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Pain Management

Pain Management in Brief

Around one-third of the adult population in Bangladesh suffers from some kind of chronic pain – pain that lasts longer than 12 weeks. Majority of these people are women and elderly. Untreated back and neck pain, arthritis, other pain conditions and cancer related pain accounts for majority of these cases. Back pain is a common symptom that affects 60–80% of people at some time in their lives.

Why need Pain relieve?  

People who have chronic pain can have physical effects that are stressful on the body. Unrelieved pain has major negative effects on one’s life and is associated with tense muscles, limited ability to move around, a lack of energy, and appetite changes. Emotional effects of chronic pain include depression, anger, anxiety and fear of re-injurywhich becomes a major health problem. Chronic Pain is now recognized as a disease in itself and not just a symptom (as per WHO).

What is Pain Management?

Pain Management (also called Pain Medicine) is a branch of medical science which deals with a comprehensive approach for easing the suffering and improving the quality of life of those living with long standing pain. This involves a spectrum of treatment protocols starting from simple medications to varied interventional procedures supported by counselling and rehabilitative measures.

What is Interventional pain management?

Interventional pain management deals with treating some pain conditions which is not fully treated by medications or surgery. Here the medication is delivered to specificareas of your body using injection techniques performed underUltrasonography (USG)  or C-arm guidance. These injections can help us in avoiding spine surgeries & related complications.

What is a pain clinic /management center?

A pain clinic / management center is a specialized healthcare facility that focuses on the diagnosis and management of chronic pain. Pain clinics often use a multidisciplinary approach to help people take an active role in managing their pain and regaining control of their life. These programs are focused on the total person, not just the pain.

Pain clinics are ideal when a patient is looking for pain relief options which are minimally invasive and do not involve surgery. These treatment options are focused on relieving pain with minimal impact on life and with a short recovery time of a few hours (compared to recovery periods of 20+ days in case of surgeries).


What kinds of pain are treated?

Many different types of chronic pain problems are treated, but the most common are chronic lower back pain, sciatica, neck pain, joint pain, arthritis, headaches, neuralgic pain, post herpetic neuralgia, trigeminal neuralgia, fibromyalgia, migraine and cancer pain.

What types of procedures are done?

The most common procedures are C-arm guided injections to relieve inflammation in spinal structures caused by herniated discs, facet joint inflammation, SI joint arthropathy & others. These procedures include epidural injections, percutaneous discectomies, facet and sacroiliac joint injections. Ultrasonography (USG) guided procedures also done like shoulder, knee, elbow, wrist & ankle joint injections which are also safe procedures.

Are these procedures safe?

Some people are concerned about the safety and side effects of these procedures. When performed with precision by a skilled and experienced doctor, the procedures are safe and painless.

Are these treatments successful?

The treatments can be very effective when expertly performed using C-arm guidance. Following interventions, patient is put through a rehabilitation programme, which involves home-based exercises,relaxation techniques and lifestyle modifications. The long-term success rates in majority of cases are excellent.