Pain is an age-old symptom of mankind. It is a response of the nervous system to harmful external or internal stimuli. Most of the time, pains are protective in nature as they cause a conscious reduction of movements of affected parts thereby allowing the injured area to rest and heal. However, sometimes, they persist for prolonged periods without any specific purpose. Such pains are called “Chronic Pains.” These may present variously as headaches, face pains, joint pains, neck pains, back pains, pelvic pains, limb pains etc. In general, it could be because of the involvement of nerves, muscles, bones, blood vessels and immunological factors. To a person with chronic pain, unrelieved pain is distressing and a cause for needless suffering.
Manipal Hospitals is an extensive chain of hospitals with an “umbrella management” providing settings and resources for the multi-disciplinary management of diseases and its symptoms. It has given scope for integrating the services of Pain physicians who are in collaboration with almost every medical department as pain is a common symptom afflicting several diseases and at times, is difficult to manage.
Manipal Hospitals is an acclaimed center of excellence providing “Integrative Oncology” services. This also includes Palliative Care services alongside the services rendered by various oncology departments. Book an appointment at our best hospital in Bangalore.
In cases of chronic pain that cannot be fully removed or treated, the patient needs to follow a routine that helps them manage their pain effectively through a combination of physical therapy, medication, and counseling. Depending on the nature and severity of the pain, additional therapeutic practices may be recommended. A pain management specialist…
Another cause of human suffering is long-standing organ diseases like cancer, end-stage diseases of the heart/lungs/liver/kidneys, degenerative diseases like neuro-muscular dystrophy, etc. Either the type or the stage of such diseases does not allow for further curative treatment. Yet, the affected individuals have a life to live! Except that it is a life having to deal with symptoms that include pain, fatigue, breathlessness, loss of appetite, bed sores, ascites, disability, etc. These long-standing physical symptoms affect the quality of life in its physical, psychological, spiritual, and social aspects.
“Palliative Care” is a care-based approach that attempts to reduce chronic suffering by improving the quality of life of patients and their families.
Palliative Care encompasses “terminal care” too. It is an approach provided to a critically ill person, who, as per their specialist’s opinion does not benefit further from curative treatment. In the course of further progression of the terminal disease, there could be complex changes, but the dying patients are not left alone to cope with their distress. They are provided with safe treatment that addresses their symptoms and helps maintain their dignity and individuality. Palliative care seeks to keep the dying individual symptom-free and comfortable. Terminal care also considers patients’ loved ones by giving emotional support, especially while taking tough decisions about their loved ones. Visit our best multi-specialty hospital in Jayanagar, Bangalore to have the best treatment and care.
The field of Pain Management and Palliative Care has seen tremendous progress in the past few decades
Customised treatment & procedures:
Collaboration with physiotherapy or physiatry.
Counseling for lifestyle management shared decision-making during cancer care or other prolonged end-stage diseases
Nerve blocks: trigeminal neuralgias, post-herpetic neuralgias, post-surgical neuropathic pains
Radio-frequency nerve pulsing or ablations: for recalcitrant nerve pains based on indications
Epidurals: neck- thorax-back pains
Infusions of analgesic medications: acute pain scenarios
Dry Needling: musculoskeletal pains
Joint injections: painful joints of degenerative diseases like osteoarthritis, arthritis
(The above interventions are performed under C arm or USG guidance)
Facilities and services available at Manipal Hospitals include:
OPD consults for chronic pain conditions
OPD consult for Palliative care
Counseling for patients with terminal conditions/families facilitating shared decision making
Interventions for chronic pain like disc pains, musculoskeletal pains, nerve pains, joint pains
Interventions for Palliative Care including terminal care
Home care services for terminally ill
After examining the patient's condition and evaluating the history, a pain specialist will prescribe a few ways to help the patient manage their pain without overly compromising their lifestyle. In severe cases, medications will be recommended as well as regular physical therapy to strengthen the patient's body.
Some common risk factors are:
Family history of chronic pain
To get rid of these risk factors, visit the best pain management hospital in Jayanagar, Bangalore.
By definition, chronic pain is described as pain that persists beyond 3-6 months from the day it first started. Chronic pain is lingering, continuous pain that makes it difficult for a patient to go about their everyday business and also adversely affects their mental health. To know more, arrive at the best pain and palliative medicine hospital in Jaynagar, Bangalore.
In most cases, chronic pain is a symptom of another underlying condition, which could be an illness or injury. It is difficult to predict, and therefore, to prevent. To know more, arrive at the best palliative medicine hospital in Jayanagar, Bangalore.
No, they are not a substitute for surgeries. The interventions for pain are targeted to provide relief in any setting- acute or chronic by modulating the abnormal chemical signaling occurring in the nervous system. It is an option for patients seeking only pain relief from pain that results from a degenerative condition (eg., knee osteoarthritis, spondylosis) or cancer or trauma that occurred a long time back. These interventions enable a patient to optimize his/her functionality. To get well treatment, reach out the best pain medicine hospital in Jayanagar, Bangalore.
A carefully documented clinical history of chronic pain and examination guide the interventions. While they are most effective, the lack of effectiveness at times may suggest the presence of other pain generators or non-compliance to treatment protocols or resistance to the drugs used, or ineffectiveness of the mechanisms of the treatment strategies.
Long-standing pain could be due to various reasons. They could be due to constant pressure from a herniated spinal disc (slipped disc) or cancer spreading and damaging nerves or progressive degeneration like osteoarthritis of the knee. The stage of the progressing disease, the suitability of the painful condition to the specific pain relief methods used, or the inter-individual differences are some of the factors that determine the degree and the duration of the pain-free window. The interventions enable a patient to focus on exercise and lifestyle management. In some instances, the interventions may be repeated to get relief for an extended period.
The side effects and risks are specific to the drugs and interventions that have been prescribed by the pain physician. As most physicians are trained to administer pain-relieving medication, the side effects of drugs are largely lowered due to their carefully considered dosage. As most pain physicians at the best pain and palliative care hospital in Jayanagar, Bangalore use C-arm (a specific X-ray machine) and ultrasound for the procedures, the risks of interventions are low.
Palliative Care is a holistic approach that is focused on the well-being of patients and their caregivers rather than being disease-centric. Every disease has symptoms. But, cancer or other end-stage diseases have a high and prolonged symptom burden. The persistence of these symptoms not only affects the patient but also the caregiver. Reducing these symptoms improves the physical, psychological, social, and spiritual well-being of both the patient and the caregiver. Hence oncologists often refer patients to Palliative Care early-on while they are still on their regular oncological treatment. The early reference helps the patient and their caregivers to be guided by a Palliative Care Physician in a holistic way.
Palliative Care began as simply a care approach for the terminally ill in the 1950s. Today, there is scientific evidence that the patient and their family benefit from palliative care when introduced to it early on.
Palliative care continues to provide pain relief and manage symptoms till the end of life. It covers any issues the caregivers may have in the care of their loved ones.
Manipal Hospitals is actively engaged in an effort to provide high-quality health care that is personalized over a long-term partnership with its patients. The department of pain medicine and its endeavor to improve the quality of our patients' lives is a testament to this. Reach out to us to know more about chronic pain and make an appointment with one of our pain medicine specialists today.