Selective Nerve Root Block
A Selective Nerve Root Block injection is used to diagnose or treat pain in an inflamed spinal nerve. Typically, a medication (an anesthetic or an anesthetic with a steroid) is injected at a specific root nerve. This is done under fluoroscopic or X-ray guidance. If the injection reduces the amount of pain the patient experiences, the source of the pain becomes clear. The procedure could also trigger discomfort and pain and the patient is usually required to be awake during the procedure to explain their symptoms. After the procedure, the patient may feel some muscle weakness but this should fade away in a few hours.
For treatment purposes, steroids are usually mixed with the anesthetic in the selective root block injection. Steroids work to inhibit the actions of certain enzymes that cause pain and block C-fibers in the nerve to reduce transmission of pain. This is useful in treating patients with cut was well as chronic pain.
Transforaminal Epidural Cortisone Injections
Epidural glucocorticoid injections are used to treat leg and back pain non-surgically. The method has been proven to relieve pain, improve mobility and buy time for the body to heal, and become stronger to handle surgery. It is usually suggested only if conventional pain-management methods have been tried and proven ineffective.
During a Transforaminal injection, a small gauge blunt needle is injected into the epidural space through the bony, spinal opening for the existing root nerve. The procedure is performed with the patient lying on their abdomen, under real-time fluoroscopy or X-ray guidance. This helps ensure that the glucocorticoid is placed in the correct location. The patient is sedated but awake during the procedure, as the patient needs to give feedback to the doctor about their pain levels.
A Transforaminal epidural cortisone injection is a safe, minimally-invasive non-surgical technique for pain relief for lower-back or leg pain.
Cervical Medial Branch Blocks
The spine has small bony joints called facets, connecting the different vertebrae. These facets enable movements like bending and twisting and provide stability to the back. These joints can also become arthritic or cause pain in the joints in the arms and legs. The goal of a cervical medial branch block is to determine if the patients back pain originates from the facets of the upper spine.
The Cervical medial branch block is performed by injecting an anesthetic to temporarily block any pain signals from the medial nerves in the upper back. The injection is administered under X-ray to ensure proper placement.
After the procedure, the patient is usually kept for observation for a few hours and then discharged. The patient may be asked to maintain a pain journal to record the time, duration, location and intensity of the pain, as well as when they feel noticeable relief. If the patient experiences relief from this procedure, their pain is likely facet-related and they may be recommended radio frequency ablution therapy for long-term relief.
Cryotherapy is the use old cold therapies to manage acute pain from musculoskeletal injuries. Cryotherapy can be applied in various ways like icepacks, coolant sprays or gels, ice baths or whole-body cryotherapy. Cold therapies are effective in relieving pain as they reduce neural activity, reduce the blood flow to the skin, and thus reduce pain and inflammation. Cryotherapy may be combined with rest, compression and pain medication.
Posture Correction and Biomechanics Clinics
Good posture plays a part in reducing strain on the skeletal system and muscles while performing basic activities like standing, sitting or lying down. Poor posture can cause neck pain, upper and lower back pain, knee pain and poor foot function. The Posture Correction and Biomechanics clinic at Gleneagles Global Hospital in Chennai focuses on addressing this problem.
At the Posture Alignment and Biomechanics Clinic, the root cause of the pain is identified and the related postural imbalances are all corrected. The clinic is equipped with cutting edge imaging and diagnostic tools to assess the posture and alignments of the patient’s body. The doctor will prescribe the relevant postural corrections and exercises to help counter the mis-alignments found. The techniques used may include mobilization, manipulation or Muscle Energy Techniques (MET). All the treatment programs are designed to maximize range of movement and reduce chronic pain.
Kinesiology, in medicine, is the science of human movement (The literal Greek translation is movement science). Kinesiology is a non-invasive, holistic therapy, combining eastern massage techniques with modern muscle monitoring. The detailed knowledge of muscular anatomy, mechanics and neural physiology that our doctors possess helps them gain deeper insights into mechanical injuries, how they were caused and the corresponding treatment.
The kinesiologist starts with a consultation with the patient, in which they go over medical history, challenges, lifestyle patterns and needs. The kinesiologist then has the patient lie down on the examination table and works on balancing the stresses indicated during the consultation. Kinesiology operates on an evidence-based treatment model known as active rehabilitation. Progressive therapeutic exercise and a range of motion techniques are used to help overcome injuries.
Prolotherapy, also known as proliferation therapy or regenerative injection therapy, is an alternative therapy for pain management, where a dextrose or saline solution is injected into the painful joint. Prolotherapy has been used to treat arthritis of the knees, hips and fingers, degenerative disc disease, fibromyalgia, sprains, strains and muscle aches.
Prolotherapy can help reduce pain and stiffness in the affected joint and improve its strength, function and mobility. Prolotherapy practitioners say the irritation caused by the saline or dextrose solution helps stimulate the body’s natural growth response, leading to the growth of new tissues.
A back brace is an external support used to stabilize one or more portions of the spine. It can help relieve pain and pressure on the injured portion of the spine and help to ensure healing in correct alignment after surgery. A back brace may be customized by the doctor or a non-prescription over-the-counter brace may be recommended for purchase.
The back brace is typically designed to provide stability and additional spinal support. It also reduces load on the vertebrae and the discs. A back brace is often an important component of the recovery process.
Traumatic Spinal Cord Injuries – A Comprehensive Management
A traumatic spinal cord injury is a sudden injury leading to major damage to the spinal cord, usually with a spinal fracture and possibly resulting in paralysis. Traumatic spinal cord injuries could be caused by road or industrial accidents, sports injuries and accidental falls. A complete traumatic spinal cord injury occurs across the whole spinal cord width and results in complete paralysis below the trauma. An incomplete traumatic spinal cord injury results in only a partial-severing of the spinal cord, resulting in partial paralysis below waist level.
Patients with traumatic spinal cord injury have their spine immobilized, to prevent further injury from movement. Once stabilized, the patient’s pain is addressed with the appropriate medication. The patient is also kept under regular neurological observation. The doctors attending to the trauma will address and treat the patient as needed, surgically or otherwise. In the absence of any neurological deficits, a conservative approach of bed rest, immobilization, cervical collars, traction and rehabilitation is recommended.
Related Blogs & Videos
Related Blogs & Videos
We are with you in your journey to better health
A consultation with our panel of doctors, specialists and surgeons will help you determine what kind of services you may need to help diagnose and treat your condition. If you or someone in your family or friend’s circle are facing any health issues, please get in touch with us, we are here for you.