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Pain Management Methods that we follow at the Pain Centre, Apollo Speciality Hospitals

Medical Management

  • Opioids (oral, transdermal, intravenous, subcutaneous)
  • Anti-neuropathic (antidepressants, anti-epileptics, etc.)
  • Topical medications

Acupuncture

  • Musculoskeletal Treatments
  • Trigger point deactivation
  • Tendinomuscular treatment

Radiographically Guided (x-ray and Ultrasound scan) Injections

  • Epidural block
  • Translaminar (conventional)
  • Transforaminal
  • Selective nerve root block (extraforaminal)
  • Radiofrequency abalation (medial branch nerve, splanchnic nerve)
  • Pulsed radiofrequency treatment (DRG, peripheral nerves, Trigeminal ganglion)
  • Facet joint related injections
  • Intra-articular
  • Medial branch (Diagnostic and therapeutic)
  • Sacroiliac joint block

Other Radiographically (X-ray and Ultrasound scan) guided injections

  • Celiac plexus block
  • Stellate ganglion block
  • Lumbar sympathetic block
  • Peripheral nerve blocks (Ilioinguinal, Iliohypogastric, Transversus Abdominis Plane, Occipital, lateral cutaneous nerve of thigh, Intercostal)
  • Neuraxial blocks (including neurolysis)

Other injections

  • Trigger point injection Subcutaneous infiltration

Intravenous infusions

  • Lidocaine Intravenous regional sympathetic block

Neuromodulation

  • Spinal cord stimulation

Behavioral/Psychological Techniques

  • Cognitive Behavioral therapy
  • Stress management techniques
  • Biofeedback
  • Group therapy
  • Family counseling related to pain and chronic illness
  • Management of mood disorders related to pain and chronic illness

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