Chronic pain can be experienced in different ways. When people book a private Pain Management appointment at The Sarum Road Hospital, they often complain of one (or more) of these problems:
- Neck pain
- Back pain
- Sciatica
- Headaches / Migraines
- Facial pain
- Nerve pain - including post-operative pain, phantom pain, or pain after shingles
- Fibromyalgia – a long-term condition causing pain all over the body
- Joint pain – particularly in joints that cannot benefit from joint replacement surgery
While a number of treatments are available, not all causes and types of pain can be successfully cured. Your Consultant will work closely with you to ensure you receive the most effective treatment possible for your specific condition.
Treatments can be split into two categories:
- Medication
- Interventional procedures
Pain management – medication
Different types of pain medicine will help with different types and causes of pain. For example, if inflammation is causing pain, an anti-inflammatory drug, or a combination of paracetamol and an opioid (a strong painkiller that has a similar effect to morphine) will often be most suitable. If your pain is being caused by a nerve problem, medication to desensitise the affected nerve may be most effective.
We can also provide cutting-edge treatment, such as ketamine and lidocaine infusion therapies. These can be very helpful at managing chronic pain and depression, and your Consultant will discuss these with you if they may be of help.
Our highly experienced Consultants ensure that all options for pain medication are available at The Sarum Road Hospital. Finding the correct medication, and the most effective dose for you, may involve reviewing and adjusting treatment. Regular review will help ensure you continue to receive the most appropriate treatment.
Pain management – interventional procedures
Interventional procedures for pain management include:
- Nerve blocks
- Nerve root blocks
- Facet joint injections
- Radiofrequency denervation
- Trigger point injections
Certain injections may be given for:
- Diagnostic purposes - to confirm the cause of your pain
- Therapeutic purposes - to treat the problem and to relieve symptoms
Nerves send electrical impulses (messages) from one part of the body to another part to trigger some type of response. A nerve block interrupts this electrical impulse from reaching certain nerves in order to help relieve pain.
A nerve root block involves injecting an anaesthetic and steroid at the nerve root (the precise point a nerve leaves the spinal cord). The anaesthetic works to numb the pain and the steroid helps reduce inflammation. A nerve root block is usually directed at one specific nerve, with X-ray guidance used to ensure precise positioning.
Facet joints are small joints in the spine. In a facet joint injection, anaesthetic and steroid is injected into the facet joint to relieve pain and reduce inflammation.
Back or neck pain may be relieved by radiofrequency denervation, where radiofrequency waves are used to interrupt the function of a nerve