Best Pain Management Hospital in Delhi

The Department of Pain Medicine and Palliative Care at the BLK-Max Super Speciality Hospital delivers state-of-the-art pain management care. Pain management is a medical speciality that focuses on the diagnosis and treatment of various types of pain, both acute and chronic. This is based on a detailed evaluation with history and physical examination. In addition, different tests, including some blood tests and some time investigations like CT scans and MRI, are also needed.

Treatment in pain management is tailored to its cause and the individual's associated conditions. Pain is treated using the latest technology like radiofrequency ablation, spinal cord stimulator, intrathecal pump, and rich plasma injections. These injections are done under image guidance like ultrasound or C-arm; these are safe and effective.

This department offers a wide range of treatment options like physical therapy, medication, lifestyle changes, interventions and mind-body techniques. Our medical experts are trained in pain management, understand the complex nature of pain and follow a multi-disciplinary approach to treating it.

Diseases Managed in the Pain Clinic:

• Chronic Low Back Pain
• Disc Herniation · Sciatica
• Chronic Knee/Ankle Pain
• Chronic Shoulder Pain
• Chronic Hip/Thigh Pain
• Trigeminal Neuralgia
• Facial Pain
• Carpal Tunnel Syndrome
• Cancer Pain
• Chronic Abdominal Pain
• Chronic Pelvic Pain - Particularly in Women
• Fibromyalgia
• Nerve Pain - Associated with Various Conditions like Diabetes, Post Chemotherapy, HIV & Herpes
• Central Pain Syndromes of Stroke, Phantom Limb Pain & Post Amputation Stump Pain
• Chronic Headache

Services Offered:

Nerve Blocks: A nerve block is a medical procedure used to block pain signals from specific nerves, providing relief from pain or discomfort in a specific area of the body. Nerve blocks can be temporary or more long-lasting, depending on the type of medication used and the intended duration of pain relief. Various areas of pain require different types of nerve blocks, the names of which are mentioned below, along with the body part they are used for.

• Trigeminal Nerve Blocks (Face)
• Supraorbital Nerve Block (Forehead)
• Occipital Nerve Block (Occiput Pain)
• PRP Therapy (Knee Pain/Tendinopathies/Back Pain)
• Sphenopalatine Nerve Block (Nose and Palate)
• Cervical Epidural, Thoracic Epidural and Lumbar Epidural Block (Neck and Back)
• Cervical, Thoracic and Lumbar Medial Branch Block (Neck, Upper Back and Lower Back)
• Cervical Plexus Block and Cervical Paravertebral Block (Shoulder and Upper Neck)
• Piriformis Injection (Sciatica Pain)
• Sacroiliac Joint Injection (Lower Back Pain)
• Brachial Plexus Block, Elbow Block & Wrist Block (Shoulder/Arm/Hand/ Elbow/Wrist)
• Fascial Plane Blocks (Abdomen and Pelvis)
• Trigger Point Injection (Muscle Pain)
• Celiac Plexus and Hypogastric Plexus Block (Cancer Pain)
• Spinal Cord Stimulator (Persistent Severe Back Pain Despite Back Surgery)
• Intrathecal Pain Pump (Intractable Cancer Pain)

Other Blocks

• Sympathetic Nerve Block: Sympathetic nerve blocks are often used to alleviate chronic pain conditions, particularly those associated with the sympathetic nervous system. These conditions may include complex regional pain syndrome (CRPS), reflex sympathetic dystrophy (RSD), and vascular disorders that cause pain, such as Raynaud's disease. In some cases, a sympathetic nerve block may be used as a diagnostic tool to determine if the sympathetic nervous system is contributing to a patient's pain. If the block provides temporary relief, it suggests that the sympathetic nerves are involved in the pain.
   
• Platelet Rich Plasma Injection (PRP): Platelets have a wide role in tissue healing because they store and release a wide range of bioactive factors, including growth factors. PRP is administered to treat acute and chronic tendon, ligament, and muscle injuries and early joint arthritis. It is safe because it is an autologous product derived from a patient's own blood and contains platelets and bioactive factors that can enhance tissue healing at injury sites.

FAQs

How long do you need to stay in the hospital for the procedure?
Most procedures need only daycare admission.

Will I be able to reduce my painkillers (analgesics) after the procedure?
If the procedures help with your pain, then we will start tapering off the painkillers gradually.

How many procedures are needed for complete pain relief?
Usually, 1-3 sittings are required depending on the chronicity of the problem.

How much do these procedures cost?
It depends on the procedure. Usual nerve blocks cost less, and RFA costs a little higher. Almost all procedures are covered under CGHS/ECHS panel and insurance.

What are the advantages of the procedure over taking medications?
Taking long-term medications can be associated with side effects like gastritis, damage to the kidneys and liver, and drug toxicity. Also, taking pain medications can make your body develop tolerance. This means you will keep needing more medication to get the same effect. The procedures are targeted to the root cause of pain and hence decrease the requirement for medications.

What is the risk/side effects involved with the procedures/Injections?
Most procedures are safe as they are done under image guidance. Minor side effects include tenderness or mild soreness at the injection site. The application of an ice pack at the injection site usually helps with this symptom. Most patients feel better in 2-3 days after the procedure.

Does the procedure hurt?
We do it under local anaesthesia, which means the area where the needle is placed will be numbed before.

What are some of the options to manage daily pain?
Daily pain can be very debilitating. The smart way to manage pain is to find out the cause of the pain and, hence, its treatment. Once pain is relieved, then you are advised to do certain exercises which prevent the recurrence.