Chronic Pain is a disease in its own right… End suffering now.
Experts in medicine are agreed on one fact – Chronic pain is a disease in its own right, millions of people suffer from it but less than 2% end up seeing a pain specialist – simply because patients and healthcare companies believe there is no treatment. So, many suffer quietly.
Managing better pain relief, after appropriate assessment and investigations, is a reality with newer drugs, short term targeted injections with local anaesthetic, steroids and neuromodulation (procedures to alter the perception and sensation of pain).
- Neck pain (cervical spondylosis)
- Back and leg pain (lumbar spondylosis)
- Cluster headaches
- Nerve pain
- Post-surgery persistent pain
- Pain related to pallitive care
- Medical acupuncture
- Joint injections
- Sacroiliac injections
- Selective root nerve blocks
- Caudal epidurals
- Spinal stimulation
- Intrathecal implants
Chronic pain (pain persistent for more than 3 months) can be due to conditions in the nerves, joints, muscles and ligaments in the surrounding areas. When not treated, continued acute pain can repetitively send messages and signals of pain to the brain, resulting in a chronic pain state (‘hypersensitive central nervous system and nerve endings’).
Treatment options include strong analgesia, anti nerve medication, diagnostic and therapeutic injections surrounding the nerves. These options can be useful in breaking the pain cycle in order to allow rehabilitation.
Neuromodulation, one of the treatment options for chronic pain or movement disorders, involves direct stimulation of the nervous system with electrical signals. The peripheral nerves carry information from the spinal cord to all parts of the body. A peripheral nerve simulator is used to deliver electronic impulses directly to the peripheral nerve fibres along your chronic pain area. This interferes with the transmission of pain signals from the area of pain to the brain and tricks the brain into turning off pain perception.
A new option for treatment – Percutaneous Electrical Nerve Stimulation (PENS)
PENS is similar in concept to Transcutaneous Electrical Nerve Stimulation (TENS), but instead of placing electrodes on the skin of the affected area, needles are inserted, either around or immediately adjacent to the nerves serving the painful area. PENS combines the benefits of acupuncture and TENS. PENS is now a Ministry of Health (MOH) recognized therapy.
Untreated repetitive pain leads to widespread chronic pain.
Central sensitisation is when the repetitive pain signals go unchecked and larger areas of the brain are affected, resulting pain to arise from any part of your body in a wide-spread manner. It can be caused by conditions of muscles (fibromyalgia), nerves (neuropathic pain) or complex joint pain (arthritis). A certain subset of people are more predisposed to pain e.g. those who have other widespread disease such as irritable bowel disease, chronic headache, chronic fatigue and other neuromuscular disorders.
Treatment options include pharmacotherapy, physical treatment, rehabilitation, and relaxation therapies and where suitable, minimally invasive procedures.
Patient are advice to complete the attached PDF file prior to the appointment with our consultant.
Download Pain Assessment Form Here
Dr. Maya NAGARATNAM
MBBS (Lon) FRCA (UK) FFPMRCA (UK)
Dr Maya Nagaratnam is a pain specialist who pioneers PENS therapy in Malaysia.
Dr. Gopinathan RAJU
MBBS (India), M.Anaesthesiology (UM), AM (Mal), FFPMANZCA (AUS), Pain Medicine Fellowship (AUS) Certificate of Completion, (Subspecialty) Pain Management (MOH)