(+66) 4333 3555 分机 2022, 2023

描述

The Pain Medicine Clinic at Ratchaphruek Hospital specialises in the evaluation, diagnosis, and management of chronic and acute pain. Our clinic is dedicated to improving the quality of life for patients suffering from various pain conditions by employing a multidisciplinary approach. Staffed by experienced pain management specialists, physical therapists, and support staff, we offer a compassionate and comprehensive treatment model using state-of-the-art techniques and therapies. We employ pain interventions such as epidurals, sympathetic blocks, nerve blocks, neurolytic block and radio-frequency ablation to ensure optimal outcomes for carefully selected patients.

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Pain Management Services

1. Comprehensive Pain Assessment:

• Personalised Evaluations: Detailed assessments to understand the underlying causes of pain.

• Diagnostic Imaging: Utilising MRI, CT scans, and X-rays to pinpoint the exact areas of concern.

• Neurological Diagnostics: Advanced testing to assess nerve function and pain sources.

2. Treatment Options:

• Medication Management: Optimizing pharmaceutical approaches to reduce pain and improve function.

• Interventional pain includes a variety of techniques such as epidural injections, sympathetic blocks, nerve blocks, neurolytic blocks, and radio-frequency ablation.

• Physical Therapy and Rehabilitation involve tailored programs aimed at strengthening the body and alleviating pain through targeted physical activities, including manual therapy and specific muscle, ligament, tendon, and full-body stretching routines.

• Physical modalities encompass a range of treatments including therapeutic deep heat ultrasound, focused or radial shock wave therapy, laser therapy, paraffin treatments, and peripheral magnetic stimulation.

• Cognitive Behavioral Therapy: Psychological support to help manage the emotional aspects of chronic pain.

3. Specialised Pain Therapies:

• Interventional pain management involves nerve blocks and epidurals for both diagnostic and therapeutic purposes, sympathetic blocks for chronic and cancer-related pain, and radiofrequency ablation to extend the duration of pain relief to 6-9 months.

• Peripheral nerve block for acute or intractable acute trauma and postoperative pain patients

• Regenerative Medicine Techniques: Such as platelet-rich plasma (PRP) therapy and stem cell treatments to promote natural healing.

• Acupuncture and Alternative Medicine: Incorporating holistic approaches to complement traditional medical treatments.

• Neuromodulation: Advanced therapies like spinal cord stimulation or peripheral nerve stimulation to alter nerve activity and relieve pain.

4. Chronic Pain Management:

• Chronic back and neck pain, including post-laminectomy syndrome, are addressed with customized strategies aimed at managing and treating pain associated with spinal conditions, whether it's initial or recurring instances.

• Chronic knee, hip and shoulder pain, including osteoarthritis (OA) without prior surgery, persists alongside cases where surgery has been performed, with pain recurring.

• Neuropathic Pain:  Specialized treatments to address pain caused by nerve damage or dysfunction.

• Complex pain states: CRPS (complex regional pain syndrome), phantom pain, spinal cord injury, brachial plexopathy, post-herpetic neuralgia, trigeminal neuralgia etc.

• Pharmacotherapy and non-pharmacological therapy

• Interventional pain management: Nerve blocks and epidural for both diagnostic and therapeutic purpose, sympathetic block, Radiofrequency ablation

• Somatic symptom disorder – related to pain: Multidisciplinary team including psychiatrist or clinical psychologist

• Following an extended period of enduring chronic pain, numerous patients can resume their cherished work, alleviate depression, attain better sleep, cherish quality time with family, and witness substantial improvements in their overall quality of life.

5. Cancer-related pain management:

• Pain interventions, such as sympathetic blocks and neurolytic blocks targeting specific nerve clusters like the Impar ganglion for rectal cancer, celiac plexus or splanchnic nerves for pancreatic cancer or cholangiocarcinoma, and nerve blocks for metastatic cancer, typically result in moderate to significant pain relief.

• Patients often experience reduced reliance on opioids, improved appetite, mood, and sleep, ultimately leading to enhanced quality of life and potentially extended life expectancy for cancer patients.

• Pharmacotherapy: Opioid and diseased-specific medications.

• Non-pharmacotherapy: psycho-social support, relaxation techniques, music and art therapy

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6. Acute Pain Management:

• Post-Surgical Pain: Effective strategies to manage and minimise pain following surgical procedures. Multimodal analgesia including peripheral nerve block.

• Injury-Related Pain: Immediate and long-term management plans for pain due to injuries.

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Facilities and Equipment

• Advanced Treatment Rooms: Equipped with the latest technology C-arm fluoroscopy and ultrasound-guided interventional for pain management procedures in procedural or operating rooms.

• Rehabilitation Facilities: On-site physical therapy services with state-of-the-art equipment.

• Comfortable Consultation Areas: Designed to ensure privacy and ease during consultations and ongoing treatments.

Commitment to Excellence

At the Pain Medicine Clinic at Ratchaphruek Hospital, our goal is to provide effective pain relief through a personalised approach that addresses both the physical and emotional components of pain. Our multidisciplinary team is committed to using evidence-based practices and staying at the forefront of the up-to-date pain management techniques to offer the best possible outcomes for our patients.