TREATMENTS

PROVIDED TREATMENTS AT THE SPINE AND PAIN CENTRE

Medications

analgesia provided antineuropathic agents, antidepressants, opiods(oral/patches), muscle relaxants, infusions(lignocaine/magnesium), capsaicin creams and lidocaine plaster

Joint blocks

joint blocks to diagnose and treat pain in facet, sacroiliac, atlantoccipital, atlantoaxial, shoulder, hip, knee and temporomandibular joint

Nerve blocks

nerve blocks are routinely used to diagnose and treat pain. These include suprascapular, occipital, dorsal root ganglion , transforaminal, therapeutic sacral epidural, stellate ganglion, sphenopalatine, lumbar sympathetic, hypogastric, coeliac plexus and ganglion impar block

Radiofrequency

this treatment modality employs specialised equipment and needles which creates heat lesion through electricity. This has been shown to interrupt nerve signals to the spinal cord and brain and can provide long lasting pain reduction. Another modality which works at a lower temperature is pulsed radiofrequency. Radiofrequency can be applied to nerves in the cervical, lumbar, thoracic facets and sacroiliac joints. Dr Kufakwaro routinely uses radiofrequency for chronic knee and hip pain.

 

Neuromodulation

is electrical stimulation which is applied to targeted sites of the body. This can reduce activity in affected nerves and provide pain relief. Dr Kufakwaro is an expert in spinal cord stimulation, dorsal root ganglion stimulation, sacral stimulation for pelvic, bladder and rectal pain. This treatment modality is also employed for overactive bladder and faecal incontinence. Neuromodulation can also be applied to peripheral nerves.

Infusion & pumps

analgesia can be administered as infusions for chronic pain. This includes lignocaine/magnesium infusions for fibromyalgia. For chronic cancer pain analgesia can be administered through intrathecal pumps.

Exercise/Physiotherapy/Wellness

Dr Norman Kufakwaro works closely with private physiotherapists to consolidate rehabilitation post-surgery/interventions. Exercise is important to minimise muscle deconditioning, fear avoidance and progression of chronic pain cycle. Physiotherapist will work closely with you through activity management, pacing, and gently ease you back to your usual social and work activities.

Wearable Non-invasive Treatment Devices

21st century pain management

 

Wearable Pain Relief technology

A growing number of companies are offering wearable electrotherapy devices for pain relief. As most chronic pain patients have experienced difficulties with tablets, injections and surgery there is a drive to offer safer pain management with less side effects. Most big pharmaceuticals companies have jumped onto this bandwagon and have invested heavily in electroceuticals. This in simple language means the use of electrical stimulation to alleviate pain is going to grow exponentially in the next decade. They are simple devices backed by smart technology. You may be surprised that this is not entirely new concept as eels where used to treat pain at the beginning of the century.

 

The advantage of these devices is that they offer pain relief with few or no side effects at all. In addition to this , they are user dependent which means that the level of stimulation can be adjusted to suit the severity of the pain.

 

A major disadvantage is that most of the devices are not funded by the NHS or Private Medical Insurance- meaning that patients have to pay upfront.

 

It is important to realise that these treatments do not take all the pain away but they do make the pain much more bearable in the majority of patients. Many patients will be able to reduce their medication significantly and minimise chances of addiction and side effects.

In this blog, I will review a few that are on the market at present. Most if not all have FDA/CE approval which means that they can be sold in America and Europe. It’s worth bearing in mind that wearable pain relief does not work for everyone. It’s advisable to buy the one that come with extended money back guarantees. Most people struggle to access these devices. For further information please contact your doctor or alternatively Dolor Medical Supplies.

 

1. Actipatch

2. Acuknee

3. Quell

4. Cefaly

5. Axiobionics

6. Transcranial Direct Current Stimulation-PainX

7. Nanovibronix-Pain Shield

 

Non-invasive back pain management

 

Soleve-Nervomatix

 

 

Low back pain is one of the most common complaint in the Western world. Ninety percent of the population in the United Kingdom suffer from back pain at one or multiple points in their lifetime. The dilemma that most clinicians face is establishing a clear diagnosis and effective treatment modality. This treatment is for patients with myofascial back pain or mechanical back pain. Over the last decade a lot of evidence has been published on the role of active trigger points. Myofascial back pain is characterised by active trigger points in muscles.

This device identifies these trigger points and administers electrical neurostimulation which promotes release of endorphins (natural endogenous pain killers) and also improves local blood supply as tissue ischaemia has been shown to result from prolonged muscle contraction in these active trigger points. The benefit of this treatment is that it avoids oral analgesic and side effects associated with them. We are all too aware of the recent opiod epidemic in chronic pain patients. It would also be suitable for patients who are keen to avoid injections and spinal surgery.

 

 

Please note that this information should not be used as a substitute for medical treatment advice. Always consult a medical professional about health  related questions or concerns.

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TREATMENTS

PROVIDED TREATMENTS AT THE SPINE AND PAIN CENTRE

Medications

analgesia provided antineuropathic agents, antidepressants, opiods(oral/patches), muscle relaxants, infusions(lignocaine/magnesium), capsaicin creams and lidocaine plaster

Joint blocks

joint blocks to diagnose and treat pain in facet, sacroiliac, atlantoccipital, atlantoaxial, shoulder, hip, knee and temporomandibular joint

Nerve blocks

nerve blocks are routinely used to diagnose and treat pain. These include suprascapular, occipital, dorsal root ganglion , transforaminal, therapeutic sacral epidural, stellate ganglion, sphenopalatine, lumbar sympathetic, hypogastric, coeliac plexus and ganglion impar block

Radiofrequency

this treatment modality employs specialised equipment and needles which creates heat lesion through electricity. This has been shown to interrupt nerve signals to the spinal cord and brain and can provide long lasting pain reduction. Another modality which works at a lower temperature is pulsed radiofrequency. Radiofrequency can be applied to nerves in the cervical, lumbar, thoracic facets and sacroiliac joints. Dr Kufakwaro routinely uses radiofrequency for chronic knee and hip pain.

 

Neuromodulation

is electrical stimulation which is applied to targeted sites of the body. This can reduce activity in affected nerves and provide pain relief. Dr Kufakwaro is an expert in spinal cord stimulation, dorsal root ganglion stimulation, sacral stimulation for pelvic, bladder and rectal pain. This treatment modality is also employed for overactive bladder and faecal incontinence. Neuromodulation can also be applied to peripheral nerves.

Infusion & pumps

analgesia can be administered as infusions for chronic pain. This includes lignocaine/magnesium infusions for fibromyalgia. For chronic cancer pain analgesia can be administered through intrathecal pumps.

Exercise/Physiotherapy/Wellness

Dr Norman Kufakwaro works closely with private physiotherapists to consolidate rehabilitation post-surgery/interventions. Exercise is important to minimise muscle deconditioning, fear avoidance and progression of chronic pain cycle. Physiotherapist will work closely with you through activity management, pacing, and gently ease you back to your usual social and work activities.

Wearable Non-invasive Treatment Devices

21st century pain management

 

Wearable Pain Relief technology

A growing number of companies are offering wearable electrotherapy devices for pain relief. As most chronic pain patients have experienced difficulties with tablets, injections and surgery there is a drive to offer safer pain management with less side effects. Most big pharmaceuticals companies have jumped onto this bandwagon and have invested heavily in electroceuticals. This in simple language means the use of electrical stimulation to alleviate pain is going to grow exponentially in the next decade. They are simple devices backed by smart technology. You may be surprised that this is not entirely new concept as eels where used to treat pain at the beginning of the century.

 

The advantage of these devices is that they offer pain relief with few or no side effects at all. In addition to this , they are user dependent which means that the level of stimulation can be adjusted to suit the severity of the pain.

 

A major disadvantage is that most of the devices are not funded by the NHS or Private Medical Insurance- meaning that patients have to pay upfront.

 

It is important to realise that these treatments do not take all the pain away but they do make the pain much more bearable in the majority of patients. Many patients will be able to reduce their medication significantly and minimise chances of addiction and side effects.

In this blog, I will review a few that are on the market at present. Most if not all have FDA/CE approval which means that they can be sold in America and Europe. It’s worth bearing in mind that wearable pain relief does not work for everyone. It’s advisable to buy the one that come with extended money back guarantees. Most people struggle to access these devices. For further information please contact your doctor or alternatively Dolor Medical Supplies.

 

1. Actipatch

2. Acuknee

3. Quell

4. Cefaly

5. Axiobionics

6. Transcranial Direct Current Stimulation-PainX

7. Nanovibronix-Pain Shield

 

Non-invasive back pain management

 

Soleve-Nervomatix

 

 

Low back pain is one of the most common complaint in the Western world. Ninety percent of the population in the United Kingdom suffer from back pain at one or multiple points in their lifetime. The dilemma that most clinicians face is establishing a clear diagnosis and effective treatment modality. This treatment is for patients with myofascial back pain or mechanical back pain. Over the last decade a lot of evidence has been published on the role of active trigger points. Myofascial back pain is characterised by active trigger points in muscles.

This device identifies these trigger points and administers electrical neurostimulation which promotes release of endorphins (natural endogenous pain killers) and also improves local blood supply as tissue ischaemia has been shown to result from prolonged muscle contraction in these active trigger points. The benefit of this treatment is that it avoids oral analgesic and side effects associated with them. We are all too aware of the recent opiod epidemic in chronic pain patients. It would also be suitable for patients who are keen to avoid injections and spinal surgery.

 

 

Please note that this information should not be used as a substitute for medical treatment advice. Always consult a medical professional about health  related questions or concerns.