Pain management (Algology) is a specialty that has developed steadily in recent years and deals with patients' chronic pain. Because chronic pain brings multidimensional changes to many aspects of a patient's life, it calls for collaboration between different specialties.
Painful conditions that can be treated at the Pain Management Centre include: cancer pain, headaches, lower back pain, neck pain, back pain, spinal conditions such as spinal canal stenosis, disc herniation and degenerative disc disease (discogenic pain), myofascial (muscular) pain, sacroiliac joint disorders, pain in the hip region, neuropathic (nerve) pain, facial pain, post-herpetic neuralgia (pain after shingles), nerve compression syndromes, failed back surgery syndrome (FBSS), neuralgias such as occipital neuralgia and intercostal neuralgia, pain caused by spinal cord injury, complex regional pain syndrome, postoperative pain, pain related to peripheral vascular disease, pain associated with spasticity, pelvic pain, and undiagnosed painful conditions.
Various treatment options can be used to manage pain. As pain is an individual experience, each treatment must be tailored to the patient. The best pain management is determined after a thorough examination of the patient.
The invasive procedures available at our hospital's Pain Management Centre include:
- Epidural injections (interlaminar/transforaminal steroid, epidural adhesiolysis, blood patch)
- Selective nerve root injections
- Facet joint / nerve injections
- Radiofrequency ablation / Neurolysis / Denervation (trigeminal, sphenopalatine, peripheral RF)
- Intervertebral disc procedures (discography/IDET/annuloplasty/nucleoplasty)
- Sympathetic nerve blocks / ablations (stellate ganglion, thoracic/lumbar sympathetic block, coeliac plexus, superior hypogastric plexus, ganglion impar block)
- Spinal cord stimulation
- Drug delivery systems (permanent port and programmable pump system)
- Peripheral nerve blocks
- Joint injections
- Trigger point injections
- Botox injections
- Acupuncture