Transforaminal epidural injection / Nerve Root Blocks
The common indications for which this procedure is done are patients with radicular pain due to small discs, recurrent discs, canal stenosis or failed back surgery in whom surgical intervention is ruled out. These injections are more specific than the blind epidural procedures as they are performed under fluoroscopic guidance. Selective Nerve Root Block can also aid in diagnosis of the cause of pain in multilevel disc bulges and selection of future treatment plans.
Myofascial trigger point injections with intramuscular stimulation
Trigger points are sensitive areas within the muscles which are painful on touch and also can give rise to referred pain in the surrounding areas. These points if lie untreated for long time give rise to knots within the muscle. Trigger point injections with intramuscular stimulation helps in treating such kinds of pains.
Radio Frequency Ablation
This is a safe treatment is which temperature controlled selective destruction of the nerves can be done under fluoroscopy guidance. This is a proven long term efficacious treatment which is minimally invasive for the patients with chroinic pain. There are two modes available conventional RF to ablate the medial branch for facetal arthropathy and pulsed RF to ablate the peripheral nerves.
Greater occipital and lesser occipital nerve blocks for migraine
A conservative trial of medications for both abortive treatment and to prevent further attacks and reduce the intensity and frequency of attacks in migraine patient. When these medications still cannot control the headache greater occipital nerve blocks and lesser occipital nerve blocks can be given at weekly interval with good results.
Coeliac plexus block/Ganglion of impar block for cancer pain
With the increasing lifespan and advanced techniques the incidence of cancer has increased in the past decade due to better detection modalities. Cancer per se can give rise to pain and the various therapies including chemotherapy, radiation, surgery, diagnostic biopsies too can contribute to pain. After an adequate dose of medications including NSAIDs, Opioids, Adjuvants have been tried and patient continues to have inadequate pain relief,Ablative nerve blocks can be given for adequate pain relief.
Knee joint injections
Osteoarthritis is the commonest condition which affects the knee with growing age.After a trial of medications and physiotherapy fails to control the pain, viscosupplementation injection with platelet rich plasma(PRP)can be given with excellent results for patient with mild to moderate arthritis.
Regenerative medicine therapies (Platelet Rich Plasma,Prolotherapy)
Regenerative medicine is a kind of treatment that can harness those abilities and amplify the natural growth factors your body uses to heal tissue.These involve Platelet Rich Plasma therapies and Prolotherapy. PRP injections are used to treat partial tendon and ligament tears, tendinitis, muscle injuries,mild to moderate osteoarthritis of joints.All regenerative medicine procedures are done under sonography guidance to target the exact area of involvement.
Intrathecal Drug Delivery System
This is a highly sophisticated and specialized drug delivery system in which a specialized catheter is placed in the intrathecal space and is connected to a pump implanted subcutaneously. The drug is delivered directly in the vicinity of target level of spinal cord reducing the dose of the drug and thereby its side effects. Morphine is commonly used drug for Pain Management.
