Back pain treatment in Delhi|Sciatica Pain Treatment In Delhi

1. Dr. AmodManocha is a Senior Consultant and Head of Pain Management Services at Max Multispecialty Hospital, Saket. Dr. AmodManocha, offer non-surgical Back pain treatment In Delhi, lower back pain and Sciatica pain treatment in delhi. Phone : +91-987-187-4003 Email: info@removemypain.com Website: http://www.removemypain.com

2. Back pain treatment in Delhi In simple words, low back pain can be defined as pain experienced in the bottom region of spine (between lower margins of ribs and the gluteal folds). It may remain localised to back or radiate to the legs. Sciatica is a term used for pain radiating down from the lower spine to the legs. Most common cause of sciatica is irritation or compression of the nerves as they exit the spine on their way to the legs..

3. Nerve Root Block/ Epidural A nerve root block is used for people suffering from radicular pain (in simple terms sciatica or pain radiating from the spine to the legs). It helps deliver maximum drug close to the area of actual pathology- disc bulge/ nerve compression with a favorable response especially if the procedure is performed soon after the onset of symptoms. It involves injection close to the nerves as they come out of the spine. A needle is placed under x-ray guidance and a dye (contrast agent) is given to check needle position prior to giving the local anaesthetic and steroid mixture. These injections can provide diagnostic information and therapeutic benefits.

4. Lumbar Dorsal Root Ganglion Pulsed Radiofrequency The dorsal root ganglion appears like small swelling on the nerve where it joins the spinal cord. It houses the cell body of the nerve cells that are involved in transmitting the impulses from the periphery to the spinal cord. A dorsal root ganglion block is an injection of local anaesthetic and steroid around the dorsal root ganglion. This is performed under x ray guidance. Pulsed radiofrequency can help to prolong the effect of injection.

5. Fluoroscopy Guided Adhesiolysis/ Racz Technique Adhesiolysis means breaking down or lysis of adhesions. Adhesions may form as a result of previous surgery or infection. Scarring around a nerve root can result in persisting nerve pain. In such cases the steroids given in the spine injections may fail to reach the target site. Lysis of adhesions involves using a special catheter which can be steered towards the site of adhesions enabling loosening of adhesions and administration of drugs at the intended site. The procedure is performed under x-ray guidance and involves administration of dye (contrast) to verify the treatment of the target area.

6. Facet joint injections and medial branch radiofrequency Spine has many vertebrae and these are linked to each other by small joints called facet joints. The main function of these joints is to provide stability while allowing some degree of movement. These joint commonly become painful and stiff as a result of wear and tear, inflammation or injury. The resulting pain is generally described as a dull ache, heaviness that may radiate towards buttock and thigh. 

7. Sacroiliac Joint Injections and Radiofrequency Sacroiliac (SI) joints are large joints in the buttock and lower back region. These are two in number (one on each side) and can be a source of low back, buttock pain. The pain from SI joints can radiate down the legs. Patients with previous spinal surgery, leg length discrepancy, ankylosingspondylitis, and rheumatoid arthritis are more prone to developing sacroiliac joint pain.

8. Nerve Blocks Lateral Cutaneous Nerve Block & Radiofrequency Lateral cutaneous nerve of thigh supplies sensation to the side and front of thigh. Injury, compression or entrapment of the nerve can lead to altered sensation, numbness and pain in the area supplied by the nerve. The condition is called Meralgiaparesthetica. The most common site for compression of this nerve is as it enters the thigh travelling in close relation to one of the thigh ligaments. Tight belts and clothes, recent weight gain or loss act as predisposing factors. The nerve can be identified with the help of ultrasound and guided injection can help relieve the pain. If required pulsed radiofrequency treatment can help to prolong the pain relief. Obturator Nerve Block The obturator nerve supplies sensation to the lower thigh, some of the thigh muscles, hip and the knee joint. This injection can be used to relieve medial thigh spasm/pain and groin pain because of nerve entrapment. A specific branch of the nerve is targeted when performing radiofrequency ablation of the hip joint Cluneal Nerve Block These are small nerves present in the lower back and buttock. Injury, compression of these nerves as in surgery or while taking a bone graft can lead to prolonged pain. Entrapment of these nerves can develop at sites where they cross through different fascial planes.

9. Lumbar Sympathetic Blocks Lumbar sympathetic block interrupts the flow of signals in these nerves and produces pain relief and increased blood flow to legs as a consequence. These injections can help in conditions with reduced blood supply to legs such as ischemic leg pain, non healing leg ulcers and other pain conditions involving the sympathetic nerves such as in Complex Regional Pain Syndrome, post amputation phantom limb pain.

10. Muscle and tendon injections Deep Muscle Injections Such As Piriformis, Obturator Muscle for Buttock Pain Piriformis and Obturatorinternus are buttock muscles in close proximity to one of the major leg nerves (sciatic nerve) as it leaves the pelvis and enters the leg. Pressure on this nerve can lead to sciatica/ nerve pain. This usually presents as buttock and leg pain which is worse in sitting position.

11. Trigger point injections Skeletal Muscles form a substantial proportion of human body and their ability to contract and relax helps in producing body movements. When muscles fail to relax, they form knots or tight bands known as trigger points. These can be a result of inflammation, trauma and injury of the muscle or the neighbouring structures. Poor posture and repetitive strain are other predisposing factors. 

12. Injections for Proximal Hamstring Tendinopathy, Ischial Bursitis Hamstrings are a group of muscles present at the back of thigh. They extend from the pelvis (ischialtuberosity) to the knee and play an important role is everyday activities such as bending or running. Muscles attach to the bones with the help of a special type of tissue called tendons.

13. Trochanteric Bursa Injection Trochanteric Bursitis presents as pain on the outer side of the hip joint. It now been renamed as Greater Trochanteric Pain Syndrome (GTPS) as a range of conditions including muscle tears, tendon issues and trigger points can produce similar symptoms. In this region is present the greater trochanter (bony edge on the top of the thigh bone) where the buttock muscles attach and many bursae to prevent friction.