Department of
Pain Medicine

Appointments: +91 484 288 02 88
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Pain Medicine

Pain is a complex medical problem and can have profound influence on a person's physical, mental and social wellbeing. Recent advances in the understanding of pain have opened up new treatments which can reduce the suffering and improve the quality of life.

A majority of complex chronic painful states unresponsive to other treatments are successfully treated at our pain medicine department. The department has well coordinated efforts of specialists possessing knowledge and skills to diagnose and treat difficult pain conditions. Our expert pain specialists offer comprehensive treatment for pain using a holistic approach that involves specific medications, physical therapy and minimally invasive interventions.

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Why Renai

The comprehensive multidisciplinary pain clinic at Renai Medicity is the only one of its kind in the region which has the facilities and expertise to offer quality care for patients living with chronic pain.

Services available:

  • Chronic pain
  • Back pain
  • Neck pain
  • Headaches
  • Neuropathic pain
  • Complex regional pain syndrome
  • Sciatica
  • Facet joint pain
  • Arthritis
  • Cancer or cancer treatment-related pain
  • Disc disease
  • Myofascial pain syndromes
  • Peripheral neuropathy
  • Post-herpetic neuralgia
  • Radiculopathy
  • Sacroiliac pain syndromes
  • Spinal pain
  • Spinal stenosis
  • Sports medicine
  • Work injury

 

What is Chronic Pain?

Chronic pain is pain persisting for more than 3 months. In some conditions chronic pain may be the symptom of a specific disease such as spinal joint pain or cancer pain. But in other cases chronic pain itself is the disease and the pain is no longer a symptom of another disease, example nerve pain, Fibromyalgia or headache.

What is Pain management and Pain Medicine?

Pain management is a specialty which specialises in the diagnosis and treatment of long standing musculoskeletal pain, spinal or nerve pain. All medical specialities have some elements of pain management in their areas of specialisation. For instance, a General Surgeon removes an inflamed Appendix to treat abdominal pain. Orthopaedic Surgeons would fix a fractured bone to treat a fracture. A General Physician treats common painful ailments with pain killers like Paracetamol or Ibuprofen.

A Chronic Pain Management specialist undergoes additional training in the diagnosis and management of chronic pain ailments.

Who is an Interventional Pain Specialist?

A subgroup of Pain Medicine; the Interventional Pain Specialist undergo further training in a separate medical specialty called Interventional Pain Medicine. They are trained in the evaluation and diagnosis of chronic pain conditions using history taking, physical examination and by utilising findings from imaging studies like X-ray, MRI scans and nerve conduction study and EMG’s. They are also specifically trained to diagnose the source of pain utilising X-ray and Ultrasound guided simple targeted injections.

Why Interventional Pain Management?

A qualified interventional pain specialist will attempt to diagnose the cause of your chronic pain. A specific treatment can then be targeted to treat this pain. Common medicines would only be able to dull the experience of the pain and occasionally the side effects would outweigh the benefits. If you suffer from long standing back pain, neck pain, disc prolapse pain, sciatic pain, 'whiplash' pain or arm and leg pain an Interventional pain specialist may be able to diagnose and treat the pain.

Advantages of Interventional Pain Procedures

?       Can diagnose the cause of pain which may not be possible with other means.

?       Simple, safe procedures which does not need anaesthesia

?       Is an outpatient or day care procedure.

?       Adequate duration of pain relief can be obtained

?       Is suitable for surgically unfit & debilitated patients

?       The procedure can be repeated safely if required

 

Low Back Pain

You must be incredibly lucky to be someone who never had low back pain. 90 percent of us would have low back pain at some point in our life time. But you don't need to worry, 85 percent of the time this pain is self limiting. It gradually settles in a matter of few day or weeks and completely resolves in 3 months. The body heals by itself and all you need to do is to stay active, do simple exercise and take simple pain killers like Ibuprofen. However in the remaining 15 percent cases the low back pain will persist beyond 3 months. Studies have shown that if the pain persists for than 3 months it arises from one of the 3 pain generators:

Facet Joints (10-40%)

Sacro- Iliac Joints (10-20%)

Inter-vertabral discs (20-40%)

Imaging studies including MRI scans has been proven to have low diagnostic utility in finding out the source of low back pain. Clinical evaluation and X-ray controlled simple targeted injections can accurately diagnose the source of the low back pain to be arising from one of these spinal structures. Thereafter minimally invasive treatments like radiofrequency denervations can provide significant long lasting pain relief.

What are the interventions available to treat back pain?

The diagnostic spinal injections include medial branch blocks, selective nerve root bock's and Sacro-Iliac joint injections. The therapeutic spinal procedures include Transforaminal Epidural Injections, Cervical spinal interventions, Medial Branch Radio-frequency Thermal Neurotomy, Sacro-Iliac Joint Radiofrequency Neurotomy and Spinal Cord Stimulation.

For Appointments

+91 484 2880288
care@renaimedicity.org

Post Box No. 2259, Mamangalam,
Palarivattom. P O,
Cochin, Kerala, India – 682 025