(Chairperson And Chief Anesthesiologist-Cum- Pain Specialist)
Dr. (Mrs.) Pattnaik the co-founder of the 'Dr. Pattnaik's S.S. Hitech Urological Hospital' has been in the field of anesthesiology for over 25 years. After completing her post graduation from Tata Memorial Hospital (Pioneer Cancer Institute of India), she served over 23 years at Mahatma Gandhi Memorial Hospital, Parel, Mumbai (the largest ESIS Hospital in the State of Maharashtra, India) in the Anesthesiology Department. Read More
Pain. It can turn a smile into a frown. It can stop you from enjoying all the things you used to do. And it can distance you from family and friends. But no matter what type of pain you experience, chances are it affects every aspect of your life.
The Pain Management Center at S.S Hospital is dedicated to locating the source of your pain and identifying ways to minimize or eliminate it. You and our specialists work together to treat your pain, as well as the stress and anxiety that often accompanies pain.
Our goal is to make you comfortable so that you may enjoy your life to its full potential. Your treatment is designed exclusively for you.
Our pain center staff includes board-certified physicians and nurses dedicated to the management of painful conditions.
ntramuscular stimulation (IMS) is an invasive procedure in which an acupuncture needle is inserted into the skin and muscle. It is physical intervention that uses dry needles to stimulate trigger points, diagnose and treat neuromuscular pain and functional movement deficits. As the name implies, dry needling is primarily directed at myofascial trigger points, which are defined as “hyperirritable spots in skeletal muscle that are associated with a palpable point in a taut band”
We help people who have complex pain problems such as chronic back and neck pain, cancer-related pain and neuropathic pain from diabetes. We partner with specialists in neurosurgery, orthopedics, psychiatry and physical therapy to offer a complete range of pain management care.
An exciting, non-invasive procedure is available to treat pain in suitable patients using sound waves. Carried out in around 20 minutes in a comfortable Outpatient setting, Extracorporeal Shock Wave Therapy (eSWT) means you need no anaesthetic and is virtually painless.
The handheld device delivers waves created by compressed air into the problem area which radiate out to promote and stimulate healing and is conducted by a Consultant Orthopaedic Surgeon. Three or four treatments are usually necessary and the most common areas to be treated are the foot and heel.
It involves special procedures to treat and manage pain. "Interventional" procedures might include an injection of an anesthetic medicine or steroid around nerves, tendons, joints or muscles; spinal cord stimulation; insertion of a drug delivery system; or a procedure with radio-frequency ablation or cryoablation to stop a nerve from working for a long period of time. These techniques may help patients:
Patients needing interventional pain management services suffer distress and discomfort caused by a variety of conditions and disorders, including:
The Pain Center offers a variety of treatments, including:
Intramuscular stimulation (IMS) is an invasive procedure in which an acupuncture needle is inserted into the skin and muscle.
It is physical intervention that uses dry needles to stimulate trigger points, diagnose and treat neuromuscular pain and functional movement deficits. As the name implies, dry needling is primarily directed at myofascial trigger points, which are defined as “hyperirritable spots in skeletal muscle that are associated with a palpable point in a taut band”
Physical therapists around the world practice trigger point dry needling as part of their clinical practice and use the technique in combination with other physical therapy interventions. A high degree of kinaesthetic perception allows a physical therapist to use the needle as a palpation tool and appreciate differences in the density of those tissues pierced by the needle.
Although some people refer to trigger point dry needling as a form of acupuncture, it did not originate as part of the practice of traditional Chinese acupuncture. The difference being that there are distinct anatomical locations of myofascial trigger points within muscle tissue, whereas acupuncture points have point specificity on the body.
There is substantial medical literature on IMS and dry needling that has been subjected to peer review. Trigger point dry needling has been used following a variety of different schools and conceptual models. According to these models, when the flow of nerve impulses is restricted to an area of the body, all innervated structures, including muscle, spinal nerves, sympathetic ganglia, adrenal glands, sweat cells, and brain cells become atrophic, irritable, and supersensitive.
Many common diagnoses, such as achilles tendonitis, lateral epicondylitis, frozen shoulder, chondromalacia patellae, headaches, plantar fasciitis, temporomandibular joint (TMJ) dysfunction, myofascial pain syndrome (MPS), and others, might in fact be the result of neuropathy, and associated myofascial trigger points.
Intramuscular therapy has been very successful for patients with chronic low back pain and sciatica symptoms. Shortening of the paraspinal muscles, particularly the Multifidus muscles, can lead to disc compression, narrowing of the intervertebral foramina, and/or cause direct pressure on the nerve root, which subsequently would result in peripheral neuropathy and compression of super sensitive pain receptors, resulting in pain and dysfunction.
In laymanâ€™s terms, the treatment uses acupuncture needles, to target specific muscles that have contracted and become shortened. These shortened muscles compress and irritate the nerves. This treatment can greatly reduce tightness and pain, while increasing flexibility and range of motion.
The treatment involves dry needling of affected areas of the body without injecting any substance. The needle sites can be targeted at the site of taut, painful muscle bands, and/or can be near the spine where the nerve root may have become irritated and super-sensitive.
An important note is needling of a normal muscle is painless. In contrast a shortened, muscle will â€˜graspâ€™ the needle and produces a cramping sensation. Intramuscular dry needling can reduce pain and soften these trigger points, while increasing flexibility and range of motion.
Patients with neurological disease such as multiple sclerosis, Parkinson's disease, etc. often have voiding dysfunction (urinating problems) ranging from incontinence (leakage) to incomplete emptying to retention (inability to urinate). They can also have dyssynergia (the sphincter muscles and bladder muscle working against each other rather than in a coordinated fashion) or poor bladder compliance (elasticity), either of which can sometimes cause kidney damage.
Aside from causing adverse health problems, urinary problems are a major source of frustration in this patient population. Accurate diagnosis can prevent renal complications, while therapeutic options can provide social continence. The schematic below illustrates the complexity of the nerve supply of the lower urinary tract. The voiding cystourethrogram below shows the bladder of a patient with neurologic disease causing detrusor sphincter dyssynergia leading over time to significant thickening of the bladder wall, changes in bladder compliance, and the formation of multiple diverticulae.