  • Osteoportic Compression(4%)

What modalities treatment offered in Pain Clinic?

Trans Foraminal Steroid Neuroplasty, Percutaneous Discectomy / Disc Fix , RF Discectomy ,Percutaneous Lumbar Endoscopic Discectomy(PLED) . Median Branch RF Neurotomy with intra articular PRP for Facet Joint Arthopathy. Percutaneous Vertebroplasty for compessed # or Vertbral Metastasis.

What kind of the treatment of OA Knee/Shoulder offered in Pain Clinic?

Intra Articular PRP, RF Nerotomy Genicular N (Knee Joint), Supra scapular nerve RF Neurotomy (Shoulder OA).

Platelet Rich Therapy(PRP) Therapy

Platelet Rich Therapy(PRP) Therapy What is PRP Therapy? How it is useful in Pain Management?

Regenerative Medicine is one of the recently developed branch of Medicine focusing on regeneration of tissues using homologous Platelet Rich Plasma (PRP) rich in growth hormone or stem cell in degenerative diseases like Oseo arthritis ,Facet joint arthopathy, Degeneratve vertebral disc, Acute Ligament tear, Rheumatoid arthritis, shoulder dislocation, Avacular Necrosis (AVN) head of Femur/humerus .A significant increase in size of cartilage as evidence by Ultrasound measurement is seen. Intra articular PRP Therapy is performed under C-arm under sterile condition in OT.

How frequently IA PRP therapy is required?

IA PRP therapy is for three times at an inerval of one month and after one year.

What is the cost of PRP therapy?

The cost of IA PRP Therapy appox.20-25K per joint. PRP is very cost effective alternative of Joint Replacement.

What is Radiofrequency Neurotomy Genicular Nerves?

RF Neurotomy is required in patient with advanced OA Knee(Gr.3/4) with PRP therapy.RF Neurotomy relives pain while PRP helps in regeneration of cartilage especially in poor risk patients.

Could PRP/RF Neurotomy is an alternative to Knee Replacement Surgery?

Yes, PRP with RF Neurotomy could be an alternative to Knee Replacement in selective patients.

What are the common causes of Urogenital pain ?

  • Female: Vaginal pain syndrome; vulvar pain syndrome; vulvar pain syndrome; Ca Cervix
  • Male: Prostatedynia

What Treatment Offered in Pain Clinic?

Superior Hypogastric Plexus Neurolytic block/RF lesion, Ganglion Impar Neulolytic /RF Lesion.

Cancer Pain Syndrome

How the cancer pain is managed in Pain Clinic?

In Pain Clinic cancer pain is managed with Morphine tab., Fentanyl Patch, Neuroablative procedues, Epidural infusion pumps,Vertebroplasty.

Where cancer Pain control facilities are available in India?

Facilities for cancer pain management is available in Major cancer hospitals, Medical colleges and in few corporate hospitals as in Popular hospital, Kakarmatta,Varanasi hospital, under the supervision of Prof.V.Rastogi, Ex-Head, Pain and Palliative care ,Institute of Medical Sciences, BHU.

Prof. (Dr.) V. Rastogi MD (Aneasth.)
Pain Management Specialist

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