The spinal column (vertebral column or backbone) provides both structural and nervous system support for your entire body.
Cancer Pain
With the increasing lifespan and advanced diagnostic modalities the incidence of cancer has peaked in the past decade with early detection and curative treatments which include surgery,chemotherapy and radiation therapy. However at each stage of therapy patient suffers from PAIN both physical and mental pain.Palliative care considers this biopsychosocial aspect of pain and treats the individual from all these types of pain. Treatment includes analgesics ranging from mild pain killers to strong opioids like morphin depending on the severity of the pain.
Chronic Headaches, Migraine
Migraine is a primary headache disorder characterized by recurrent headaches that are
moderate to severe. Typically, episodes affect one side of the head, are pulsating in nature, and last from a few hours to three days Associated symptoms may include nausea, vomiting, and sensitivity to light, sound, or smell.
Post Herpetic Neuralgia
Postherpetic neuralgia (PHN), defined as pain persisting more than 3 months after the rash has healed, is a debilitating and difficult to manage consequence of HZ.pain is usually very severe burning character with increased sensitivity of the skin such that even touch is perceived as pain. Antineuropathic medications usually help in controlling the pain when given in adequate doses however when patient doesn’t have adequate relief interventions can be tried with good results.
Chronic Abdominal & Pelvic Pain
Persistent abdominal and pelvic pain after all surgical, gastrointestinal,gynaecological and urological causes have been ruled out and all the diagnostic modalities including CTscan,MRI,Sonography of abdomen and pelvis are normal,can be referred to a pain physician to diagnose the cause of pain. A detailed history taking followed by diagnostic interventions help to identify the pain generator and then definitive treatment can be planned.Transverse Abdominis plane block,trigger point injections can be utilized for abdominal wall nerve entrapments and abdominal muscle pain.
Abnormal Pain after any Surgery
Surgery although has been one of the greatest boons to mankind,inflicts considerable trauma and can contribute to chronic pain.Common surgeries giving rise to high incidence of postoperative pain are phantom limb pain,postthoracotomy pain,postmastectomy pain,posthernioplasty painand postcholecycstectomy pain.however the most common post surgical pain is following spine surgery also referred to commonly as Failed Back surgery syndrome.Also post knee and hip replacement pains,post sternotomy,postcraniotomy,post pacemaker implant pains are also commonly seen in Pain OPDs.