| |
|
| |
Pain
Relief : A Basic Human Right |
| |
|
| |
Dr.
Preeti Doshi
Consultant Anaesthesiologist and Pain Specialist
M.D. (Anaes.), D.A. (U.K.), M.R.C.A. (U.K.)
Pain Management Specialist
Anaesthesiologist
Email: preeti_doshi@vsnl.net
Jaslok OPD: Wednesday 1- 2 pm : Friday 2 - 3 pm
Contact: Jaslok Hospital - 5657 3014
Office - 5657 3185
|
| |
|
| |
In today’s age, Pain relief is a basic human right.
Adequate control of chronic pain can help to significantly improve
quality of life of many of our ailing patients. It requires skills
of an Anaesthesiologist trained specifically for it, working closely
with a range of other healthcare specialists.
|
| |
|
| |
What
is chronic pain? |
| |
|
| |
Definition:
Pain that lingers long beyond normal healing time (more than 6 months)
and is not relieved by standard medical management. Common conditions
leading to chronic pain are
| Cancer |
| Low
back pain- |
Failed
back surgery |
| |
Degenerativepathology |
|
| Reflex
Sympathetic Dystrophy |
| Peripheral
vascular disease pain |
| Phantom
limb pain |
| Occipital
Neuralgia, Post herpetic neuralgia, Trigeminal neuralgia…..and
so on….. |
| Diabetic
neuropathy |
|
|
| |
Why should chronic pain be treated? |
| |
|
| |
Pain
can have serious consequences than just hurt. |
| |
|
| |
“LIFE
STYLE MAY BE ERODED” |
| |
| |
Inability
to work
Mental and physical deterioration
Weakened relationships
Disruption of families |
|
| |
|
| |
Myths
about “PAIN”. |
| |
|
| |
| |
I
will get addicted to pain medication.
I don’t want to be labeled a ‘bad’ patient or cause trouble
for my doctor.
If my current treatment can’t control my pain, then I will just
have to live with the pain.
People will think I am weak because I need help controlling
my pain. |
|
| |
|
| |
“HELP
AND RELIEF” ARE POSSIBLE. |
| |
|
| |
What
can be done? |
| |
|
| |
-
MEDICATIONS:
- NERVE
BLOCKS
- PHYSICAL
THERAPY
- PSYCHOTHERAPY
- BEHAVIOURAL
PROGRAMS
- ALTERNATIVE
TREATMENT
- ADVANCED
PAIN THERAPIES
-
NEURO ABLATION
|
| |
“HELP
AND RELIEF” ARE POSSIBLE - but only if you fully discuss your pain.
PAIN
RELIEF IS A “TEAM EFFORT”.
|
| |
|
| |
Role
of a Pain Specialist |
| |
|
| |
With
the sound knowledge and skills at the Regional techniques a Pain
Specialist can perform the following interventional procedures;
Intra-
articular Injections like -Facet Joint Injections- Mainly indicated
in patient’s suffering from cervical or lumbar spondylotic pain,
Sacro-iliac joint injections Sympathetic nerve blocks- for peripheral
vascular diseases, post herpetic neuralgia and cancer pain IV
Regional Blocks- pain from various etiologies Epidural Injections-
chronic pain due to spondylosis, trauma, cancer etc. Radio-frequency
Rhizotomy- for various pain syndromes that respond favorably to
facet joint injections, Trigeminal Neuralgia, etc.
|
| |
|
| |
Advanced
Pain therapies |
| |
|
| |
These
therapies can be offered to patients suffering from pain refractory
to all the above modes of therapies. These are specialized implantable
devices for selected candidates who have had an adequate trial for
the same.
Dorsal
Column Stimulators-Useful for patients with Failed Back SurgerySyndrome,
CRPS, Phantom limb pain etc. Intrathecal Drug Delivery System-This
is useful for selected Cancer patients and also for certain severe
but Opioid sensitive pains. This enables opioid dose reduction
which in turn minimizes their side effects.
|
| |
|
| |
Top |
