Back Pain

Knee pain is a common and significant symptom for many patients 

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Dr. (Maj) Varun Bajaj
MBBS, MD Anaesthesiology
FCPM (MUHS), FIAPM(ISSP)
Director – Devbhoomi Pain Spine Center

Why Choose Us

Our clinic is the first to offer world class comprehensive pain management services in Uttarakhand. All our procedures are : *Non surgical, *Painless, *Less than 1 hour duration, *Done under imaging guidance, *Performed by experienced professionals

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About Back Pain

LBP was listed among the top 10 diseases and injuries that account for the highest economic burden and disability worldwide. It is very important to understand why and how each structure is converted to a  pain generator and treat accordingly.

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Common pain generators

  • Disc
  • Facet joints
  • SI joints
  • Myofascial ( muscle)
  • Vertebral body
  • Ligaments
  • Hip joint

What is the purpose of pain intervention?

Pain management interventions are specifically tailored according to the patient needs after proper investigation and conservative treatment with commonly available medications.

Interventions help the patient to decrease pain medication and break pain cycle so that with proper Physiotherapy and exercise patient can resume normal lifestyle.

Pain intervention options:

Regenerative therapy :

  • Intradiscal injection of PRP/ BMC
  • Epidural injection of PRP/ BMC
  • Facet joint intra articular injection of PRP/ BMC
  • SI joint injection of PRP/ BMC


Radiofrequency ablation

  • Pulsed RFA dorsal root ganglion
  • Thermal RFA medial branch

Imaging guided procedures
  1. Transforaminal epidural lumbar/ thoracic/ cervical
  2. Lumbar sympathectomy
  3. Ganglion impar block
  4. Caudal neuroplasty
  1. Pain due to cancer
  2. Pain due to cancer treatment - chemotherapy and radiotherapy induced pain
  3. Cancer related bone pain
  4. Cancer related visceral pain
    1. Somatic
    2. Visceral
    3. Neuropathic
  • Pain management interventions are specifically tailored according to the patient needs after proper investigation and conservative treatment with commonly available medications.

    Cancer patients are on high dose narcotics and opioids which make them drowsy and lose touch with the world. Pain intervention limit the dose of narcotics so that they can resume day to day activities while enjoying pain relief.

     

    Pain intervention options:

     

    Imaging guided blocks

    1. Intercostal nerve block
    2. Coeliac plexus neurolysis
    3. Superior hypogastric plexus neurolysis
    4. Thoracic sympathetic ganglion block
    5. Vertebroplasty

    Radiofrequency ablation

    1. RFA intercostal nerve
    2. RFA coeliac plexus
    3. RFA superior hypogastric plexus