Interventional Pain Management

Our Pain Specialist team hold great expertise and experience with various interventional pain management options, including injections and other clinical procedures. Please contact us today for an appointment with our team to determine the best way forward to manage and treat your pain, no matter the area.

Epidural Treatment

Epidural treatment is commonly used to manage pain, particularly in the lower back, neck, and legs. It involves the injection of a corticosteroid medication into the epidural space of the spine, which is the area surrounding the spinal nerves. This treatment aims to reduce inflammation, alleviate pain, and improve mobility by targeting the source of nerve irritation or compression.

We give you a local anaesthetic to minimise discomfort during the procedure. Following the injection, you may experience relief from pain and improved function within a few days. Epidural treatments can be part of a comprehensive pain management plan and may be repeated.

Facet Joint Injections

Facet joint injections are a targeted treatment used to relieve pain stemming from the facet joints located between the vertebrae in the spine. These joints can become inflamed or irritated due to arthritis, injury, or degeneration, leading to localised discomfort.

The procedure involves delivering a combination of corticosteroids and local anaesthetics directly into the affected facet joint. Most patients experience pain relief and improved function within a few days of the injection, which can help with completing rehabilitation programmes.

Lignocaine Infusions

Lignocaine, or lidocaine, infusions involve administering a local anaesthetic intravenously through an infusion pump to provide extended pain relief. This treatment works by blocking nerve signals, reducing pain and discomfort for patients suffering from conditions like neuropathic pain.

The procedure involves connecting the pump to a cannula inserted into your vein. During the infusion, patients are closely monitored for effectiveness and potential side effects. Many patients experience significant pain relief and improved function, making this a valuable option for managing persistent pain when other treatments have not been successful.

Nerve Blocks

Nerve blocks are a targeted pain management technique used to alleviate discomfort by interrupting pain signals from specific nerves and can be administered to multiple areas of the body. During this procedure, a local anaesthetic is injected near a nerve or nerve cluster, effectively blocking the transmission of pain signals to the brain. For example, a caudal epidural injection may be used to treat low back pain and leg pain. This can provide significant relief for various conditions, including neuropathic pain, sciatica, or pain resulting from injuries or surgeries.

The effects of a nerve block procedure can be temporary or long-lasting, depending on the type of medication used and the underlying condition. If the pain goes away, it is typically concluded that the nerve or nerve cluster is the most likely source of the pain. Following a diagnostic block your pain specialist can offer therapeutic treatment options.

Radiofrequency Neurotomy / Ablation

Radiofrequency neurotomy, also known as radiofrequency ablation, is a minimally invasive procedure used to relieve chronic pain by targeting specific nerves responsible for transmitting pain signals. The treatment involves using radiofrequency energy to create a heat lesion on the nerve, which disrupts its ability to send pain signals to the brain. This procedure is commonly used for conditions such as facet joint pain, sacroiliac joint pain, or nerve root pain.

During the procedure, a thin, insulated needle is inserted near the targeted nerve, where radiofrequency energy is then delivered through the needle to generate heat and selectively destroy nerve fibres. Radiofrequency neurotomy / ablation can provide long-lasting relief and is often considered as a less invasive alternative to more extensive surgical interventions.

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