Pain management and palliative clinic

🤝 Pain Management & Palliative Care – Restoring Comfort, Enhancing Quality of Life

At Primax Gastro Institute & Superspeciality Hospital, our Pain Management and Palliative Care Clinic is dedicated to improving the comfort and quality of life for patients suffering from chronic pain, advanced illnesses, or terminal conditions. We take a holistic, compassionate approach to managing physical, emotional, and psychological pain, focusing not just on symptom control but also on dignity and well-being.
Whether it’s cancer-related pain, post-surgical discomfort, nerve pain, or pain associated with degenerative diseases, our expert team of anesthetists, pain specialists, and palliative care professionals develop personalized care plans tailored to each patient’s needs.
With a strong emphasis on non-invasive techniques, medication optimization, and emotional support, our clinic ensures that patients receive respectful, empathetic, and comprehensive care at every stage of their journey.

Conditions

Knee pain: Knee pain may result from injuries (like ligament or meniscus tears), overuse (tendinitis, bursitis), or age-related wear (osteoarthritis). Inflammatory conditions such as rheumatoid arthritis, gout, or infections can also contribute.

Arthritis/Joint pain: Arthritis is inflammation of the joints, commonly causing pain, swelling, and stiffness. It can be due to wear-and-tear (osteoarthritis), autoimmune conditions (like rheumatoid arthritis), or crystal buildup (gout).

Back pain/ sciatica/ slipped disc: Back pain can arise from muscle strain, disc problems (like herniation), arthritis, or poor posture. It may also be caused by nerve compression, injuries, or underlying medical conditions.

Neck pain/ cervical spondylosis: Neck pain often stems from muscle strain, cervical spondylosis, herniated discs, or poor posture. It can also be linked to nerve compression or injuries like whiplash.

Frozen shoulder/ shoulder injury: Shoulder pain can result from rotator cuff injuries, frozen shoulder, arthritis, bursitis, or nerve impingement. Overuse, trauma, and degenerative changes are common causes.

Sports injury/ Tendinitis: Tendinitis is inflammation of a tendon, usually caused by overuse or repetitive motion. It leads to pain, swelling, and tenderness near joints like the shoulder, elbow, knee, or ankle.

Fibromyalgia/ whole body pain: Fibromyalgia is a chronic condition causing widespread body pain, fatigue, sleep disturbances, and memory issues. Its exact cause is unknown, but it may involve abnormal pain processing in the brain.

Heel pain/ foot pain: Foot and heel pain may be caused by plantar fasciitis, Achilles tendinitis, flat feet, arthritis, or nerve compression. Overuse, improper footwear, or biomechanical issues are common triggers.

Nerve related pain/ Diabetic neuropathy: Neuropathic pain is caused by nerve damage or dysfunction, leading to burning, tingling, or shooting pain. Common causes include diabetes, shingles, or nerve injuries.

Post herpetic neuralgia: Post-herpetic neuralgia is a lingering nerve pain that occurs after a shingles outbreak. It can cause burning, stabbing pain or sensitivity in the affected area, often long after the rash has healed.

Muscle pain/ Myofacial pain: Myofascial pain is muscle pain caused by trigger points—tight knots in the muscle that refer pain to other areas. It often results from muscle overuse, injury, or stress.

Headache/ migraine: Headaches can be caused by tension, migraines, sinus issues, or underlying conditions. They vary in intensity and duration, often leading to throbbing, pressure, or a dull ache in the head.

Trigeminal neuralgia: Trigeminal neuralgia is a sharp, severe facial pain caused by irritation or compression of the trigeminal nerve. It often triggers sudden, stabbing pain on one side of the face, typically triggered by touch or chewing.

Facial pain: Facial pain can result from conditions like trigeminal neuralgia, temporomandibular joint (TMJ) disorders, sinus infections, or dental issues. It can range from sharp, shooting pain to a dull ache in the face.

Procedures

Epidural injections (cervical, thoracic, lumbar, caudal): Epidural injections are used to deliver medication directly into the epidural space around the spinal cord to relieve pain from conditions like herniated discs, sciatica, or spinal stenosis. They help reduce inflammation and provide pain relief.

Facet joint injections and medial branch blocks: Facet joint injections involve injecting medication into the small joints of the spine to relieve pain caused by arthritis or injury. Medial branch blocks target the nerves that supply these joints, providing temporary pain relief to diagnose and treat back pain.

Radiofrequency ablation (RFA) for chronic pain: Radiofrequency ablation is a minimally invasive procedure that uses heat to target and disable specific nerves responsible for pain. It’s commonly used to treat chronic back, neck, or joint pain, especially when other treatments have failed.

Sacroiliac joint injections: A sacroiliac joint injection involves injecting medication into the sacroiliac joint to reduce inflammation and provide pain relief. It is commonly used to treat lower back and pelvic pain caused by sacroiliac joint dysfunction or arthritis.

Sympathetic nerve blocks (stellate ganglion, lumbar sympathetic, celiac plexus, etc.): Sympathetic ganglion blocks involve injecting anesthetic near specific nerve clusters (sympathetic ganglia) to interrupt pain signals. These are used to treat chronic pain conditions, such as complex regional pain syndrome (CRPS) or vascular pain.

Peripheral nerve blocks: Nerve blocks involve injecting medication near specific nerves to block pain signals from reaching the brain. They are used to manage chronic pain, provide temporary relief for acute pain, and assist in diagnosing the source of pain.

Trigger point injections: Trigger point injections involve injecting medication directly into muscle knots (trigger points) to relieve pain, reduce muscle tightness, and improve mobility. They are commonly used to treat conditions like myofascial pain syndrome.

Platelet-rich plasma (PRP) and regenerative therapies: PRP treatment involves injecting a concentrated solution of the patient’s own platelets into an area of injury or pain to promote healing. It is commonly used for tendon, ligament, and joint issues, including osteoarthritis and sports injuries.

Prolotherapy: Prolotherapy is an injectable treatment that involves using a sugar solution to stimulate the body’s healing process. It promotes tissue repair and is often used to treat ligament or tendon injuries, as well as joint pain and instability.

Botox injections for migraine, myofascial pain: Botox injections can be used to treat chronic pain conditions, such as migraines, muscle spasms, and temporomandibular joint (TMJ) disorders. The botulinum toxin blocks nerve signals that trigger pain, providing relief for some patients.

Intrathecal drug delivery systems: The intrathecal drug delivery system involves implanting a pump to deliver pain-relieving medication directly into the spinal fluid. This targeted treatment is used for chronic pain that doesn’t respond to other therapies, such as severe back pain or cancer pain.

Discography and intradiscal procedures: Discography is a diagnostic procedure where contrast dye is injected into the spinal discs to assess disc integrity and identify the source of back pain. It helps determine if a disc is causing pain, especially when other tests are inconclusive.

Physical therapy and rehabilitation-based pain treatment: Physical therapy and rehabilitation focus on restoring movement, strength, and function after injury or surgery. It involves exercises, manual therapy, and education to manage pain, improve mobility, and prevent future injuries.

Lifestyle modification and integrative pain care: Lifestyle modification involves making changes to daily habits, such as improving diet, increasing physical activity, managing stress, and quitting smoking. These adjustments can help prevent or manage chronic conditions like pain, arthritis, and cardiovascular disease.