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Non Surgical Pain Management

Non surgical procedure or minimum surgical procedure now taken upper hand over the open surgery. It’s reduced more the 70% open surgery because it reduces hospital stay, surgical related complication, cost, time and improved quality of life also.
We are doing many interventions procedure like PLID, Knee replacement, Spine fixation, trigeminal neuralgia surgery, CTS operation and many others.

Injection procedures are injections administered to relieve pain in the neck, shoulders and arms caused by a pinched nerve or inflamed nerve(s) in the cervical spine.

A cervical epidural is an injection of anti-inflammatory pain medications like cortison into the cervical region of the spine.

This injection is not given in bone or spinal cord.
A patient may need an epidural for one of many reasons. The procedure can be performed as a diagnostic tool in uncovering the exact site and nature of neck pain, or it can be used to treat chronic pain, inflammation, and stiffness in the neck and shoulders.

Cervical epidural is typically reserved for cases where significant nerve damage around the spine is responsible for pain.

Before the procedure, a patient is given a shot of local anesthetic to numb the area. Procedure is done under fluoroscopic(Special X-Ray), Ultrasound guidance and local Anesthesia. After confirmation of nerve roots involved, by injecting contrast as seen in this video, solution is injected.

Ozone in PIVD/Slipped disc
In case of prolapsed inter-vertebral disc (or, slipped disc) different other mechanism acts. Inter-vertebral disc is filled with nucleus pulposus which is a jelly like material which holds water (90% of disc material is water). When ozone is injected into the disc the proteo-glycan bridges in the jelly-like material are broken down and they no longer capable of holding water. As a result disc shrinks and mummified which is equivalent to surgical discectomy and so the procedure is called ozone discectomy or ozonucleolysis. It has been published in ANESTHESIA AND PAIN journals that up to 85% of disc operation can be avoided with these non-surgical interventions. Success rate is about 88% which is comparable to surgical discectomy (50% to 90%). Complications are remarkably low and much less than surgery.

Procedure is done in operation theater and takes 30-40 minutes. After procedure patient is shifted to recover room for observation. Patients are usually discharged after 2 hours.