INTERVENTIONAL PAIN MANAGEMENT

The goal of interventional pain management is to precisely identify the source of the patient’s pain in order to direct therapeutic injections specifically to that source. In cases where the underlying cause of the pain cannot be treated, an intervention is directed at the nerve that transmits the pain.

This process includes nerve blocks, nerve lesioning, nerve ablation, and injection of joint-activating substances.

All these procedures require the use of a fluoroscopy device (X-ray imaging) or an ultrasound device to ensure the precise placement of the needle during injection, preceded by a local anesthetic injection to the area.

Some interventional pain management procedures performed at Alimran Clinic

Interventional management of head pain

1 – Occipital nerve block and ablation

2 – Botox injection for headaches, migraine, and myofascial spasm

3 – Trigeminal (fifth cranial nerve) ganglion block

Interventional management of spinal pain

1 – Epidural injection around the nerve roots

2 – Interlaminar epidural injection

3 – Facet joint injection

4 – Medial branch nerve injection

5 – Caudal epidural injection

6 – Trigger point injections

7 – Sacroiliac joint injections

Interventional management of limb pain

1 – Nerve blocks, such as median nerve block in carpal tunnel syndrome

2 – Intra-articular injections

Interventional management of cancer pain

1 – Regional blocks

2 – Neurolytic procedures

3 – Radiofrequency ablation

4 – Sympathetic blocks, which include:

a – Celiac plexus

b – Ganglion impar

c – Thoracic sympathetic block

d – Stellate ganglion

e – Superior hypogastric plexus

f – Lumbar sympathetic block

Adhesiolysis

Botox injection

Epidural steroid injection

Facet Joint pain syndrome

Gasserian ganglion block

INTERVENTIONAL PAIN MANAGEMENT

ozone

prolotherapy

prolotherapy

Radiofrequency neuroblation

Radiofrequency

Sympathetic nerve block