Cancer & Non-cancer Pain
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Cancer & Non-cancer Pain
Pain of visceral origin
The pain relating to the internal organs located in the midline of the body is called visceral pain. Unlike somatic pain that occurs in the muscles, skin, or joints, visceral pain is often vague, frequent, and feels like pressure or a deep ache. Sometimes the degree of pain felt does not match the degree of internal damage. Some patients can feel extreme visceral pain from non-serious conditions while some patients experience less pain from non cancer.
Procedures
Provided
Stellate ganglion block and RFA
During a stellate ganglion block procedure, the pain-relieving medicine is injected into the ganglion area. The medication reduces the release of the chemical nor epinephrine that activates the pain-sensitive nerves and reduces pain. During the procedure, the patient is usually sedated. A fine needle is placed near the stellate ganglion using X-ray guidance and then the anaesthetic is injected.
Trigeminal ganglion block and RFA
In this procedure, special needles are inserted with the help of an x-ray near the location of the nerves to be targeted. Electrodes are inserted through these needles and then electrical testing is performed.
Sphenopalatine ganglion block and RFA
Sphenopalatine ganglion block have three different application approaches. Transnasal Approach: This approach is used as a diagnostic tool. The technique uses a pledget soaked with local anesthetic which is advanced intranasally towards the sphenopalatine ganglion. The risks of this procedure are limited to epistaxis and infection. Transoral approach: In this procedure, the SPG is reached from the mouth. In this method, the deposition of the local anesthetic can be unpredictable which makes it a challenging process. Percutaneous infra zygomatic approach: For this method, the SPG is reached percutaneously using X-Ray guidance. The local anaesthetic is administered directly to the SPG.
Splanchnic nerve block and RFA
A splanchnic nerve block is an injection that helps relieve pain in the upper abdominal, caused commonly due to chronic pancreatitis or cancer. The splanchnic nerves are located on either side of your spine. Blocking these nerves helps stop the feeling of abdominal pain. A local anaesthetic will be administered to numb the back area. With X-Ray guidance, a thin needle is inserted into the splanchnic nerve area and the medication is injected.
Coeliac Plexus Block
A celiac plexus block is used to relieve severe abdominal pain caused by pancreatic cancer. This blocks pain signals from the celiac plexus nerves in the abdomen to the brain.
Superior hypogastric block and RFA
The place in the body where multiple nerves intersect is called a nerve plexus. During Superior hypogastric block, needles are placed on both sides of the spine where the superior hypogastric plexus is located. Then the medication is injected into the nerve plexus.
Visiting Hours (Mon - Fri)
- Ushakkal Abhinav Institute for Medical Sciences (UAIMS): 10:00 AM - 1:00 PM
- Sushruta Hospital: 2:00 PM - 5:00 PM
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