About Pain Management
Pain Clinic at Fortis
Welcome to Fortis Hospital, Department of Pain Management, where our dedicated team is committed to providing comprehensive and compassionate care to individuals suffering from various forms of pain. We will delve into the significance of pain management, its diverse applications, the conditions it addresses, and how our department at Fortis Hospital ensures a holistic approach to alleviate pain and improve the quality of life for our patients.
What is Pain?
Pain is a common problem affecting a significant proportion of world`s population. 1 out 5 people in India are suffering from one or the other type of pain. Pain can be chronic, acute, post-surgery pain, cancer pain, pain due to any injury or other illness like arthritis. Some people also have chronic pain that’s not tied to an injury or physical illness. It may be aggravated by psychological factors such as stress, anxiety and depression.
One might feel aching, burning, shooting, squeezing, stiffness, stinging or throbbing kind of sensation on affected body part. Pain can alter your life drastically in various ways. You may start losing interest in your favourite sport, become lethargic, losing out on sleep etc. Here are some effects of chronic pain on your life.
What is Pain Management?
Pain management is a specialized medical discipline that focuses on the assessment, diagnosis, and treatment of various forms of pain. It is designed to improve the quality of life for individuals experiencing chronic or acute pain, enabling them to resume daily activities and lead fulfilling lives. At Fortis Hospitals, our Pain Management Department employs a multimodal & multidisciplinary approach to address pain from various perspectives, tailoring treatment plans to each patient's unique needs.
How Pain Management Helps Patients:
Pain management is needed to reduce pain and raise the quality of life. Treatment at a pain clinic can give you the skills to manage your chronic pain on your own and make you more able to function, possibly so that you may return to work and live a pain free life. At Fortis we focus on:
- Personalized Treatment Plans: Our experienced team at Fortis Hospital understands that every patient is unique. We create personalized treatment plans that consider the specific type, intensity, and underlying causes of pain for everyone.
- Pain Reduction and Control: The primary goal of pain management is to reduce or control pain, allowing patients to regain functionality and participate in daily activities without the hindrance of persistent discomfort.
- Improved Quality of Life: Chronic pain often impacts a person's overall quality of life. Through a combination of medical, interventional, and holistic approaches, our pain management team strives to enhance the well-being of our patients.
Diseases and Conditions Covered:
Fortis Hospital's Pain Management Department comprehensively addresses a wide range of conditions, including but not limited to:
- Musculoskeletal Pain: Arthritis, fibromyalgia, and other musculoskeletal disorders.
- Neuropathic Pain: Trigeminal Neuralgia, diabetic neuropathy, sciatica, and nerve injuries, neuralgia.
- Cancer Pain: Pain associated with cancer and its treatments.
- Post-Surgical Pain: Managing pain post-surgery to facilitate recovery.
- Headache Disorders: Migraines, tension headaches, and cluster headaches.
- Chronic Abdominal Pain: Gastrointestinal conditions causing persistent pain.
- Complex Regional Pain Syndrome (CRPS): A chronic pain condition affecting limbs.
- Knee Pain: Osteoarthritis, ligament injury.
- Low back Pain: Discogenic pain, Facetogenic pain, sciatica.
Outcome of Pain Management:
The outcomes of pain management at Fortis Hospital, Gurugram, are aimed at:
- Pain Reduction: Minimizing or eliminating pain through various interventions and treatments.
- Improved Functionality: Enhancing the ability to perform daily activities and tasks.
- Enhanced Mental Well-being: Alleviating the psychological impact of chronic pain, such as anxiety and depression.
- Increased Quality of Life: Enabling patients to enjoy a better quality of life with improved overall health.
Comprehensive Pain Management at Fortis Hospitals:
Pain Management Department at Fortis Hospitals is committed to providing comprehensive and integrative care to address the unique needs of each patient. Our approach includes:
- Multidisciplinary Team: Our team comprises pain specialists, physiotherapists, psychologists, and other healthcare professionals who collaborate to develop personalized treatment plans.
- Advanced Interventions: We utilize cutting-edge interventions such as nerve blocks, radiofrequency ablation, and spinal cord stimulation to target and alleviate pain at its source.
- Holistic Approach: In addition to medical interventions, our team emphasizes holistic approaches such as physical therapy, counseling, and lifestyle modifications to address pain from multiple angles.
- Patient Education: We believe in empowering our patients with knowledge. Our team provides education on pain management strategies, helping patients actively participate in their treatment plans.
- State-of-the-Art Facilities: Fortis Hospitals is equipped with state-of-the-art facilities to ensure that patients receive the highest standard of care in a comfortable and supportive environment.
Interventional Pain Modalities
Interventional pain procedures are typically considered when more conservative treatments have failed to provide adequate relief of pain. We use minimally invasive non-surgical techniques in our interventions. Some Interventional Modalities in Pain Management available at Fortis are mentioned below;
1.) Spinal Injections & Interventions:
- Interlaminar Epidural Steroid Injection: This involves injecting a combination of local anaesthetic and steroid into the epidural space to reduce inflammation and pain.
- Transforaminal Epidural Steroid Injection: Similar to the interlaminar approach but targets a specific nerve root.
- Facet Injection/Medial Branch Block:Used to diagnose and treat pain originating from the facet joints.
- Radiofrequency Lesioning/Neurotomy/Chemical Neurolysis: A minimally invasive procedure that uses heat to disrupt pain signals from specific nerves.
- Sacroiliac Joint Injection: Targets the sacroiliac joint to alleviate pain.
2.) Sympathetic Nerve Blocks:
- Stellate Ganglion Block: Used for conditions like complex regional pain syndrome (CRPS) affecting the upper extremities.
- Hypogastric Plexus/Celiac Plexus Block (With or Without Neurolysis): Targets the celiac plexus to manage abdominal pain.
- Lumbar Sympathetic Block: Addresses pain in the lower extremities.
3.) Head and Neck Interventions
- Occipital Nerve Block: Helps with headaches and occipital neuralgia.
- Trigeminal Nerve Block: Used for facial pain conditions.
- Ilioinguinal Nerve Block: Addresses groin pain.
4.) Peripheral Nerve Blocks:
- Ilioinguinal Nerve Block: Addresses groin pain.
- Lateral Femoral Cutaneous Nerve Block: Useful for meralgia paresthetica.
- Pudendal Nerve Block: Helps manage pelvic pain.
5.) Surgical Pain Management:
- Intrathecal Drug Delivery: Implants a pump to deliver pain medication directly to the spinal cord.
- Neuromodulation (Spinal Cord Stimulation): Involves implanting a device to modulate pain signals.
6.) Patient Controlled Analgesia (PCA):
Patient-controlled analgesia (PCA ) is a method of allowing a person in pain to administer their own pain relief. The patient-controlled analgesia pump is a computerized machine that gives you medicine for pain when you press a button. The infusion is programmable by the prescriber
7.) Dry Needling and Trigger Point Injections: Used for myofascial pain
Some Non- Interventional techniques used at Fortis Hospital, Gurugram are: - CBT, Relaxation therapy, bio feedback, pain groups/support group, behavioural approach, motivational interviewing, guided imagery etc.
Common Questions Related to Pain Management:
Q: What Causes Chronic Pain?
Ans: Chronic pain can stem from various factors such as injuries, medical conditions like arthritis or neuropathy, inflammation, post-surgical effects, and psychological factors like stress or depression.
Q: How Is Pain Assessed and Diagnosed?
Ans: Pain assessment involves a comprehensive evaluation of the patient's medical history, physical examination, diagnostic tests like MRI or CT scans, pain scales, and sometimes consultations with specialists.
Q: What Can Patients Expect During a Pain Management Consultation?
Ans: During a pain management consultation, patients can expect a thorough evaluation of their condition, open communication with healthcare professionals, education about their diagnosis and treatment options, collaborative decision-making, and regular follow-up appointments to monitor progress.
Q: What Treatment Options Are Available to manage pain?
Ans: Treatment options for pain management include medications, physical therapy, interventional procedures such as nerve blocks or injections, counseling or psychotherapy, surgery, and alternative therapies like acupuncture or chiropractic care.
Q: Are Medications the Only Solution for Pain?
Ans: No, medications are just one aspect of pain management. Fortis Hospital's Pain Management Department adopts a holistic approach, incorporating various treatments beyond medications to address pain effectively.
Q: How Does Fortis Hospital's Pain Management Department Approach Pain?
Ans: Fortis Hospital's Pain Management Department takes a multidisciplinary approach, utilizing advanced interventions, holistic care, patient education, and state-of-the-art facilities to address pain comprehensively.
Q: Are There Non-Invasive Alternatives (treatment that does not cut the skin or enter any of the body spaces)for Pain Relief?
Ans: Yes, non-invasive alternatives for pain relief include physical therapy, acupuncture, mindfulness practices, and certain medications that do not require invasive procedures.
Q: How Long Does Pain Management Treatment Take to Show Results?
Ans: The timeline for pain management results varies for each individual. Some patients may experience relief after initial interventions, while others may require ongoing treatments. The team at Fortis Hospital adjusts treatment plans based on individual responses.
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