Pain Management Treatments
- Facet joint injections including all levels of the spine.
- Medial branch blocks including all areas of the spine.
- Denotations of medial branches all levels of spine.
- Dorsal Root ganglion blocks both diagnostic and with pulsed radio-frequency , all levels of the spine including occipital blocks.
- Epidurals, all levels of the spine.
- Peripheral nerve blocks both diagnostic and with pulsed RF e.g ilio-inguinal, gentio-femeral and intercostal.
- Sympathetic blocks e.g. stellate ganglion, lumbar and coeliac plexus.
- Joint injections including hips and shoulders.
- Nerve blocks for joint pains i.e. supra-scapular blocks.
- Trigger point injections for example for plantar fasciitis.
- Radio frequency treatments.
- Provocative discography.
- Racz catherisation (Post spinal surgery syndrome).
Your Pain Management Consultant may feel acupuncture is an effective treatment for your pain.
Acupuncture has been used for more than 2,000 to treat many medical problems and is particularly useful for pain. It can help with joint pains, muscular pains, migraine and even period pains. It can also be used to treat problems such as sinusitis, hay fever, irritable bowel and nausea.
Acupuncture stimulates the release of natural pain-relieving chemicals within several areas of your body – around the site where the needles are placed, in your spinal cord where the nerves run and in your brain. Acupuncture releases other natural substances in your body which promote healing and aid recovery.
Most people receive some benefit from Acupuncture – you may lose your pain completely or find it is much improved. However, about a quarter of patients do not respond to Acupuncture.
Acupuncture is a very safe treatment with fewer side effects than many drug treatments.
Acupuncture involves placing a number of very fine needles into various points in your body for a short time (15 – 30 minutes). The needles may either be left in, they may be manipulated, or they may have a small painless electrical simulation applied to them.
Most people need between three to eight treatments, with some people returning for regular top up treatments.
TENS – Transcutaneous Electrical Nerve Stimulation
Transcutaneous means ‘through the skin’ – TENS machines deliver small electrical pulses to the body via electrodes placed on the skin. TENS machines are thought to affect the way pain signals are sent to the brain. Pain signals reach the brain via nerves and the spinal cord. If pain signals are blocked then the brain will receive fewer signals from the source of the pain.
TENS machines are thought to work in two ways.
1. When the machine is set on a high pulse rate (90-130 Hz), it triggers the ‘pain gateway’ to close, which is thought to block pain nerve pathways to the brain.
- When the machine is set on a low pulse rate (2-5 Hz), it stimulates the body to make its own pain relieving chemicals called endorphins, which block pain signals.
Your Pain Management Consultant will show you how to use the TENS machine, which will come with full instructions.
If you have a pace maker you should inform your consultant.