General Services

A few of the conditions we treat are as follows:

Traditionally, most pain services have been closely associated with Orthopaedics and Oncosurgery. In Orthopaedics, we address:

Nerve injury related neuropathic pains, complex regional pain syndromes, etc.
Diagnostic nerve blocks to determine the pain source, e.g., nerve root blocks in the spine to detect which level is causing pain
Lumbar canal stenosis
Sacroiliac joint mediated pain
Axial back and neck pain
Lumbar and cervical radiculopathies
Tendinopathies, musculoskeletal pain and chronic fatigue
Myofascial pain syndromes and fibromyalgia

Interventions performed at the multidisciplinary pain clinic are image-guided, evidence-based and documented during long-term follow ups for audit.

Pharmacotherapy as per the WHOs pain ladder for patients with cancer pain
Management of symptoms due to the disease per se or its treatment like dyspnoea, unrelieved constipation, dry mouth, fatigue, disturbed sleep, neuropathic pain, etc., which further add to the patients suffering
Advanced interventions for cancer pain relief, like neuroablative procedures and palliative procedures. Some of the examples include Stellate Ganglion Blockade, Celiac Plexus Sympatholysis, Splanchnic Nerve Radiofrequency Ablation, Indwelling Tunnelled Epidural Catheters kept for 3 months, continuous Nerve Blocks, Intrathecal Drug Delivery Device Implantation to Deliver Morphine, etc.
Management of non-malignant causes of pain in the cancer patients

Neuropathic pain and neuralgias like Diabetic Neuropathy, Post Herpetic Neuralgia, Trigeminal Neuralgia, Atypical Facial Pain and central pains, such as Central Post Stroke Pains
Rheumatological conditions with refractory chronic pain
Headaches mediated by involvement of the cervical spine, greater occipital neuralgias, etc.
Vasculitis and unmanageable pain that may be amenable to diagnostic and therapeutic sympathetic blockade
Management of pain in End Stage Renal and Liver Disease

Centres of Excellence