Prof. (DR) Dwarkadas K. Baheti
( M. B. B. S., M. D.)
Specialist in Pain Relief Treatment
 
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Pain info and Solutions
 
 
" CONTROL PAIN AND IMPROVE QUALITY AND QUANTITY OF LIFE "
   
CHRONIC OR LONG LASTING PAIN LEADS TO : -
 
Harmful and undesirable effects on all systems of the body. It may leads to personality changes such as irritability, depression, loss of sleep (Insomnia) and even high blood pressure.
Backache or headache affects the work capacity and productivity of every one and more so of a professional or executive.
Loss of million working hours (Absenteeism) leads to heavy financial burden of society, at large.
   
TYPES OF PAIN
Low Back Pain (Sciatica or Radiating pain in limbs, Pain after Back Surgery, Discogenic pain)
Cancer Pain of Pancreas, stomach, kidney, uterus, lungs, bone
Headache- Migraine
Myofascial Pain- Tennis Elbow, Frozen Shoulder, Tort Collis.
Pain due to less blood supply in lower or upper limbs (Ischemic Limb Pain)
Neuropath tic pain
Pelvic and Urogenital Pain- Interstitial cystitis
Muscular Pain due to sprain
Neck Pain- Computer Professionals
Spondylitis of Neck or Back
Any Pain lasting for more than six months.
   
METHODS OF PAIN RELEIF
   
MEDICATIONS: Orally, Injections, Special Infusion Pumps
   
INTERVENTION PAIN PROCEDURES
Nerve block
Plexus block - Single procedure can have long lasting pain relief (3 to 6 months)
Volumetric Adhesiolysis - Epidural (Cervical, Lumbar, Caudal)
Special Treatment techniques
Spinal Cord Stimulation - Post laminectomy pain, Ischemic limb pain, Unstable Angina
Percutaneous Adhesiolysis - Pain due to adhesions after back surgery.
Radio Frequency Lessoning - Trigeminal Neuralgia, Facet Jt. Pain, Medial branch neurotomy,
Implantable Pumps - Cancer Pain, Bone( Metastatic) Pain
Epiduroscopy - Adhesiolysis- Pain due to adhesions after back surgery
Vertebroplasty - Spinal Pain due to Metastasis or instability of Spine
Ozone therapy for discogenic pain
T.E.N.S.
Laser therapy
Cryo therapy
Intra Muscular Stimulation (I.M.S.)-Muscular Pain.
   
ADVANTAGES OF INTERVENTIONAL PAIN PROCEDURE
 
No cut on the skin
Day care procedure
Done in Operation theatre under strict aseptic precaution
Monitoring of vital signs done during the procedure.
No side effects
Cost effective
Can be repeated if required
Single procedure can give pain relief up to six months or more
   
Enumerous types of chronic pain treated by Dr.Baheti
 
Backache or Sciatica - (pain going down the hands or legs) - Which are mainly due to slip disc or pressure on the nerves. It is also associated with tingling and numbness (rubbery feeling in sole of feet), decreased sensations. These symptoms are exaggerated in diabetic or nutritional deficiency patients.
Cancer Pain - Dreadful disease results in intractable (unbearable) pain such as  Cancer of Pancreas,  Breast, Liver, Stomach, Kidney, Uterus or anywhere in the body. Dr. Baheti’s aim is to improve quality of life if not quantity.
Headache or Migraine - It can be one sided or both sided. Stress of any kind is responsible. Common in young individuals such as executives or high pressure job (glamour world or corporate sector).
Muscle pain or Myofascial Pain - due to back or neck muscle spasm. Commonly seen in people with fitness freaks or sports persons as they are more prone due to heavy muscular activity.
Pain due to less blood supply (Ischemia) in lower limbs- Due to Alcohol or Smoking. Especially, Nicotine known to cause spasm of blood vessels which decreases blood supply.
Diabetic or Nutritional Neuropathy - Nerves suffer from lack of blood supply or nutrition which leads to irritation or wounds in the nerves. As seen in Diabetis can affect all systems in addition to spasm of blood vessels
Herpes zoster - A viral condition known to cause destruction of nerves which result in severe pain. This is most challenging pain.
Any pain of unknown reason lasting for more than six months
   
Dr.Baheti provides following excellent treatment options at his pain clinic.
 
Oral Medications - Drugs to reduce pain, irritation of nerves, depression, anxiety, constipation.
Interventional or Special Injection Therapy done under X- ray control or CT scan.
 
Injections around nerves, plexus- For Pain going down the legs or cancer patients. Single Treatment (Neurolytic Block) Procedure can relieve pain for Three to Six months.
Radio Frequency Lesioning - This technique is safe, simple and gives long duration of pain relief. It causes burning or killing of nerve temporarily with preset preset temperature
   
Advanced Techniques
 
Spinal Cord Stimulation - special current passed to relieve pain by special electronic leads. Useful in persistent pain after surgery, Diabetic neuropathy, Unstable Angina pain, pain due to less blood supply.
Implantable device - low dose of drug is delivered through Electronic pump. Very useful in Cancer pain patients.
Vertebroplasty for unstable spine ex- Osteoporotic (less calcium ) vertebrae to provide strength to spine and back. - low dose of drug is delivered through Electronic pump. Very useful in Cancer pain patients.
Discolysis or Discoplasty - dissolving of central part of disc to reduce pain and pressure on the nerves
Percutaneous Discectomy - Pain due to disc prolapse is selective cases to reduce pain and pressure on the nerves.
   
 
Facet Joint Injection
 
Caudal Steroid Injection
 
Lumbar Epidural
Steroid Injection
 
Epidural Blocks
 
Insertion of Needle
 
 
 
 
 
 
 
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