Pain treatment:

Millions of people suffer from chronic
pain, generally defined as any pain
that lasts more than six month. The
condition can be as debilitating as
many severe diseases, leaving the
patient exhausted and unable to carry
on with many everyday activities.
Without adequate treatment, this pain
and suffering can be expected to
continue throughout life, preventing
the patient from working or performing
many activities of daily living.
Some of the new techniques to reduce
pain:



PULSED RADIOFREQUENCY
TREATMENT FOR PAIN
Although many patients benefit from
pulsed radiofrequency treatment, when
the nerve or ganglion (a cluster of
nerve cells) is treated by
radiofrequency that is delivered in
short ‘blasts’, there are still a lot of
people who are unaware of pulsed
radiofrequency. Yet within the ‘Pain
World’ it is already being tried out not
just to treat back, shoulder or leg pain,
but increasingly its use is being seen
as quite widespread and there are a
number of new applications where
pulsed radiofrequency treatment may
be an efficient way of treating pain that
is resistant to other traditional methods
such as medication or nerve root
blocks.

For example, pulsed radiofrequency is
now regarded as one of the ways in
which fibromyalgia can be treated. It is
used for patients who have occipital
neuralgia and it is even used for
patients who have headaches, so it is
increasingly being viewed as a much
more ‘mainstream’ treatment for
chronic pain, than it was a few years
ago.



PERIPHERAL NERVE STIMULATION
FOR PAIN RELIEF
A  small battery-operated generator is
Implanted in the lower back that sends
a weak electrical current to the nerves
near the spine. It tricks the brain,
replacing her pain signals with what is
described as a tingling sensation.
The procedure, performed at Columbia
University Medical Center.

Nerve stimulation also can be achieved
by attaching electrodes on the outside
of the skin, for instance at the knee, to
deliver a low-voltage electrical current.

Facet joint denervation involves
inactivating nerves in the joints that
enable the spine to bend and twist,
such as in the neck, by passing radio
waves via needles inserted through
the skin to heat the tissue at the tip of
a joint.

Other devices and procedures deliver
drugs directly to the site of pain, such
as nerve blocks, which use injections
to numb nerves including in a shoulder
or arm.

Many of the so-called interventional
pain management procedures are
controversial because they can be
expensive and there is not enough
research in some cases to support
their effectiveness. Also, many of the
new techniques require invasive
procedures or surgical implants that
carry risks of infection, bleeding or
nerve damage.

Costs range from $15,000 to $50,000
for such procedures, including
equipment, surgery and anesthesia.
But in the case of nerve stimulation, for
example,in two years you break even
because you have fewer doctors'
visits, lower medication costs and lower
use of medical resources in general.



RESTORESENSOR
NEUROSTIMULATOR FOR PAIN  
RELIEF
Medtronic has started a U.S. clinical
trial for its RestoreSensor
neurostimulator, which uses motion
sensors to detect changes in a
patient's posture and activity and then
automatically adjusts the level of
electrical stimulation needed for relief
of chronic pain symptoms.
RestoreSensor is already used  in
Europe.


OTHER DEVELOPMENTS
Medstream implantable infusion pump
by Johnson & Johnson for delivering
painkiller medication, programable;

Fenzian treating backpain with
electricity;

DPL (Deep Penetrating Light)
The lg-3000 professional tens unit
works with up to 4 electrode pads to
treat your pain areas on the body
quickly and effectively.This fda
approved tens unit has 3 medically
proven treatment modes and is both
safe and effective.Tens units are used
to relieve all types of pain - back, foot,
shoulder, neck, virtually any acute or
chronic pain.