According to the American Society of Interventional Pain Physicians (ASIPP), interventional pain management is a “discipline of medicine devoted to the diagnosis and treatment of pain related disorders.” Interventional pain medicine utilizes a multidisciplinary approach, in which a team of health care professionals works together, to provide a full range of treatments and services for patients suffering from chronic and/or acute pain.Osteoarthritis (OA) knee pain can be frustrating and unpredictable, but ignoring it will not make it go away. Talking to your doctor is the best way to start exploring your options. When you do, keep the following in mind.

The goals of interventional pain management are to relieve, reduce, or manage pain and improve a patient’s overall quality of life through minimally invasive techniques specifically designed to diagnose and treat painful conditions. Interventional pain management also strives to help patients return to their everyday activities quickly and without heavy reliance on medications.

APMC provides a comprehensive approach to pain management . It starts with an accurate diagnosis of the underlying problem and specific treatment for the underlying cause. Since there can be multiple causes for chronic pain , best specialist doctors from all relevant fields work together to achieve this goal . State of the art equipments and the best technical expertise in this field enables us to deliver the best possible results. Apart from providing initial results, prevention of relapse and long term welfare is also taken care of by proper post treatment advice and follow-up. In short, we strive to give a comprehensive and complete solution to your pain problem.

Most of the pain procedures are covered by health insurance companies. Please check with the reception personnel in the clinic to check for insurance / reimbursements, if applicable.

Not at all. The pain physician assess the patient, follows the protocol of managing any chronic pain. First do conservative management with Medications, Physical therapy Life style modification etc. If the patient fails with these measures, Interventional procedures will be advised.

Osteoarthritis (OA) knee pain can be frustrating and unpredictable, but ignoring it will not make it go away. Talking to your doctor is the best way to start exploring your options. When you do, keep the following in mind. The pain affects everyone differently. An X-ray can show your grade or stage of knee osteoarthritis, but your level of pain isn’t necessarily connected to it. Your osteoarthritis could be mild with a great deal of pain or severe with little pain. Your doctor is relying on you to give a clear description of how your knee feels. It’s caused by more than just cartilage loss. In knees with osteoarthritis, the cartilage protecting the ends of the bones gradually deteriorates, joint fluid loses its shock-absorbing qualities and bones may begin to rub against each other — all of which may cause the knee pain you’re feeling.

Synvisc-One is an injection that supplements the fluid in your knee to help lubricate and cushion the joint, and can provide up to six months of osteoarthritis knee pain relief.

Synvisc-One is for people with knee osteoarthritis who have not received enough pain relief from diet, exercise and over-the-counter pain medication. If you’ve tried these options and are still feeling knee pain, tell your doctor and ask if Synvisc-One could help.

Synvisc-One is a single-dose treatment that is injected directly into your knee by a doctor, usually a specialist trained in treating knee osteoarthritis, such as an orthopaedic surgeon or rheumatologist.

The most common side effects are pain, swelling, heat, redness and/or fluid build-up around the knee. In a medical study less than 6% of patients experienced these side effects, which were generally mild and did not last long.

The injection takes a few minutes and can be done in your doctor’s office. To watch a video of a real patient’s injection.

Your doctor will likely apply a numbing agent before your Synvisc-One injection.

It is recommended you avoid strenuous activities (for example, high-impact sports such as tennis or jogging) or prolonged weight-bearing activities for approximately 48 hours following the injection. You should consult your doctor regarding the appropriate time to resume these activities.

Everyone responds differently, but in a medical study¹ of 253 patients with knee osteoarthritis, many experienced pain relief starting one month after the injection of Synvisc-One.

Although all patients respond differently, your osteoarthritis knee pain relief can last up to years.

Yes, Synvisc-One can be repeated safely. In a medical study involving 160 patients, 77 received a second injection of Synvisc-One. When your osteoarthritis knee pain returns, talk to your doctor to see if Synvisc-One is right for you.

Yes. You can receive treatment in both knees at the same time or at different times. Ask your doctor what is best for you.

The injection contains a gel-like mixture made from a substance called hyaluronan (pronounced hy-al-u-ROE-nan) that comes from chicken combs. Hyaluronan is a natural substance found in the body and is present in very high amounts in joints. The body’s own hyaluronan acts like a lubricant and a shock absorber in the joint and is needed for the joint to work properly.

Synvisc-One is the same formulation as SYNVISC. The only difference is that Synvisc-One is provided with one injection, compared to the three injections required for SYNVISC. Both treatments can provide up to six months of osteoarthritis knee pain relief.

PRP stands for “platelet-rich plasma” – a concentrated version of blood that is rich with healing and growth factors. PRP can be used for “regenerative” injections, in which a patient’s own blood is used to deliver those healing factors directly to injured tissue, in order to decrease pain and heal certain injuries.

PRP is most commonly used for chronic muscle or tendon injuries that have not healed with initial treatments (activity modification, physical therapy, etc.).

Common Conditions: Tennis elbow or golfer’s elbow, Achilles tendinosis, plantar fasciitis, patellar tendinosis, rotator cuff injuries, UCL tears (“Tommy John” injuries), and knee osteoarthritis.

Blood is drawn from the patient and put into a centrifuge to separate the red blood cells from the platelet-rich plasma.

The platelet-rich plasma is then transferred into a syringe to be injected into the injured area. Often times an ultrasound machine is used to guide the needle directly to the injured tissue.

Platelets’ main function is clotting blood, but platelets also contain numerous molecules that act as “growth factors” – these molecules are essential for healing.

The procedure typically takes 30-40 minutes to complete.

During the treatment, there may be some discomfort with the injection of the platelets, and after the treatment there may be a temporary increase in pain, swelling and bruising.

For one month after the injection, patients need to avoid non-steroidal anti-inflammatory drugs (NSAIDS); however, acetaminophen may still be used.
Following the injection, activities often need to be modified for 2 weeks. After that, formal physical is commonly resumed to help maximize healing.

With any type of injection, there is a minimal risk of infection at the injection site, even though the procedure is performed with sterile precautions.

It is common for patients to feel an initial worsening of symptoms, but those typically improve with time as the injury heals.

Though temporary discomfort can be expected, the goal of PRP is to help the body heal itself, and to get over injuries for which recovery has been difficult.

Our success rate is 90% in APMC. The amount of pain relief is variable for different patients.

Your pain relief procedures are chosen with great care to give you maximum benefit. If there is no relief then your physician will explain to you what needs to be done to get the best possible results.