Acute And Chronic Pain Services

Patients experience pain when pain signals are transmitted from the affected site to the brain. The severity of pain may range from a mild headache to excruciating pain, such as pain from a kidney stone or labor pain. Pain medications block or reduce the flow of signals from the affected organ to the brain. Different pain management strategies are used for managing acute and chronic pain.

Our Offerings

  • Facet Joint Injection: This is the technique for diagnosing and managing facet joint pain. Facet joints are present throughout the spine. The causes of facet joint pain include trauma, osteoarthritis, segmental instability, inflammatory synovitis, and meniscoid impingement. The technique involves using radiological guidance, such as fluoroscopy or CT scan. The confirmation of intraarticular access is obtained through imaging techniques. The doctor, under local anesthesia, injects a combination of corticosteroid and local anesthetic at the affected facet joint. The local anesthetic agent provides immediate relief, while the corticosteroid offers long-term relief from pain and inflammation.
  • Epidural Steroid Injections: The epidural space is the area between the vertebral wall and the dura mater and contains small blood vessels and fat. Epidural steroid injections are injected in the epidural space. The indications for epidural steroid injection are neck pain that radiates to the arm and low back pain that travels to the lower extremities. Contraindications to epidural steroid injections include local malignancy, systemic infection or infection at the injection site, allergic reactions to medications or contrast agents, and increased susceptibility to bleeding.
  • Patient-Controlled Analgesia Pumps: Patient-Controlled Analgesia (PCA) pumps deliver pain-relieving medications at the patient's discretion. When the patient feels pain, he presses the button, and the dose is delivered. It is generally used in patients with acute, chronic, labor, or postoperative pain. The medications can be administered epidurally, intravenously, transdermally, or through a peripheral nerve catheter.