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Chronic Pain

Pain acts as a warning to indicate harm or potential danger to the tissues in the body. Physicians and patients react preventing additional harm or removing the source of pain. But when pain persists for more than six months, it is said to be chronic or intractable pain. Such pain no longer assists the patient, normal living becomes severely restricted, sometimes impossible. Chronic pain is a common problem. Epidemiological studies have reported that 8% or even 11% of adults in the industrial countries report a persistent pain condition and is among the leading reasons why patients seek medical care. Chronic pain may stem form an initial mishap that has long since healed. Or, it may have an ongoing cause such as arthritis, cancer, CRPS or infection. What ever its cause, pain is real, unrelenting and demoralizing. People with chronic pain often cannot work. Pain can lead to deterioration in family and social like and a preoccupation with pain can lead to a downward spiral of irritability and depression. For these reasons Pain should be treated.

According to the WHO the appropriate treatment ladder includes:

- Oral medications
- Physical rehabilitation
- Psychological Therapy
- Corrective Surgery
- Therapeutic Nerve Blocks
- Oral opioids
- Neuromodulation Therapies
- Neuro-ablation

Neuromodulation Therapies include:

  • Neurostimulation
  • Intrathecal Drug Delivery

NEUROSTIMULATION is indicated by the International Association for the Study of Pain IASP in its consensus statement for the following painful conditions:

- Failed Back Surgery Syndrome
- CRPS type 1 and 2
- Chronic refractory angina pectoris
- Peripheral Vascular Disease with severe ischaemic pain
- Radiculopathies
- Nerve entrapment
- Accidental trauma
- Stump pain after amputation
- Post herpetic neuralgia
- Post radiation plexopathy
- Polyneuropathies
- Pain related to incomplete lesion of the spinal cord as well as segmental pain
- Chronic cervical and lumbosacral radiculopathy due to lesions caused by compression, ischaemia, surgical intervention accidental trauma or arachnoiditis

INTRATHECAL DRUG DELIVERY is indicated by the IASP for the following painful conditions:

- Back Pain with predominantly nociceptive component (FBSS)
- Cancer Pain Pain secondary to pancreatitis
- Pain secondary to osteoporosis
- Neurogenic FBSS if neurostimulation is unsuccessful
- CRPS type I or RSD if neurostimulation is unsuccessful

If you are in interested in the use of Neuromodulation techniques and would like to participate in one or more of our training events please contact us