ADESH MEDICAL COLLEGE AND HOSPITAL

NH - 44, VILL. MOHRI, SHAHBAD (M), DIST. KURUKSHETRA PIN 136135

Adesh Medical College and HospitalAdesh Medical College and HospitalAdesh Medical College and Hospital

Nephrology

Pain Medicine

Dr. Akhil Bhalla

MBBS MD FIPM FIAPM
  • NH - 44, Near Ambala Cantt., VILL. MOHRI, TEHSIL. SHAHBAD (M), DIST. KURUKSHETRA PIN 136135
  • Fellowship in Pain Medicine (D Y Patil University, Mumbai)
  • Fellowship of Indian Academy of Pain Medicine (Indian Society for Study of Pain)
  • Interventional Spine and Pain Specialist
– ABOUT DEPARTMENT

Pain Medicine is a discipline of medicine is devoted to diagnosing and treating pain-related disorders. Interventional Pain Medicine department is set up with the goal of providing the highest quality pain management care to every patient. Whether pain is the result of an injury or from another condition, we offer many different treatment options.
This Spine & Pain Centre utilizes a comprehensive approach and cutting-edge therapies to restore normal function and allow patients to regain an active lifestyle while minimizing the need for opioids and analgesics. As our patient, you are our top priority. Our goal is to help you achieve the best possible quality of life.
Interventional pain management aims to relieve or manage pain to improve the patient’s overall quality of life through minimally invasive techniques. The typical candidates for interventional pain management are patients who have failed to find pain relief with conservative therapies.

– INTRODUCTION

The International Association for the Study of Pain (IASP) has defined pain as “An unpleasant sensory and emotional experience associated with, or resembling that associated with, actual or potential tissue damage
What is interventional pain medicine? Interventional pain medicine as a discipline of medicine is devoted to diagnosing and treating pain-related disorders. Interventional pain medicine uses a multidisciplinary approach, in which a team of health care professionals provides a full range of treatments and services for patients suffering from chronic and/or acute pain. Interventional Pain physicians typically implement interventional methods when pain is significant enough to disrupt normal daily activities. Interventional pain management aims to relieve or manage pain to improve the patient’s overall quality of life through minimally invasive techniques. The typical candidates for interventional pain management are patients who have failed to find pain relief with conservative therapies.

– ADVANTAGES

Advantage of interventional pain medicine? Interventional pain management can be a useful alternative for chronic pain sufferers who have not had relief from other pain management procedures. It is estimated that at least more than 80 percent people suffer with chronic pain. For many, the pain makes it difficult to sleep, while affecting energy levels and the ability to perform normal daily activities. In some cases, where surgery is usually suggested as the last resort, patients can be effectively treated with interventional pain management procedures, MIPSI (Minimally Invasive Pain and Spine Interventions) and provide long term pain relief with improved quality of life.

Pain medicine, also known as analgesics, refers to medications that are used to alleviate or manage pain. There are various types of pain medicine available, ranging from over-the-counter (OTC) options to prescription medications. The choice of pain medicine depends on the severity and type of pain, as well as individual factors such as medical history, allergies, and existing medications.
Here are some common types of pain medicine: 1. Nonsteroidal anti-inflammatory drugs (NSAIDs): NSAIDs, such as ibuprofen, naproxen, and aspirin, are commonly used for mild to moderate pain relief. They reduce inflammation, which can help alleviate pain caused by conditions such as headaches, muscle aches, menstrual cramps, and joint pain.
2. Acetaminophen: Acetaminophen, commonly known as paracetamol, is an OTC pain reliever that is effective for mild to moderate pain, including headaches, toothaches, and minor musculoskeletal discomfort. It is not an anti-inflammatory medication, so it may be a suitable alternative for individuals who cannot take NSAIDs due to certain medical conditions or allergies.
3. Opioids: Opioids, such as codeine, morphine, oxycodone, and hydrocodone, are prescription medications used for severe pain relief. They work by binding to opioid receptors in the brain and spinal cord, reducing the perception of pain. Opioids are typically prescribed for short-term use or in specific situations, such as after surgery or for managing cancer-related pain. They can have side effects and carry a risk of dependence and addiction, so they should be used with caution under medical supervision. 4. Adjuvant medications: In some cases, certain medications that are not primarily designed for pain relief may be used to help manage pain. For example, antidepressants and anticonvulsants may be prescribed for chronic pain conditions like neuropathic pain or fibromyalgia.

Surgeon
Who is a

Spine and Pain Physician?

What all patients can receive benefits from interventional Pain Medicine?
– Scope Of Services
Back Pain and Sciatica
Complex Regional Pain Syndrome (CRPS)
Chronic Post-Surgical Pain
Cancer Pain
Coccyx Pain
Fibromyalgia/ Widespread Pain
Headaches
Musculoskeletal Pain
Knee Pain
Neck (Cervical) and Arm Pain
Neuropathic Pain
Pelvic Pain
Post Herpetic Neuralgia
Sacroiliac Joint Pain
Shoulder Pain/ Frozen Shoulder
Sports Injury
Thoracic spine and Chest wall Pain
Peripheral Neuropathies and Entrapment Syndromes
Interventional Pain Procedures are available
– MIPSI [Minimally invasive Pain and Spine Interventions]

Radiofrequency Nerve Ablation is the use of radiofrequency waves to heat and destroy nerve tissue, thus reducing pain signals that are emitted from the source. Performed using fluroscopy guidance, radiofrequency nerve ablation delivers precisely controlled heat to temporarily and selectively disable nerves identified as being responsible for pain.  Discography is done to determine if the intervertebral discs are the source of pain.  Percutaneous Discectomy/Nucleoplasty is a procedure to remove tissue from the spinal disc in order to decompress and relieve pressure.  Injections. Steroid injections target pain points in the body to reduce inflammation. Commonly administered injections are muscle and joint injections. Additionally, facet joint, trigger point, and epidural injections can help relieve pain resulting from osteoarthritis and other inflammatory conditions.  Pain Pump. This device is surgically implanted and delivers pain medications directly to the location where the pain originates.  Nerve, root, and medial branch blocks are procedures that interrupt the nerve-to-brain signals to relieve pain. The block can also help reduce inflammation. Sometimes a block is used as a diagnostic tool.  Rhizotomy is a procedure using heated electrodes that “turns off” pain signals when applied to specific nerves.  Spinal Cord Stimulation is the application of an electrical current to the source of pain via a tiny, implanted medical device. The electrical signals block the brain’s ability to perceive pain signals.

LIST of Treatments & Procedures
– Advanced MIPSIs (Minimally Invasive Pain and Spine Interventions)
– Ultrasound Guided and Fluoroscopy guided procedures
– Cervical Spine Interventions
Cervical Interlaminer Neuroplasty
Cervical Transforaminal Neuroplasty
Cervical Facet Joint/MB Block
 Cervical MB Radiofrequency Ablation/ Neurotomy
Stellate Ganglion Nerve Block/ RFA
Cervical Selective Nerve Block/ RFA
– Lumbo-Sacral Interventions
Lumbar Selective Nerve Root Neuroplasty
 Lumbar Transforaminal Neuroplasty
Caudal Epidural Neuroplasty
Lumbar Facet Joint/MB Block
Lumbar MB Radiofrequency Ablation/ Neurotomy
Celiac Plexus Neurolysis
Lumbar Sympathetic Neurolysis
Hypogastric Plexus Neurolysis
Ganglion Impar Block/ Neurolysis
Ganglion Impar Block/ Neurolysis
Percutaneous Lumbar Disk Decompression
Percutaneous Interlaminer Laminectomy Decompression (PILD)
Sacroiliac Joint Block
Sacroiliac Joint Radiofrequency Ablation/ Neurotomy
Percutaneous epidural Adhesiolysi
– Cranio-facial Interventions
Occipital Nerve Blocks/ RF Ablation
Supraorbital Nerve Blocks/ RF Ablation
Sphenopalatine Ganglion Blocks/ RF Ablation
Gasserion ganglion/ Trigeminal RFA
Occipital Nerve Stimulator Trials/ Surgical Implants
Botox Treatment for Migraine Headache
Auriculotemporal Nerve Block
– Peripheral Nerve Blocks (Advanced Ultrasound Guided MIPSI)
Lateral Femoral Cutaneous Nerve Block
Saphenous Nerve Block
Ilioinguinal Nerve Cryoablation/ Genitofemoral Nerve Blocks / Ablations
Carpel Tunnel Hydro dissection (Median Nerve)
Trigger Point Injections
Morton's Neuroma
Piriformis Nerve Block
Quadratus Lumborum Muscle Injection
Intercostal Nerve Block / RF Ablation
– Peripheral Joints/Bursa/Tendon Sheath
Hip/ Knee/ Ankle/ Feet Joints
Shoulder/ Elbow/ Wrist/ Hand Joints
Knee & Hip Joints Cooled Radiofrequency Ablation
Skin Biopsies for Neuropathy
Peripheral Major & Minor Bursa Block
Peripheral Tendon Sheath Interventions
o Biceps tendon sheath injection
o Epicondylar Iliopsoas Block
o De Quervain Tendon Sheath Prolotherapy
Pecutaneous Vertebral Augmentation (Vertebroplasty/Kyphoplasty)
Spinal Cord Stimulator Trials / Implants (Cervical / Thoracolumbar Spine)
Surgeon
Who is a

Spine and Pain Physician?

A pain management specialist is a doctor who evaluates your pain and treats a wide range of pain problems. A Spin and Pain Physician treats sudden pain problems such as headaches and many types of long-lasting, chronic, pain such as low back pain. Patients are seen in a pain clinic and can go home the same day. Pain physicians offer a mix of
medication-based treatments and procedures, that can stop the pain at its source.

Contact

  • NH - 44, Near Ambala Cantt., VILL. MOHRI, TEHSIL. SHAHBAD (M), DIST. KURUKSHETRA PIN 136135
  • 0171-2700000 Ext: 271,272
  • info@amch.ac.in
  • Emergency Contact
    +91 8222954101
  • Ambulance 24*7
    +91 8222954130

Brochures

View our  Medical prospectus of
brochure for an easy to read guide on
all of the services offer.

Nephrology

 
Dr. Himanshu Jain

Assistant Professor
MBBS, MD, DNB
(Nephrology)

  • Experience
    1. 4 years of experience DNB in Max Hospital, Mohali
    2. Consultant Nephrologist, Cosmo Hospital, Mohali
  1. Basic Nephrology
  2. Acute Kidney Injury
  3. Chronic Kidney disease
  4. Hemo dialysis
  5. Peritoneal dialysis
  6. Nephrotic syndrome
  7. Renal Transplant
  8. Renal Stone Disease
  9. Genetic Kidney Disease

24×7 Hemodialysis

  1. SLED
  2. Peritoneal Dialysis
  3. Non-tunnelled & tunnelled catheter biopsy
  4. Renal Stone Transplant
  5. Transplant work-up & followup.

 Classes for UG Students
 Lectures, Seminars, Case Presentation, Mock Examinations
 for Students.
 Lecture for Dialysis Technicians

Photo Gallery

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