What is pain?

The International Association for the Study of Pain’s widely used definition states: “Pain is an unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage.” In simple people can have pain either in presence of tissue damage due to trauma, inflammation, infection etc or even in absence of above conditions.

What are the types of pain?

Pain is divided into three types. First one is called ‘Physiological pain‘ which occurs because of tissue damage. It is physiological because it is the inherent property of our nervous system to intimate our brain about ongoing tissue damage so that appropriate action can be initiated like withdrawing our self from damaging source. It is a protective reflex. Pain will stop by the time healing is over. Usually it takes maximum of 3 months. It is also called as ‘Acute pain‘.

Second one is called ‘Pathological pain‘ which occurs because of nervous system damage in absence of any tissue damage. The nervous system becomes damaged and sends information to brain as if there is ongoing tissue damage but no so. In simple, patient will complaint of pain even on normal parts. In this condition pain is no more a symptom, it itself is a disease.  Pain can persist even after tissue healing i.e after 3 months. It is also called as ‘Chronic pain

Third one is called as ‘Mixed pain‘ which included both tissue and nervous system damage.

Why there is need to treat pain?

Pain can disturb all our organ system. It activates sympathetic nervous system which can increase heart rate, blood pressure and sometimes can lead to heart attack. It can cause gastrointestinal disturbance which includes vomiting, loss of appetite, constipation etc. It decreases our immune system thus leading to decreased wound healing and increased infection. Added to this it can cause psychological disturbance with varying degree of depression.

Why there is need of pain clinic?

There are those who argue that a good doctor, whatever his or her specialty, should be able to treat pain. The reality is that this doesn’t always
happen. A pain clinic is backed with a critical mass of experience which can effectively come to the help of the patient. Many of the methods that are needed for pain relief are outside the sphere of a single specialty. A multispecialty approach in managing pain goes a long way in providing total pain relief.

Why there is need for multidisciplinary pain management center?

Relief from pain will be fast and long-lasting when pain management procedures are mixed with physical rehabilitation. Patients who experience physical pain oen have difficult emotional and psychological problems, which require psychological rehabilitation. Some cases may need surgical intervention. That’s why there is always a need for multidisciplinary approach for high success rate and to prevent relapse.

What is the advantage in Dr.Guru's pain care clinic?

Dr.Guru’s pain care clinic is a dedicated multidisciplinary pain management center with Interventional pain management as back bone. Our clinic success is basically because of our highly skilled and well qualified physicians whose primary interest is on pain management. We always follow the most evidence based pain management protocols. We have consultant from all specialist including Interventional pain physician, Neurosurgeon, Orthopaedician, Oncologist, Psychiatrist, Obstetrician & Gynaecologist and physiotherapist. Our center is equipped with Sterile procedure suite, C arm machine, USG machine, Radiofrequency generator, Ozone generator and Platelet Rich Plasma centrifuge kit. We also provide in office blood sample collection center for patient convenience. We also have a special wing ‘Tender palliative care’ to provide palliative care for both Hospital and Home based patients.

Who are all can be referred to our clinic?

  • Unable to work because of pain
  • Having restricted daily activities because of pain
  • Having pain for more than 3 months
  • Having disturbed relationship or depression because of pain
  • Not getting relief from conservative methods or any other modalities
  • Not able to locate pain generator due to mismatch in clinical examination and investigation
  • Preferring advanced and less invasive procedures
  • Not willing, unfit or no options for any surgical procedures

What kind of treatment do we provide?

The therapy is planned after appropriate clinical examination and  investigations. The treatment involves pharmacological therapy, physiotherapy, interventions like nerve blocks either under x-ray or CT guidance, surgery, counselling, behavioral therapy, physical exercises and unconventional treatments like acupuncture and a host of others.

What is Interventional pain management?

Interventional pain management is a discipline of medicine devoted to the diagnosis and treatment of pain and related disorders by the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatments. Minimally invasive procedures, such as needle placement of drugs in targeted areas, ablation of targeted nerves, and some surgical techniques, such as discectomy and the Implantation of intrathecal infusion pumps and spinal cord stimulators. It is done using C arm, USG or CT scan

What is the advantage of Interventional pain management?

  • Almost all procedures are done as Day-care procedure. Patient have to stay for an average of 2 hours
  • As most procedures are done using pin or key hole there is no or very minimal blood loss
  • As there is less tissue damage, it is Least painful
  • All procedures are done in local anaesthesia and there is No anaesthesia risk
  • Very safe
  • Cost effective
  • In conditions where pain source is not identified by clinical examination and investigations, it helps in localizing pain generator
  • It also gives prognostic value of  surgical methods

What are the types of Interventional pain management?

Interventional pain management is broadly divided into two types

  • Diagnostic Interventional pain management
  • Therapeutic Interventional pain management

What is Diagnostic Interventional pain management?

Diagnostic Interventional pain management helps in localizing the pain generator. In this method, local anesthetic agent is injected in suspected pain generator using small caliber needle under imaging techniques like C arm, CT scan or USG. If pain relief is more than 80% then it confirms the pain generator. It helps in diagnosing and confirming the pain source and also give prognostic value for therapeutic procedures like Radiofrequency ablation.

What is Therapeutic Interventional pain management?

Once pain generator is confirmed by diagnostic block then therapeutic Interventional procedure is done. It includes Steroid injection, Radiofrequency ablation, Chemical neurolysis, Vertebroplasty, Minimal invasive procedures likes Percutaneous discectomy etc. This can provide long term pain relief.

What are the policies for visiting a patient?

Our visitor policy is subject to change in accordance to the patient’s condition and/or emergency situations

First advanced Interventional pain management center in Trichy. We also have specialty unit on palliative care which provides home based care