- Pain management is considered as an essential part of cancer therapy.
- Cancer pain management should be multi-model including medications as analgesics and opioids in combination with suitable sonar or fluoroscopic interventional non- surgical procedures.
Low back pain:
- Can be caused by many diseases as herniated disc, spinal canal stenosis, lumber facet joint arthropathy, sciatica, sacral joint pain, hip joint pain or a tumor causing low back pain.
- Successful management requires reaching an accurate diagnosis and a multidisciplinary plan based upon physiotherapy, medications and non-invasive interventional pain therapy as fluoroscopic or sonar guided injections of anti-inflammatory medications and radiofrequency.
- Most of the patients can be managed successfully without surgery.
Chronic spine pain:
- Surgical intervention in spine patients is required in specific cases, such as compression of spinal nerves, numbness or muscle weakness, otherwise chronic spine pain can be managed successfully by the multidisciplinary plan mentioned above.
Failed back surgery:
- These patients suffer from chronic back pain due to adhesions in the spinal canal, which causes pressure on the spinal nerve root.
- These adhesions cannot be removed surgically.
- These patients get benefit of the adhesiolysis catheter known as Racz procedure, injection of anti-inflammatory medications beside oral therapy.
- It is advised when feeling pain in the joints such as the knee, pelvis, shoulder, or ankle joint to seek a medical advice from a pain consultant to diagnose the cause of pain and treat joints using modern technics such as injection of high-efficiency gelatinous material, plasma rich platelets or stem cell therapy, joint denervation by radiofrequency may be very useful to relief the pain, plus weight reduction and physiotherapy to avoid surgical joint replacement.
Migraines and chronic headaches:
- These are disturbing diseases causing a lot of suffering for the patients. A multidisciplinary team is usually needed to manage the headache, the consultant of pain management can diagnosis the cause of the headache and manage it with multi-model approach as medications, radiofrequency, or nerve blocks.
Increased hand sweating:
- Stimulation of sympathetic plexus can lead to increased hand sweating in an annoying manner, which may prevent the patient from carrying out his work in a natural way, and this can be treated by botox injection, blocking the sympathetic plexus or by radiofrequency.
- Many other diseases can be successfully managed in pain management unit as post-amputation phantom limb, complex regional pain syndrome known as CRPS, peripheral neuropathy , limb pain due to vascular insufficiency, fibromyalgia, post-herpetic neuralgia, trigeminal neuropathy, facial pain and chronic neuropathy.