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.
- Chronic pain
- Back pain
- Neck pain
- Neuropathic pain
- Complex regional
- Facet joint pain
- Cancer or cancer
- Disc disease
- Myofascial pain
- Sacroiliac pain
- 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.
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
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.