This will involve 3 kinds of services:
1. Routine pain consultations - by the Pain physician, Neurosurgeon, Pain Physical therapist etc.
2. Basic pain procedures done by the Pain Physician - like
--> IMS (Intra muscular stimulation) - for muscular pain --> trigger point injections (under ultrasound guidance) etc
3. By Musculoskeletal PT:
--> Joint mobilisations
--> Myofascial release
--> Trigger point therapy
--> Taping technique
--> Neural mobilisation
--> Muscle energy release etc.
In a hospital set up - this will need the minimum requirement of a OT with image guidance, crash trolley etc.
1. By the Neurosurgeon - all the functional neurosurgeries including MVD, spinal surgeries (including complex fusions), baclofen pumps etc.
2. By Pain Physician:
--> Nerve blocks
--> Adhesiolysis - epidural (cervical, lumbar, caudal)
--> Spinal cord stimulation - post laminectomy pain, ischemic limb pain, unstable angina
--> Radio frequency lesioning - trigeminal neuralgia, facet joint pain
--> Implantable pumps - cancer pain & bone pain
--> Vertebroplasty - spinal pain due to metastasis or instability of spine
--> Ozone therapy for discogenic pain
--> Epidural steroids