Interventional Pain Treatments

Interventional pain management involves minimally invasive techniques to relieve or reduce pain. These techniques are can be used in combination with medical and physical therapy. The ultimate goal is to manage pain and improve quality of life of patients.

Common areas where Interventional pain management techniques can be employed:

  1. Knee pain (Osteo Arthritis)
  2. Lower back pain (Spinal stenosis, Slipped disc, Vertebral fractures)
  3. Neck pain
  4. Shoulder pain (Osteo Arthritis, Adhesive capsulitis, Rotator Cuff injuries)
  5. Headaches

What does  interventional pain management involve?

These are essentially day-surgery minimally invasive procedures. 

These procedures involve using imaging guidance such as  Xray fluoroscopy, ultrasound or CT guidance to access areas causing pain and then using fine needles or electrodes or catheters to treat the exact source of pain. 

By using CT, ultrasound and fluoroscopic guidance, this significantly improves the accuracy of  localisation and placement of needles, enabling the specialist to treat the exact source of the pain.

Interventional Pain Procedures

  1. Headaches and persistent facial pain (trigeminal neuralgia) : nerve blocks 
  2. Back pain: epidural injections, facet injections, nerve root injections, radiofrequency ablation, chemical ablation, percutaneous disc procedures
  3. Knee pain: genicular artery embolization and genicular nerve ablation 
  4. Shoulder pain: embolization and ablation 

 

Our specialists also work with allied health  professionals and lifestyle fitness instructors to provide comprehensive management of the pain condition.

Interventional Pain Management for Knee Pain 

 Knee pain is a common problem that affects all of us at some point in our life. It can be due to injury in young people to the more common problem of knee osteoarthritis as we get older. The latter can significantly compromise our quality of life from a relatively young age all the way to the golden years. 

Traditional treatment for osteoarthritis involves medication, physical therapy, joint injections and eventually knee joint replacement surgery. 

With evolving technology with better understanding of  the knee anatomy and physiology, there are newer techniques being developed to treat/control knee pain with minimally invasive interventional techniques. These are especially useful in patients who are not improving with medication and physical therapy and are still have a long way to go before considering knee replacement operation. 

Interventional pain management for knee pain involves minimally invasive techniques that are done under imaging guidance using small needles and tubes called catheters. These are done as day surgery procedure under light sedation and back to activity the following day. 

Some minimally invasive treatment options we offer include:

  1. Genicular nerve ablation: this is done under ultrasound and fluoroscopic guidance. It involves selectively applying radio frequency waves to the nerves surrounding the knee to effectively relieve pain in the knee. 
  2. Genicular artery embolization: this minimally invasive procedure uses a catheter to inject spherical particles to create a blockage to the flow of blood to certain parts of the knee that cause pain.  
  3. Knee joint injection of Autologous Protein Solution (APS): under ultrasound guidance

Interventional Pain Management for Shoulder Pain  

Shoulder pain and frozen shoulder is a common problem affecting our lifestyle and quality of life. Along with lifestyle issues, it can cause severe pain and discomfort that can be severely debilitating. For individuals who like sports like tennis , badminton and golf, shoulder pain could be  a common problem severely compromising something they really enjoy doing.

Traditional treatment for shoulder pain involves medication, physical therapy, joint injections and eventually surgery. 

As MRI scans becoming increasingly available, there are new techniques being developed to treat/control shoulder pain with minimally invasive interventional techniques. These are especially useful in patients who find their conditions not improving with medication and physical therapy and/or still have a long way to go before considering an open surgical operation. 

Interventional pain management for shoulder pain involves minimally invasive techniques that are done under imaging guidance using small needles and tubes called catheters. These are done as day surgery procedures under light sedation and the patient is back to activity within a couple of days.

Some minimally invasive treatment options we offer include:

  1. Suprascapular nerve ablation: this is done under ultrasound and fluoroscopic guidance. It involves selectively applying radio frequency waves to the nerves surrounding the shoulder to effectively relieve pain there. 
  2. Shoulder artery embolization: this minimally invasive procedure uses a catheter to inject spherical particles to create a blockage to the flow of blood to certain parts of the shoulder that cause pain.
  3. Shoulder joint injection of steroids/ Autologous Protein Solution (APS): under ultrasound guidance.