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.
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.
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 .
Advantages of Interventional Pain Procedures as Follows:
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.
RF Lesion of Gasserian Ganglion / Percutaneous Balloon compression are non surgical Interventional Pain Procedures effectively control pain. Vedeo of Varanasi Balloon compression (U Tube)
Myofascial syndrome, Cervical spondylitis, Cervical Disc Prolapse, Ankylosing spondylitis ,Facet joint arthopathy.
Trigger Point Inj. (TPI), Median Nerve RF Neurotomy(MBB), Transforaminal Steroid Neuroplasty, Cervical RF Discectomy.
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.
Intra Articular PRP, RF Nerotomy Genicular N (Knee Joint), Supra scapular nerve RF Neurotomy (Shoulder OA).
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.
IA PRP therapy is for three times at an inerval of one month and after one year.
The cost of IA PRP Therapy appox.20-25K per joint. PRP is very cost effective alternative of Joint Replacement.
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.
Yes, PRP with RF Neurotomy could be an alternative to Knee Replacement in selective patients.
Superior Hypogastric Plexus Neurolytic block/RF lesion, Ganglion Impar Neulolytic /RF Lesion.
In Pain Clinic cancer pain is managed with Morphine tab., Fentanyl Patch, Neuroablative procedues, Epidural infusion pumps,Vertebroplasty.
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.