Pain Relief Procedures

PRP - Platelet Rich Plasma

Spinal Cord Stimulator

Shoulder Joint Injections

intra Articular Injections

Chronic Pain

Pain is a protective mechanism of our body. It saves us from injury. For example, when there is a fracture, the pain prevents us from moving the leg or injured part, so as to avoid further damage. Normally when the injury heals pain goes away; but if the pain persists for more than 3 months, it becomes a pathological pain. It is no longer a normal pain and needs immediate medical attention. This is known, as Chronic pain, where a pain specialist can help. Ace Pain Relief Centre, focuses on finding out the root cause of pain, so that it can be treated completely. Ace pain clinic provides a complete range of Interventional procedures. Starting from medical management to high-end procedures, like intrathecal pumps and spinal cord stimulators. Chronic pain if left untreated can lead to psychological problems and affect the patient's day-to-day activities.

Headache and Migraine

Migraine is a medical condition where there are attacks of severe headache associated with or without aura, nausea, vomiting and irritability. All investigations like CT,MRI are normal but the headache still continues. At Ace pain relief centre we diagnose the exact cause of migraine. We help you identify your triggers and give holistic treatment. When medical management fails we perform interventions like botox, occipital nerve blocks, sphenopalatine nerve blocks and relieve the headache and a systematic approach helps in relieving your headache. Our treatments are according to evidence based guidelines and medically proven.

Neck Pain

There are many causes of neck pain, like improper posture, teenage slouch, continuous head down position of the mobile users are to name a few. In medical terms, involvement of the facet joints in the neck, muscle loading, prolapsed intervertebral discs are the different causes of neck pain. You should be aware of the red flags. Sudden excruciating pain, fever, weakness or tingling numbness in the shoulder or hand, loss of power in hand are all signs which need medical attention and are known as the red flags which may require emergency surgery. At Ace pain clinic we help you diagnose the cause of your neck pain and provide a wide range of non surgical treatment which are tailor-made according to your problem. Physical therapy and medication, help in most of the conditions.

Back Pain

80% of the population, experience back pain sometime or the other in their life span. The cause can range from a muscle spasm, lumbar strain to a more serious problem like disc prolapse or Lumbar canal stenosis. Nonspecific back pain gets resolved within six to eight weeks with rest, medication, moderate activity and physiotherapy. Nowadays, complete bed rest is not recommended but some rest for 48 hours is advisable. Low back pain is not considered a potential problem in young adults. So when pain strikes, it is a bolt from the blue. Young adults perform strenuous exercises like lifting weights in the gym or lifting heavy objects, or sudden, awkward lifting up of a toddler can also cause back sprain, which is extremely painful. Dull ache, stiffness while bending, soreness, tenderness on touch, pain not radiating to leg pain are all the different symptoms. In the older age group, disc degeneration occurs; as the disc loses its water content over the years. At Ace pain Clinic we make a proper diagnosis of your problem and give a complete non surgical treatment to relieve you from your pain. Treatment consists of medication, physiotherapy, stretching exercises and interventions. Interventional pain management consists of inter laminar epidural injections, nerve root block, transforaminal epidural, facet joint injections, medial branch block, radiofrequency ablation of the dorsal root ganglion to high-end procedures like intrathecal pump and spinal cord stimulators. You should be aware of the red flags. If you experience sharp, excruciating, radiating pain, and sudden weakness in the legs, loss of bladder bowel control, tingling, numbness in your legs, pain in groin or gluteal region or around your perineum, cauda equina syndrome then you should need immediate medical attention. Low back pain is an emerging problem and occurs during the third decade of life; obesity, smoking, family, history, stress, lack of exercise are all different causes. Lifestyle modification, creating awareness about modifiable risk can improve the quality of life. Nonspecific back pain resolves on its own, with mild medication, and physical exercises within six to eight weeks. But if it does not resolve within six to eight weeks, then immediate medical attention is necessary.

Trigeminal Neuralgia

It is a severe excruciating, electric shock like, shooting pain in the upper or lower jaw. It affects the day-to-day activities of the patient like brushing, shaving or even eating. Even touch or blow of air can trigger the pain. It is also known as the suicide disease, as the patient is unable to bear the pain and thinks of suicide. Ace Pain Relief Centre provides all non-surgical options of pain management. It comprises of medical management or interventions like Gasserion ganglion block, Radiofrequency Ablation under C arm guidance and complete monitoring. Keeping in mind the safety of the patient it is done under strict aseptic precautions inside an operation theatre. The pain relief ranges from one and a half years to three years.

Joint pain

Joint pain occurs either due to systemic diseases like osteoarthritis or rheumatoid arthritis, psoriatic arthritis or injury. The Joint gets inflamed and undergoes degeneration, leading to damage to the cartilage. Sports injury, can cause ligament tears and can damage the cartilage and meniscus. Ace Pain Relief Centre provides non-surgical management of joint pain. Interventional management consists of PRP i.e. platelet-rich plasma where platelets are derived from the patient's own blood and injected into the joints. Platelets are separated from the blood in the centrifuge machine for 15 minutes and introduced in the joints under strict aseptic precautions.

Cancer Pain

Cancer pain is very difficult to treat. Multiple modalities are required to control it. NSAIDs, control cancer pain to a large extent, but the drugs affect the kidneys and also can cause bleeding from gastric ulcer and cannot be taken for a long time. Opioid drugs are also useful in cancer pain management. Other medications include antidepressants, anticonvulsants. We at Ace Pain Relief Centre, provide comprehensive management of cancer pain. Interventions can improve the quality of life of cancer patients. Now blocks are effective to reduce the inflammation and pain. Intrathecal pump is a spinal drug delivery system, which is used for continuous infusion of pain medications, where a catheter is placed inside the intrathecal, space,that is the spine. And it is connected to a medicine pump which is placed under the skin, like a pacemaker and a continuous infusion is given. Medicines can be replaced or refilled from outside. RF or radio frequency ablation is a current used to heat the nerve and numb it. RF Legion is produced which relieves the pain. These procedures are performed in OT with continuous monitoring of the patient and under C arm(machine) or sonography guidance.

Hyperhidrosis

It is a condition where there is excessive sweating either of the whole body or only the palm and feet. Commonly seen in the anxious people and it is more in the summer where there is excessive sweating. Certain local antiperspirants with Aluminum Chloride are used to reduce perspiration. Drysol, Xerac AC,Glycopyrolate cream, antidepressants are also given, Botox can be used,it give relief for around 6 to 12 months. Stellate ganglion block has been tried for this. I presented my research on “Stellate ganglion block for primary focal hyperhidrosis,” in the world pain Congress.

Postherpetic Neuralgia

Herpes zoster is a virus which causes chickenpox. And this virus can remain dormant for a long time in the dorsal root ganglion of the nerve fibres. When the immunity decreases with age or any disease, the virus surfaces and causes herpes, a rash appears like small pustules, which heals and later pain can appear. This is known as the postherpetic neuralgia. We at Ace Pain clinic provide treatment which comprises of various medications along with various patches like lidocaine patch, capsaicin patches. Intercostal blocks, root blocks can be given which provide good pain relief.

Shoulder Pain

There are different causes of shoulder pain, most common being rotator cuff tear or if the tendon gets trapped under the bone. Other causes are bone spur, bursitis, arthritis, frozen shoulder, nerve injury, or fracture. Pain could also originate from the neck and radiate towards the shoulder. When your shoulder pain does not respond to conservative, home remedies, a pain specialist can help you. At Ace pain clinic, we find out the root cause of your pain. And initially, we manage with medicines and if it does not respond, then there are different options like PRP, joint injections and physiotherapy. We provide complete, non-surgical options of pain management, where we perform nerve blocks, RF ablation, which gives a long-term pain relief. You should be aware of the red flags like fever, swelling, stiffness inability to move shoulder, red or blue discoloration of the skin when you should seek immediate medical attention.

Elbow Pain

Elbow pain can be caused because of injury, prolonged pressure, exercise, games like tennis etc, local trauma, desk work, sprains, strains. Most common causes are bursitis, golfer's elbow or tennis elbow, rheumatoid arthritis, sprain or stress fracture. Medial epicondylitis, that is the golfer's elbow occurs because of repetitive throwing. Lateral epicondylitis or tennis elbow occurs because of racquet sports where the ligament gets stretched or torn. Another condition is Panners disease, which is also known as osteochondritis dissecans causes pain on the outer side of the elbow, but is rare. If exercises, stretches, ice application does not help, a pain specialist can help. You should be aware of the red flags like tender swollen elbow fever etc. Treatment comprises of analgesics, physiotherapy, steroid injections or PRP, nerve blocks . In resistant cases, we can give radiofrequency ablation of the nerves.

Hand Pain

Causes of Hand pain can range from injury, arthritis; rheumatoid arthritis can affect all joints osteoarthritis occurs in three places in the hand, ie. the base of the thumb, joint near the tip of the finger or middle of the finger. There is swelling, pain, loss of strength. Other causes are carpal tunnel syndrome where the median nerve is compressed at the wrist, ganglion cysts are soft, fluid-filled cysts which become painful as they grow. We at Ace Pain Relief Centre diagnose the cause of finger pain whether it is local or due to systemic disease. Another condition is Dequervain's tenosynovitis where the tendon sheath of the thumb becomes swollen. Treatment consists of anti-inflammatory medicines, aspiration of cyst or surgery may be required for carpal tunnel syndrome. We, as pain specialist can help by performing Hydro dissection of the nerve.

Vascular Pain

There are different conditions which cause vascular pain, like Raynaud's phenomenon or disease where is a spasm of small arteries of the fingers and toes on exposure to cold temperature. It may be associated with SLE rheumatoid arthritis or scleroderma. Buerger’s disease. It affects the small and medium arteries, it is common in smokers. There is a narrowing of the arteries and hence it causes decrease in the blood supply to different tissues. If there is a blockage of the blood flow, it can lead to gangrene. Buerger’s disease affects the small and medium-sized arteries. Peripheral vascular disease occurs leading to poor circulation, could be because of atherosclerosis, which causes narrowing of the blood vessels. Peripheral venous disease occurs because of improper functioning of the walls in the veins, which leads to venous bulging causing varicose veins. Treatment of vascular pain consists of medication, foot elevation, compression stocking stockings in milder cases. Laser ablation, Venous Bypass or angioplasty is needed in severe cases.But when the pain persists, even after angioplasty we as Pain Physician's can help you by giving Interventional blocks like lumbar sympathectomy. Conservative treatment comprises of Lifestyle modification, which includes losing of weight, abstinence from smoking, regular exercise ,foot elevation, avoid prolonged standing and medications like blood thinners.

Leg Pain

Leg pain can occur due to muscle spasm, sprain, pinched nerve, bone pain, ligament injury arthritis, like, rheumatoid arthritis, osteoarthritis, and peripheral arterial disease. Vascular pain occurs in the muscles, more than the joints and it worsens with activity. Cramps in the legs can also be a sign of Calcium deficiency or nutritional vitamin deficiency, or even dehydration and electrolyte imbalance. Conservative management includes foot elevation, ice application and medicines. When conservative treatment fails we as pain specialists can help you. At Ace Pain Relief Centre, we diagnose the root cause and help you manage the pain. Many times leg pain originates from the back. Nerve root block in the spine is beneficial for the leg pain.