Medicines

In initial cases , pain can be reduce by lifestyle modification, job modification, proper sitting and sitting position & exercise. Pain relieving medicines are prescribed to alleviate pain for sometimes

If pain persists inspire of doing all modalities and not relived by medications, then this type of pain can be treated by interventional pain management

 

1) Cervical epidural  – in this technique , injection is given under live X ray guidance, directly on the part from where pain is coming. It reduces inflammation of nerve & there by decreases the pain

2) Cervical neuroplasty by racz technique –  this is advanced interventional techniques in which foldable stiff racz catheter is introduced under guidance and adhesions identified. This allows to break adhesions between disc and nerve and there by reduces compression and inflammation over nerve and relieves pain

Advantages-

  • Day care procedure , no requirement of general anaesthesia
  • Very precise and targeted procedure
  • Safe- as done under live X ray guidance and no harmful medicines used
  • Relives pain maximum for longest possible duration
  • Faster recovery

3) Cervical Facet Block –  patients who have neck pain which is not radiating to arm, and associated with stiffness have mainly pain due to facet joints. It is more common in rheumatic diseases, cervical spondylosis or old age.
Cervical facet joint block given to reduce this kind of pain. Radio frequency ablation is performed to achieve pain relief for longer duration

Cervical endoscopic Surgery

In selected patients , where disc compression is more , compression can be relieved by removing disc with endoscope. It is most advanced and safe approach for patients who have sensory and motor weekends or symptoms of myopathy

Advantages

  • Safe procedure- as done under local anaesthesia so chances of nerve injury is less
  • Very precise- disc is visually removed
  • Day care procedure
  • Can be done in old age and the patients who have cardiac or respiratory problems

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