Daradia Pain Hospital
What is pain management?
Pain
management is a new super-specialty of modern medicine. Many universities or
private institutes have post-graduate pain management courses or fellowships in
pain management.
1. What is pain management
specialist?
2. What are different pain management facilities?
What is
pain management specialist?
Pain
management specialist doctors are specially qualified doctors. After MBBS, they
do MD or MS degrees; after that, they do courses or fellowship in pain
management to become a pain management specialist.
What do pain management clinics do?
Pain
management clinics have facilities of modern interventional pain management
techniques in their clinic. Mostly, these techniques are nerve blocks,
epidurals, joint injections, etc. All these techniques are done under the
guidance of images, like ultrasonography, fluoroscopy, etc.
What is a pain management nurse?
Nursing
staffs have an essential role in pain management. They take an initial history,
initial assessment of pain before a pain management doctor finally examines
them. Pain management nurses are also specially trained for it.
What do pain management doctors do? How
does pain management work?
Pain
management doctors evaluate the type of pain, find the reasons behind it. Then,
in some situations like in cancer or post-operative or post-traumatic pain,
they work with other specialists. Initially, they use medicines depending on
the cause of pain. Then, if medications do not work, the pain management doctor
suggests some interventional pain management. These are either some nerve block
or some other highly specialized techniques done in minimally invasive ways.
What is interventional pain management?
Interventional
pain management is some minimally invasive techniques to reduce pain. These
techniques are not simple injections. One can compare these with stents in the
heart inserted through needles and catheters. This has minimized open-heart
surgeries. These procedures are done by interventional cardiologists, not by
surgeons. Same way, in interventional pain management, some catheters, or
radiofrequency cannula, or some electrodes are placed at the desired place at
the spine or near the nerve to correct pathology or to block pain signals
without harming other nearby structures. Interventional pain management can
stop or reduce pain without taking pain killer medicines.
Does pain management work?
Like
every other branch of medicine, there are failures. But the overall success
rate of interventional pain management is between 80-99%. The success rate
depends on the type of procedures, the experience of the doctor, and the
equipment used for the interventional procedures. But the essential aspect of
interventional pain management is that it is very safe. Complications are rare
compared to surgical counterparts for the same diseases.
Is pain management a medical specialty?
Yes,
it is a specialty. In the USA, it is the 34th specialty. In India, Govt
recognizes it as a super-specialty. The majority of medical colleges in India
have pain management clinics run by the department of anaesthesiology. In
addition, some of the Govt and private hospitals have their pain clinics under
the anesthesiology department.
Are they (pain management doctors)
anaesthesiologists or neurologists?
As
we mentioned earlier, most pain management doctors come from anaesthesiology.
Still, pain management doctors may also come from other branches like
neurosurgery, orthopedics, neurology, physiatry, and psychiatry. Therefore,
after having MD/MS/MCH from these specialties, they need to take pain
management training or pain management fellowship to become a qualified pain
management doctor.
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