Pain Interventions
Notice : At this time, MSM Pain Clinic is not offering injection treatment services, although we can refer you to a health professional in the area who is able to provide this service.
Pain interventions, particularly injections, are an important part of managing chronic musculoskeletal pain. These treatments do not aim to cure the underlying condition but are used as a tool to control and alleviate pain while other treatments are actively working. The goal is to break the pain cycle, providing temporary relief to improve quality of life and allow patients to engage more effectively in rehabilitation.
Role of Injections in Pain Management
For patients suffering from chronic pain, particularly those with hyper-sensitisation of the nervous system, repeat injections may be necessary to reduce pain sensitivity and facilitate the recovery process. These interventions help manage pain while other treatment strategies-such as exercise, physiotherapy, and structural corrections-take effect.
Types of Pain Interventions
At MSM Pain Clinic, a variety of injection treatments are available, tailored to each patient's specific needs. Injections may be administered at the clinic or referred to external facilities when specialized imaging guidance is needed. Dr. Singh ensures that all injection procedures are explained in detail, including potential benefits and risks, and will only proceed with treatments when the patient gives informed consent.
Injections are typically used for acute or chronic musculoskeletal issues and may include the following:
1. Facet Joint Injections (for Back Pain)
Facet joint injections are commonly used to target back pain, especially when caused by spinal arthritis or degenerative disc disease. These injections deliver medication directly into the facet joints of the spine to reduce inflammation and provide pain relief.
2. Ultrasound-Guided Injections
For increased precision, some injections can be guided by ultrasound imaging, ensuring the correct site is targeted for maximum effectiveness. These include:
> Caudal Epidural Steroid Injections: Targeting the lumbar spine to provide relief for leg pain caused by conditions such as lumbar disc herniation or sciatica.
> SI Joint Injections: Used for sacroiliac joint dysfunction, a common source of lower back and pelvic pain.
> Joint Injections: For other joints such as the shoulder, knee, hip, or ankle.
3. Peripheral Nerve and Trigger Point Injections
Injections of local anaesthetic around peripheral nerves or trigger points can be effective in reducing pain associated with muscle spasms, nerve irritation, or localized muscle pain. These can be helpful for conditions such as:
> Tennis Elbow (Lateral Epicondylitis)
> De Quervain's Tenosynovitis
> Carpal Tunnel Syndrome
> Upper and Lower Limb Muscle Pain
4. Upper Limb Injections
For shoulder pain or injuries, injections may include:
> Subacromial Bursa Injections: For inflammation in the shoulder bursa.
> Shoulder Joint Injections: To address pain and inflammation in the shoulder joint itself.
For hand and wrist conditions, including:
> Tennis Elbow
> De Quervain's Tenosynovitis
> Injections into small joints of the hand and wrist
5. Pelvic & Hip Joint Injections
Pain in the pelvic region or hip joints can be treated with targeted injections into the SI joint or the hip joint itself to reduce inflammation and pain.
6. Lower Limb Injections
For conditions affecting the lower limbs, Dr. Singh may offer injections for:
> Greater Trochanteric Bursitis: In the hip region.
> Knee Joint Injections: For knee pain, including osteoarthritis or inflammatory conditions.
> Ankle and Subtalar Joint Injections: Targeting pain in the foot and ankle, including tendon sheath inflammation and joint pain.
> Peripheral Nerve Blocks: Used to target specific nerves for pain relief in the lower extremities.
> Injections into small joints of the foot for localized pain relief.
Treatment Process and Patient Support
Before any injection is performed, Dr. Singh will thoroughly explain the procedure, outlining potential benefits, risks, and alternative treatment options. Patients are given the opportunity to ask questions and discuss the treatment with family or a support person. If needed, a follow-up appointment can be arranged to allow time for further discussion or decision-making.
Guidance and Follow-Up
Dr. Singh aims to provide not just pain relief but also ongoing support throughout your recovery. After an injection, patients are often guided on follow-up care, including exercises, physiotherapy, and lifestyle changes to improve long-term outcomes. If the results of an injection are not as expected, Dr. Singh may recommend further assessments or interventional treatments.
At MSM Pain Clinic, pain interventions like injections play an important role in managing chronic and acute musculoskeletal pain. Dr. Singh's goal is to provide effective, evidence-based solutions that support your recovery while helping you regain function and improve your overall quality of life.