SPINE SERVICES

• Ozone therapy for Slipped disc and Back Pain
• Endoscopic Discectomy for Disc Prolapse
• Disc procedures for Discogenic Low back pain
• Cervical Epidural for Cervical Spondylitis and cervical Radiculopathy
• Transforaminal Injections for sciatica and radicular leg pain
• Vertebroplasty and Kyphoplasty for Compression fractures of Spine
• Radiofrequency for Facet Arthropathy
• Sacroiliac joint blocks for Sacroilitis
• Caudal decompressiveneuroplasty for Failed back syndrome

VERTEBROPLASTY FOR SPINE FRACTURES

Advanced age, asthma, diabetes, emphysema, menopause, chronic steroid use and rheumatoid arthritis are all risk factors for osteoporosis. The resultant weakening of bones can lead to compression fractures of the spine causing severe pain, deformity, loss of height, immobilization, and in some cases, failure to thrive.

Historically, vertebral compression fractures have been treated either with conservative methods of cast or brace immobilization with long term bed resting or with major surgery. This surgery requires a long incision, screws and rods for fixation and is done under general Anesthesia. These treatments are limited by long recovery times and disruption of daily life.

Now, these painful spine fractures can be treated with a Minimally Invasive, Non Surgical procedure known as VERTEBROPLASTY, an innovative alternative to traditional treatments which stabilizes fractures of the spine safely and effectively, often providing immediate pain relief.

In addition, percutaneous vertebroplasty can be performed in vertebrae that are not suitable for surgical fixation, for instance because of osteoporosis or because general anesthesia may not be advised in patients who are very sick. “After performing good number of vertebroplasties, I can confirm that this is one of the most significant procedures for the treatment for vertebral compression fractures,”

The beauty of this procedure is its simplicity. “A small needle is advanced into the fracture using only local anesthetic followed by the placement of bone cement into the fractured area.The cement hardens in about 10-15 minutes and remarkably the pain is gone.”

ENDOSCOPIC DISECTONOMY

Endoscopic Discectomy is a minimally invasive spine surgery technique that utilizes an endoscope to treat herniated, protruded, extruded, or degenerative discs that are a contributing factor to leg and back pain.

ADVANTAGES

The endoscope allows the Interventionist to use a incision to access the herniated disc.

Muscle and tissue are dilated when accessing the disc. This leads to less tissue destruction, less postoperative pain, quicker recovery times, earlier rehabilitation, and avoidance of general anesthesia.

The excellent visualization via the endoscope permits the Interventionist to selectively remove a portion of the herniated nucleus pulposus that is contributing to the patients leg and back pain.

The procedure is performed in aday care setting. Procedure takes approximately 1 hour. This procedure is done under local Anesthesia and under Fluoroscopy and endoscopic guidance.

Prevent irreversible damage from old cutting Spine Surgery Highly effective and safe as compared to surgery Patients can be discharged in one day. Who may require Endoscopic Discectomy ? Individuals suffering from chronic low back pain and disability may benefit from a PELD Procedure. it is often used to treat patients suffering from degenerated discs, bulging dises or herniated dises that compress upon the surrounding structures within the spinal canal causing nerve compression, sciatica and low back pain.

PAIN INTERVENTIONS

Spinal Cord Stimulation (SCS)

Intrathecal pump implantation

RADIO - FREQUENCY ABLATION FOR TRIGEMINAL NEURALGIA

We start with Medications to control trigeminal neuralgia but when medications prove ineffective in treating trigeminal neuralgia or the side effects of the medicines become intolerable, pain experts are able to offer a variety of non-surgical procedures including Radio-frequency Ablation, Balloon compression and Chemical neurolysis. These are exciting treatment option that offers new hope for individuals who suffer from trigeminal neuralgia, said Dr Surange, Interventional Pain and Spine specialist.

JOINT PAINS

Minimally Invasive, Non Surgical Procedures to relieve Joint Pains

Wear-and Tear arthritis, is a condition in which the natural cushioning between joints cartilage–wears joints away. Bones of the joints rub against one another with less of the shock-absorbing benefits of cartilage.

The procedure, called viscosupplementation or synovia fluid replacement injects a preparation of hyaluronic acid into the knee joint. Hyaluronic acid is a naturally occurring substance found in the synovial (joint) fluid. It acts as a lubricant to enable bones to move smoothly over each other and as a shock absorber for joint loads”

In recalcitrant cases,chronic osteoarthritis (OA) pain in the knee may not be effectively managed by either pharmacologic or non-drug therapies. A more successful painrelieving alternative in such cases might be radiofrequency (RF) ablation of certain nerves se

Radio frequency neurotomy sometimes used to reduce back and neck pain uses heat generated by radio waves to destroy specific nerves and stops the pain signals. Radio waves are delivered to the targeted nerves via a probe inserted through the skin, painlessly under local Anesthesia and guided into position using imaging scans. Researchers from University of Cincinnati, USA reported 50-60% pain relief at 4 weeks follow-up.rving the knee joint, according to recently reported research.

At Interventional Pain and Spine Centre, we are offering this modality of pain relief to patients:

• Who are not responding to medications;
• Who are not willing to undergo surgery or
• Who are not medically fit to undergo surgery..